Without getting into too much detail, about 10 months ago, I severely injured my back(thoracic area) . As far as imaging can tell, there is no skeletal damage or nerve issues, it can only be muscles. At best, I'm at a 5 on the pain scale, and I'm normally 6 or 7. This is with both CR and IR oral morphine(30mg BID and 15mg q4-6 PRN, respectively), a NSAID, and gabapentin. I had to stop Flexoril because of blood pressure issues (92 systolic). I spend at least an hour or two daily very nauseous from the pain. PT hasn't worked yet and I've run out of insurance, so the only treatment I can do right now is the TENS unit I have at home.
Here's my question though: Once a month or so, I have an episode of unprovoked intense pain, the only time I'm willing to say that I hit 10/10 on the pain scale. It can last up to an hour. Nothing I have can do anything. Is it possible to get any kind of injectable analgesic to keep at home for this case? Also, would a physician write for anything like this?
2007-08-26 06:31:17 · 8 answers · asked by Doorrat 3 in Health ➔ General Health Care ➔ Pain & Pain Management
(Ran out of room)- These episodes literally have me curled up screaming and crying(I'm a 23 year old guy, that is not easy to admit), nothing can describe the pain. I know people don't usually want needles, and I'm no exception, but I'm desperate. Please tell me anything you can think of to help deal with this. At this point, I think an autoinjector or something like that used for insulin or epi would probably work best- does anything like this exist? Do I have any other options I could ask my doctor for or about?
Thank you all so much for any input or ideas you have.
2007-08-26 06:39:18 · update #1
I have been to a pain management doc, they could only recommend their pain program, which I can't pay for right now.
Also, I was on amitriptyline for 2 months, but it had me sleeping 16-20 hours/day and exhausted the rest of the time and I couldn't do that anymore. That was when he switched me to the gabapentin.
2007-08-26 06:41:56 · update #2
you're going to have a difficult time getting a Physician to give you a medication to inject at home. They don't want to take the risk that you might injure yourself and that's the reason why they don't do it.
I suggest you see an acupuncturist as they are excellent with muscle problems. Many people have had their problems completely reversed by acupuncture.
2007-08-26 06:36:52 · answer #1 · answered by Cherokee Billie 7 · 1⤊ 1⤋
I know that pain! No, a physician isn't going to give you an injectable for home use. There are some options such as an implanted morphine pump, but from what I understand those are generally more for disk/spine issues. Your only real option (as my pain management/primary care have both told me) when the pain gets to that point is to go to the ER and get an injection. They'll usually do either morphine, Demerol/phenergan or dilautid. They'll also generally do some sort of steroid injection as well as an anti-inflammatory. (torodal or the like). Believe me I know how you feel. It's worth an ambulance ride if you can't get there any other way also.
2007-08-26 08:16:15 · answer #2 · answered by dibzz d 3 · 1⤊ 0⤋
This Site Might Help You.
RE:
What are my options for severe acute pain (Doctors, please help!)?
Without getting into too much detail, about 10 months ago, I severely injured my back(thoracic area) . As far as imaging can tell, there is no skeletal damage or nerve issues, it can only be muscles. At best, I'm at a 5 on the pain scale, and I'm normally 6 or 7. This is with both CR and IR...
2015-08-26 16:35:34 · answer #3 · answered by Leah 1 · 0⤊ 0⤋
You sound a lot like my ex husband. I am very sorry for your pain. I would honestly suggest that you try alternetive methods, like acupuncture which may help with muscle pain. I would also suggest when you can to see a counsellor who has experience with chronic pain sufferers. At least some of you pain may be controllable through mental exercises. I am not saying that your pain is in your head, but it is a very draining way to live when you're in constant pain, and counselor may be able to help you so that you dont' end up like my ex, over 30 bitter and alone because he gave in to the pain.
2007-08-28 09:38:00 · answer #4 · answered by passionatemilf 2 · 0⤊ 0⤋
Have you ever seen a pain management doc? If not, i would ask your primary doc to recommend one in your area... there are many things that they can do that could help, if not alleviate the pain you are having... possible steroid injection, nerve blocks, trigger point injections, etc... they could also possibly give you different pain medication combinations that could further help your pain... just a thought... good luck!
2007-08-26 06:38:36 · answer #5 · answered by Anonymous · 0⤊ 0⤋
Gabapentin (neurontin) is a weak analgesic. Talk to your doc about adding a tricyclic such as Amitryptiline , its known to help with your kind of pain. Good luck.
2007-08-26 06:39:04 · answer #6 · answered by fit_fun_collegegrad2005 2 · 0⤊ 0⤋
There are other good muscle relaxers besides flexeril that won't effect your blood pressure like that. Investigate that with your doctor.
2007-08-26 06:40:41 · answer #7 · answered by Jeff 4 · 0⤊ 1⤋
wow sorry to hear your suffering but you may need a morphine pump inplanted in your body to control pain and dosing. goodluck !
2007-08-26 06:40:25 · answer #8 · answered by ruffjustices 2 · 1⤊ 1⤋