What is a stronger drug for pain management?

Question

I am in sever chronic pain. I can not take anti-inflamitories / /NSAIDS for other medical reasons. I have tried vicodin, tylenol #3 and Darvoset. The first two do nothing, the Darvoset at its highest does just barely helps, but not enough. I am getting bounced around with refferals within my insurance plan and everyone I see says they can not treat the kind of pain I have, that I need a pain clinic. I went there and they said they will only do injections into the joints and that is all they do, so prescriptions or pain management. I feel like I am stuck. I have called all the dr's office, been to the urgent care and the pain dr, called my medical group and called my insurance - everyon tells me to talk to someone else!!!!!!!!! I am in so much pain and frustration. So, I was wondering if anyone knows anything else that might help me. The pain is from osteoarthritis in my hips.

Answer 1

Of course, there are many other pain medications out there. Percocet, Dilaudid, MS-Contin, Fentanyl patches.....many, many. Are you a candidate for hip replacement? That would be a much better option than just taking drugs. Your hips are just going to continue to deteriorate. They need to be replaced. You really need to talk to your orthopedic doctor or get another one to discuss this option with you.

Answer 2

I use a chiropractor, massage therapist and the information from the book (bottom). I suspect if the chiropractor could get you aligned and you were taking things like glucosamine and condroyton and/or sharks cartledge you would be able to rebuild the cushion that keeps getting worn away as fast as you are building it because of being lined up again.

Much pain is from muscles below is an example of what may help (based on headaches).
Begin with a couple swigs of molasses or a couple of bananas (natural muscle relaxers) daily - magnesium (which regulates many things in the body) and potassium (a needed building block for muscles).
Drink at least 1/2 gallons of water per day. Running a body low on water is like running a car low on oil is the analogy the head of neurology at UCDavis told my husband about 10 years ago.

Now to the cause - muscles - your back, neck shoulders and head have tender spots. They are knots in the fibers of the muscles called trigger points. It makes the muscles tight which makes them press on nerves and other things causing the pain.

The cure - start with a professional massage, you will also want to go back over any place you can get to 6-12 times per session up to 6 times per day rubbing (or lightly scratching on your head) every where that is tender until the knots go away. The place where the skull connects to the spine press up under the edge of the skull (to get to those muscles).

For more information read The Trigger Point Therapy Workbook by Davies. It teaches what to do and where the pain comes from.

Answer 3

I'm a nurse. I'm so sorry to hear this. I can give you some names of medication but you need the doctor to agree in order to get the prescriptions. I would continue to inform him of the pain and request for something stronger. The reason why the doctor don't give you anything stronger because of the high rate of dependency, nevertheless, you need relief from your pain. I would recommend T#4 (Tylenol number 4) or Oxycontin. I think that even a patch would work as well. I would attempt to see someone from a pain clinic and/or request for a different doctor who will listen and help you be pain free. My heart goes out to you and it's a shame that you are suffering like this. Please don't give up, keep bugging them until you get results, I know this can become difficult. I am also a Christian and I will be praying for you. Take care and all the best.

Answer 4

sounds like you need a pain management specialist. OA in your hips can usually be managed by a rheumatologist, but if traditional Nsaids and weaker analgesics like Darvocet are failing you, then you must consider another more appropriate specialist.
You might be better off with trying the injections and seeing how they work for you before graduating to stronger narcs. I assist a rheumatologist, and in our experience, first we do shots or oral pain meds, and then the patients are usually referred to pain management. Worse case scenario, but BEST solution? Hip replacement! New joints might be in your future if no one can manage the pain properly. Good luck.

Answer 5

We have similar circumstances email me and we can compare notes and don't listen to ANYONE who calls you a drug seeker. I have over 12 forms of arthritis im38 have had arthritis since birth..I'm on methadone and morphine and have numerous other meds every joint bone muscle tendon ligaments etc are affected I was labeled disabled fully at the age of 17..it took me years to find help but it is getting easier. try a good pain clinnic research them first because you don't want to get caught up in one that takes the meds away and doesn't give them back. I was told at the pain clinic same as you

Answer 6

Sorry but it is the other way around, Rheumatoid is the aggressive form. I have Psoriasis and was originally diagnosed with Psoriatic Arthritis at 29. Come 34 I was flat on my back in Hospital, unable to walk and then they realized I tested positive to the Rheumatoid Factor, so I am odd. Very few will have Psoriasis and Rheumatoid Arthritis. I am just 49 and have already been measured for an electric wheelchair. Initially you do not state how your skin condition is? Is it under control? Not sure what you means by 'arthritis all over your body?' Psoriatic Arthritis usually starts in one joint: Psoriatic arthritis is a chronic disease characterized by inflammation of the skin (psoriasis) and joints (arthritis). Psoriasis is a common skin condition affecting 2% of the Caucasian population in the United States. It features patchy, raised, red areas of skin inflammation with scaling. Psoriasis often affects the tips of the elbows and knees, the scalp, the navel, and around the genital areas or anus. Approximately 10% of patients who have psoriasis also develop an associated inflammation of their joints. Patients who have inflammatory arthritis and psoriasis are diagnosed as having psoriatic arthritis. The onset of psoriatic arthritis generally occurs in the fourth and fifth decades of life. Males and females are affected equally. The skin disease (psoriasis) and the joint disease (arthritis) often appear separately. In fact, the skin disease precedes the arthritis in nearly 80% of patients. The arthritis may precede the psoriasis in up to 15% of patients. In some patients, the diagnosis of psoriatic arthritis can be difficult if the arthritis precedes psoriasis by many years. In fact, some patients have had arthritis for over twenty years before psoriasis eventually appears! Conversely, patients can have psoriasis for over 20 years prior to development of arthritis, leading to the ultimate diagnosis of psoriatic arthritis. In most patients, the psoriasis precedes the arthritis by months to years. The arthritis frequently involve the knees, ankles, and joints in the feet. Usually, only a few joints are inflamed at a time. The inflamed joints become painful, swollen, hot, and red. Sometimes, joint inflammation in the fingers or toes can cause swelling of the entire digit, giving them the appearance of a "sausage." Joint stiffness is common, and is typically worse early in the morning. Other blood tests such as rheumatoid factor are obtained to exclude rheumatoid arthritis! Methotrexate and Enbrel are both given primarily to treat the Psoriasis. By it's nature the skin will flare followed by the joints, then you go into remission. You do not state what dose of Diclofenac you are on, I have been on 150mgs dual release since 1989 and have no liver problems, or kidney problems and it works for me. However with over 100 different types of anti-inflammatory drugs available, you need to change until you find the one that suits you. Likewise due to the fact you have been diagnosed and received treatment, you should be under a Dermatologist and a Rheumatologist. These are the spcialists who deal with Psoriatic Arthritis and they will be able to prescribe pain killers, if they consider the Patient need them. Good Luck

Answer 7

Di-morphine, better known as heroin is the best pain killer, it is available on prescription in the UK and most of Europe, usually for end stage cancer but if your case is severe enough you may get it.

Answer 8

Percocet is a stronger narcotic than any others you mentioned, It should do the trick.

Answer 9

darvocet helps more than vicodin? well, ok..i guess...listen, narcotic pain relievers are not appropriate therapy for osteo arthritis...that's why they won't give them to you...do the injections...or give up the drug-seeking behavior...docs are trained to spot that, you know...

best of luck, tammy