Can I request a specific narcotic?
15 months ago I was involved in a car accident that left me with two ruptured discs in my L4-L5 and L5-S1. My L5-S1 disk is not only ruptured but torn as well. The pain is excruciating and quite often debilitating. I have been put on numerous varieties of non-narcotics and narcotics such as trammadol, darvocet, vicodin 5mg and 7.5mg, percocet 5mg and 10mg, that is just to name a few. With every one of those I got minor relief but was still left in pain and would end up taking more than what I should have. I have already been seen by a neurosurgeon who has recommended a lumbar fusion. My regular doctor and the neurosurgeon felt that my pain was significant enough to warrant an immediate appointment with the pain center. Typical wait time is 2-3 months, I got an appointment within 3 days. I go in on Monday to speak with my pain management doctor and wasn’t sure what to expect. I would like to know if I would be able to recommend a specific narcotic that has proven to be very effective for me in the past leaving me little to no side effects while allowing me to function normally. I am just not sure if they will be ok with it.
I was given Dilaudid to help manage the pain I had from gallbladder pains as well as pancreatitus. I had 7 12mm stones in my gallbladder and the pain was as intense as the pain I have now, and I had the same issue then with finding a narcotic that was effective at giving me relief so I could function as normal as possible.
Just a little insight would be great. My most recent prescription that my PCP has given me was percocet 10mg every 4-6 hours. This takes a bit of the edge off but still leaves me in a lot of pain. Is asking for Dilaudid too high of a jump to make?
I am very well aware of what dilaudid is and what its side effects are, I am just wanting to know an answer to whether or not a pain management doctor will take a recommendation for a pain medication that has proven to be effective for me in the past.
You will be on very close supervision with a pain clinic for the drugs you get. Screw up once and that’s it. They may want to do an upper dermal, if it works fine if not, they’ll work something out for a relief drug.
November 29th, 2009 at 6:57 am
You will be on very close supervision with a pain clinic for the drugs you get. Screw up once and that’s it. They may want to do an upper dermal, if it works fine if not, they’ll work something out for a relief drug.
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Former medLabTechnologist supervisor (retired)
November 29th, 2009 at 7:25 am
You can ask for anything you want or at least tell them what you want. I have a few thoughts about this for you for what they are worth. I tell people to look at their back and tell me what they see. Bones and muscles with nerves thrown in too. Nerves are out for your problem, you would be in the ER if that was the problem. The bones have no pain receptors and no way of sending the pain messages to the brain. That leaves the muscles. If they are pinched or tight they end up in pain. If one side of your back has a tight muscle in it, a very tight muscle, what do you think is going to happen to the other side? bulge, slipped disc? What is the one thing that would make one side of your spine different from the other? Tight muscles on one side. If your muscle aren’t released you are going to have the worst pain imaginable and I don’t know what they do to fix tight muscles in surgery, but too often the person who has pain like yours comes out with the same pain. The muscle have not been taken care of. Here is how you can try to release them yourself and save a lot of other grief:
Back:
Place your left hand on your left knee. Place your right hand over your left shoulder and with your fingertips find the muscle next to your spine. Press on it and hold. Relax, take a deep breath and exhale and don’t tense up any part of your body. After about 30 seconds there should be a release happening and when it does slowly lower yourself forward onto your right leg. If you can lean over the outside edge of your leg it will be better for your release. Continue holding for a total of one minute. Then release but rest your body there for one minute longer. Then reverse and do the right side.
Then there is another for the lumbar region which can be done in several spots and all the way to the end of the tailbone. Here’s how:
For lower back, on the buttocks:
Put both hands behind your back and place them on the muscles alongside your spine and press on them and hold. Now relax, take a deep breath and exhale and don’t tense up any part of your body. When the release starts to happen, slowly lower yourself forward as far as you can go. Then release the pressure but hold your body there for one minute longer.
I suffered immensely all my life going from p.t. to chiropractor and even acupuncture all with minimal results. I had fallen out of a car when I was 3 and hit by another when I was 7. My body was in bad shape and nobody was doing anything to make it better. I was a twice a month or more patient at the chiro just finding what relief she could offer me. Since Dec, when I first got into these, I haven’t been back once and I have felt better than I have in my whole life, and that is over 50 years to talk about. I can’t believe that something so simple gave me so much to finally look forward to.
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