r/PainManagement

I ran out of my oxyNEO 40 mg for chronic pancreatitis and I only have methadone 10 mg for pain relief plus opioid Withdrawals.

Last oxyNEO 40 mg twice daily
I was taking 80 mg at once for pain

I took 20 mg of methadone on Monday it is not Thursday and I do not have withdrawal the oxy is out of my system.

I am wondering if methadone 10 mg is good for pain? I can increase the dose on days it is bad and go back to my dose to 10 mg a day, I am lost.

Is my methadone 10 mg prescribed good for pain?

I am on 55mg, I think.

Is that average, above average, or below average?

I’m already disabled but the pulled muscles happen with little movement/for no reason.

Anybody here on Ozempic and noticed meds just don’t work as well on it? It’s like it gets delayed and then 6 hours later they all hit at once.

I have chronic pain related to my Crohn’s disease. I’ve been in and out hospital a lot over the last few months with severe pain. Initially I was on oral Oxycodone every four hours for pain during admission. When it got really bad, the doctors would give me a subcutaneous injection that would work instantly, last longer and require less mg than oral.

Ever since then, I’ve requested subcutaneous pain relief when I’m in hospital for surgeries (all related to the same issue). I take oral oxy daily, so when I’m hospitalised it tends to be because my pain is worse, and I need more than my usual dose.

There seems to be some shame around it from certain doctors and the pain team: I understand that I can’t have subcutaneous at home, but while I’m in hospital I don’t know why it’s discouraged to manage my pain when it works so much better. I’m feeling a lot of shame over asking for it, when I know it manages my pain better. Has anyone else got any experience with this?

My doctor has cut off all opiods and it's almost a year now. I see many advertisements for Telemed pain doctors that you pay for a consultation and then I imagine you send copies of your medical records. But do they actually prescribe pain medication? I read some of these telemed doctors can charge up to $500 for a consultation but there is no guarantee after supplying these doctors with MRI discs and reports that you can get pain medicine. Maybe others had better luck but I am curious if anyone has used a telemed doctor and if you had success with them treating you for your pain.

She changed my meds because I was still having a lot of pain at night even with the three oxycodone a day, so as I said she switched me to 10mg morphine extended release and two 5 mg oxycodone for breakthrough. What are people's experiences and is this a bad thing she did for me?

She mentioned oxycontin which is what I wanted to try, but didn't give it to me, she said she needed to see what my insurance covers, although it's covered everything else. If the morphine doesn't work then I will ask if I can try the oxycontin, which as I said is what I want to try because I've never tried it and I'm already on the oxycodone and it is an extended release version. But I don't know what to do right now, I really have no choice and can only pray the morphine will help me.

I got 30mg codeine pills for my wisdom extraction, but it also tremendously helps with my neuropathic pain and my poor mood. Assuming theres no way I can keep on it smh

Can handle take as needed opioids with zero side effects or addiction issues (how they make anyone high is beyond me...), so obviously I'm one of the people they refuse to give any. Zanafex (tizanadine) I handle quite fine with zero side effects but take sparingly so they actually work.

Gabapentin/neurontin makes me feel insane, terrible and illiterate - unable to even function, much less work. I'd rather be in pain. Lacosamide, not quite as bad mentally (but not good) - with added heart arrythmia (no good after a heart attack a couple years ago).

Steroid shots made me swell and blood pressure jump 30-40 points continually for 2 months, while I was bright red and couldn't bear the sun... along with 2 trips to the ER with bp 80 points above normal and pulse flying. Felt horrible! Another 2 months about half as bad, then finally at 4 months, I said "Wow, my neck doesn't hurt as bad - then I did a couple hours work & overnight 110% of the pain was back and constant since.

Cannot take NSAIDS either, a few regular ones and I start to get that reaction as well. Cox-2 inhibitors to the extreme. They gave me Meloxicam a decade ago and multiple ER trips and I swear, 1 more pill and it would have been the graveyard for me. Took me 6 weeks after quitting it, lying in bed with my hands on my head, trying to meditate and control my breathing and pulse, constantly checking my bp - until I was finally back to normal. My wife's coworker's husband expired before 40 taking Meloxicam, like the infamous Vioxx they finally took off the market.

They'd rather you end up deleted than give you 10 average opioids a month, when you have zero side effects or addiction issues. The problem with steroid injections, is if you have a reaction, you can't get the %$&#@!^ sh!^ out of your system for months... never again!!!

Wondering if surgery will even help after 25 years of pain, numbness, weakness, falling on the ground shaking a few times a month (and that tight muscle electrical feeling over my whole body, where I'm close to that point - probably 25 days a month)? I can't deal with being worse off after surgery... at least I'm still alive after quitting some of these other "treatments" in time.

I'm sure I needed lumbar surgery as a teenager, 35 years ago, for the congenital stenosis & associated radiculopathy and array of other lumbar nerve issues & cervical fusion 25 years ago, after getting T-boned on my side by a truck going over 70mph (didn't even x-ray me in ER, but whole body deteriorated over the next 5 years). Didn't know what was wrong with my neck until T-boned again in 2012 by a car doing 50mph & bringing the CD home of my CT scan myself & bringing it back to my next appointment and having to point out my c2 displaced over my c3, with the c3 off the c4... that finally got me an mri & a prescription for Meloxicam, which came very close to truly deleting me (which I was accused of being crazy, until the Voltaran cream they replaced it with gave me the same symptoms & I never saw another Dr. the next 10 years until I had a massive heart attack with 99% blockage an drove myself to the ER).

I'm finally getting treatment for my spine again after going back to the ER with the same chest, back, and arm pain 2 months later - as I had with the heart attack & telling them I can't tell if it's from my heart or spinal issues & the good doc I was lucky to get that time did a new CT of my neck and shoulder area, when my heart tests came back good.

I suppose this has been quite a long post, but after so many "treatments" being worse than the original suffering itself, I'm wondering what improvement I might get after 25-35 years of symptoms that people end up getting surgery for in a matter of months, so the nerve damage isn't permanent I'd assume mine is by now ?). Or is surgery just worth debating the risk for not much likely immediate benefit by now, with the chance of being worse off - versus doing it now in my early 50's, knowing sooner or later there's a huge likelihood I would need both the lumbar & cervical in more of an emergency situation when I'm even older and in worse health (severe stenosis at multiple levels now in both places, DDD, severe arthritis, spondylolisthesis, straightening of lordosis, ligamentum flavum buckling, and a ton more). Also, my mother's side, her father died of massive heart attack (clots) in his early 60's, 6 of his brothers had the same fate late 40's to 60's, and a 7th brother died of stroke (clot) at the same age & as I said before I had a massive heart attack (clot, 99% blockage) at 49.

Just wondering how many people reacted so horribly to so many of the "conservative treatments" & gathering more to consider before deciding what I'm going to do about this cervical fusion surgery & knowing my lumbar is just as bad... I will also have close to zero help or support, post-surgery. At this time, after 25-35 years, I break a tizanadine in half every few nights, take a whole one maybe once a week & can't take anything they're willing to prescribe me for pain - I guess suffering 24hrs a day all over your whole body is just another day alive after so long. Don't know how much more I can deal with though, going through with this and ending up even worse - is something I can't even contemplate right now...

I went to a rehab pain management clinic for a few sessions and honestly felt like I was on an assembly line. A medical specialist would tell me to do an exercise, set a timer, and walk away without even checking if I was doing it correctly. Once the timer went off, another person would come over, give me a different exercise, set another timer, and leave again.

Most of the exercises were basic stuff I could have done at home on my own. Is this normal for pain management or physical rehab clinics? I have never experienced anything like this before and I’ve old enough to have retired from the military.

This was through a VA referral to a private clinic, and it honestly felt like they were just packing the schedule with VA patients and rushing everyone through.

Thoughts?

I was wondering if anyone has been in my situation, I’ve been talking pain meds for about 2 years now and I’ve just recently started gagging when I try to wash a pill down. I was wondering if my doctor would substitute my pain meds for a syrup based med. but before I did that I want to see if anyone has been in my situation before .

Thanks

So yeah im trying to get my TENS unit for long periods on my wrists but to avoid itching. Ive read everything and tried many different things. Moving pads trying gels etc. But im wondering if anyone has any information for maybe a DIY solution. I keep them on for 2 to 3 hours at a time but need more time in same spot. I been thining a wet thin cloth with slits or holes. Trying allergy type pads but those same really not for my issue. Im willing to try anything atp.

Thank you!

I’m looking for anyone who’s had a ketamine infusion for pain management. I just have some weird questions. Like what do you bring? How long does it take? How long do you feel it afterward? Thanks!

Ok, so just got Rx of patches to go with my Percocet. I take 10mg percs 4 times a day, now I’ll have a weekly of Buprenorphine 10mg/hr TD . What to except? Is it really a good pain relieving back up to my Percs? I’ve never done patches before so don’t know what to expect. Thank you in advance.

Can anyone help me with fentanyl patch placement ideas?

I’m on a 75mcg fentanyl patch and have been prescribed it for a few months now. It’s honestly been great for my pain overall, but I do have a few issues with it.

I’m in my late 20s and although I have a serious medical condition, I still try to do normal summer things when I’m physically able to, like going to the pool or a 4th of July party. I know not to stay in direct heat/sun too long because of the patch, but my biggest issue is honestly how visible it is.

I currently place it on my upper chest and rotate sides. The problem is it sticks out like a sore thumb if I’m shirtless. I don’t really want acquaintances or strangers seeing it and asking questions about my health or medications. Being younger, most people around me aren’t exactly familiar with fentanyl patches or chronic illness, and I also worry about drawing attention to myself or even being targeted/theft concerns.

I’ve tried covering it with large square bandage and even skin-colored tape I found on Amazon. It helps a little, but a large bandage or tape on my chest still gets noticed.

I tried my upper arm below my shoulder, but sleeping on my side caused it to crinkle and peel up badly even with Tegaderm over it. I also tried the side of my stomach/abdomen area, but twisting and bending seemed to create too much tension and pulling on the patch.

I was considering shaving a small area on my thigh since boxer briefs or a bathing suit would cover it. Does the upper inner thigh work okay, or is outer thigh better? I carry a little more fat on my inner thigh than outer thigh as a guy, so I wasn’t sure if that mattered. I could also maybe do the upper top part of the thigh, but I’ve never tried using my legs to say where to do it that won’t pop off with bending and walking etc.

Does lower back placement work for anyone? I mean above the waistline, more on either side of the spine, not really the love handle area.

I’m also asking because I can’t really afford to waste patches “testing” locations that end up peeling off or not adhering correctly. I had one on my upper arm fail within an hour and had to throw it away, and when my pain flares it’s brutal.

Any general fentanyl patch advice, placement ideas, adhesion tricks, or discreet placement suggestions would really help. Thanks!!

Just curious if there are any online pain management doctors? I’m waiting to get in with pain management but I’m also dealing with a frozen shoulder and severe back pain.

Heb pharmacy says they will fill this month of pain meds but after this month they will only fill from a pain management doctor. I'm going from taking 10/325 Norco to Tylenol 3 and the pharmacist is saying that they also have to get a diagnosis before filling it. By the way I have MS,RA and fibromyalgia they used to fill my pain medication from this same primary physician before I went to pain management but now they are being aholes and again saying that they will only fill from here on out from a pain management which I choose to stop going to and just would rather have my primary fill my meds and all my other medications. Am I being dramatic? Yes I've gotten into it with the pharmacy on my medication in the past. I'm really considering moving all of my prescriptions to a different pharmacy. Do I report the workers of the pharmacy to HEB or what do any of you suggest? I'm not going back to a pain management doctor unless I get to where I'm unable to walk any more. I've used HEB pharmacy for over 20yrs I just moved to a different town a year ago and moved all my scripts to this local store. I just don't know where to start any advice would be greatly appreciated 🫶

Hello everyone! I hope everyone's pain isn't too bad today. I'm livid, I have an upcoming trip from NYC to Mexico City. I leave on May 19th and I won't be back until May 29th. My RX isn't due until the 22nd. My RX is a schedule II (Oxycodone 30mg).

FYI-My Dr sent a note on the RX saying he was ok with me filling early.

I took a print out of my ticket to my pharmacist and she refused to fill it "early". Now, I have to go on the 19th and fly back on May 22nd to pick up my RX and fly back to Mexico on the 23rd. As there is NO way I can stay without my RX.

I'm truly livid as I never ask for early fills. They did an early fill back in January (but it wasn't requested by me).

Thank you for letting me vent out!!

So last August my palliative care provider abandoned me and I was left on a relatively high amount of opioid pain medication with nobody to prescribe it. I seriously considered buprenorphine just because I figured that I was doomed to go through bad withdrawal otherwise. But when someone from my PCP’s office called to address the messages I’d sent through the patient portal about what had happened with the palliative care provider and needing someone to take over my pain meds, I accepted the in person appointment that I was offered. And when I met with her, I was shocked when she told me that she would be willing to take over my pain management needs, because she didn’t think pain management would take me on such a high dose of pain meds.

But all this time, as she has been treating me better than palliative care did or pain management, I had been wondering what made her decide to take over my pain medication needs and all my other challenging meds.

I finally asked her straight out last Friday when I had another appointment with her. She told me it was because she cared about me and she also told me that it made her feel good about herself to help me so much, as she had been unable to help her mother who had suffered from similar problems as I have been dealing with since my EDS made itself known. I thought that was so sweet and I now know for certain that she does truly care about me, which makes me feel a lot more confident that she’s not going to abandon me as I have been abandoned in the past by other providers.

I just wanted to share this because a lot of people have wondered what made my PCP so willing to take over managing my pain medication.

I have tried everything. Tramadol did nothing. Percocets were ok for a time but stopped working after a while. I just had to take more and more. Then I tried the long acting percocets but my digestive system is too fast and I didn’t break them down at all. They came out whole. (Sorry if that’s TMI) Then they tried the BuTrans patch which worked amazing but ate chemical burns into my skin. Then they tried fentanyl patches which did nothing but make me feel shitty. Then they tried the suboxone mouth patches. They did NOTHING. I’m back eating percocets like candy hardly getting out of bed most days.
What works for people? Also I’m in Canada. That information may help.
Thank you. 😊