Back Pain and Medication problems ?

QUESTION:
I am a 51 year old male that has had back problems for many years. This really hasn't been a major problem until recently when i needed a spinal fusion. That surgery has made things worse and my pain has intensified, I had it done on 6/30 L-5 S-1. My Orthopedic doctor wants me to stop taking vicodin. He explains that the effectiveness will go away from frequent use. I dont know how I am supposed to live with the pain. It isn't fair. I need help locating a decent doctor that will at least listen and give me hope.Any help would be greatly appreciated.

ANSWER:
here's my stab - My site is going up soon with all of "Keens' info" and much more - soon it will be a subscription service, but for now, for those who get this message, it is free - But I will boot any recreational users off if they are discovered! www.rxmedfind.com/members (PLEASE keep this only to this group - I don't need it cross posted to rec.drugs, etc...) As for the badness of anyone profiting from a site like mine - the cost of keeping the info up to date and reliable *is* a full time job, and like many of you who have a family member or are a chronic pain sufferer, an income *is* necessary for full time work - I wish you all very well and hope to see you on my site.

Not even worth replying to - except to say you didn't scare me off, simply repulsed me with your psuedo-suave BS, and I can tell that all your motives in life are totally altrustic, right? And I'm probably supporting your sarcastic ass with my tax dollars - either that or you sell it as you think is a noble way to make a living. Don't bother about reply, as I am done talking to you.

True. As will the high. And maybe the other side effects. But maybe they'll get worse. I can't take hydrocodone because of intestinal upset, but codeine is still ok for me.

My doc says that if the codeine stops working, just take a week off and it'll work fine (and the high will be back, too) again. Since vicodin is also a "natural" opium derivative, it probably works the same. In addition, there are a whole bunch of other opium derivatives that may work. They are "highly idiosyncratic" (that's scientific/medicalese for "we don't know what the hell we're doing").

You may want to doctor shop. I'm assuming you're in some sort of HMO or PPO and need a PCP to do the referrals. When you make your initial call, ask up front about pain medications. And if he says he's uncomfortable, find out exactly what that means. I had one for whom uncomfortable meant that he wouldn't prescribe them.

Use your medical plan's provider list and your phone. Call and explain your problem and ask whether the doctor is interested and able to help you. Ask specifically about pain medication, and specifically narcotics or opiates. You won't get the doctor on the phone, but if the receptionist/nurse hesitates or hems and haws, you've got a big clue here. Then in your first office visit, you'll find out what the doctor thinks. Do it NOW, before your current prescription runs low.

You also should look into alternative treatments. Acupuncture has really helped me. I am a strong believer in mint tea (that's mint leaves, not mint flavoring in tea leaves) and chamomile. To be honest, I think that just relaxing the muscles a little reduces the pain, not because the muscles are causing the pain, but because the additional tension on the pain center increases the pain.

One thing that really helps me is eliminating all stressors. (But not to the point that I kick the kids out of the house permanently.) Well, really, as many as possible. It took me years to really accept that I am disabled, and that my family also needs to make some sacrifices. We're fortunate that my wife makes enough to afford a cleaning lady. That means that I can lie down a lot (I have chronic pelvic pain syndrome and that's my positional relief position).

 


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