Chronic Pain, How is you sleeping Schedule?

Posts: 90
Joined: 2007-12-16

Just wondering how others in pain an on these meds sleep.

When I am in pain, because of the throbing and shocking I am up for atleast 19 hours a day and somtetimes going on 24+ Before I crash and burn.... When I sleep, I sleep hard for a min of 10 hour where nothing can wake me up besides water in my face. No alarm clock or shakeing can wake me up until my body and brain says it has had enuog hrest. Thing is when I do sleep more than 12 hours a day, I wake up with a huge headache.

After I have my pain episodes and the pain is almost gone I still have sleeping problems due to the bad scheduling and timing of my bedtimes. Anyways, how do you guys get to dreamland with whatever burden you own?

 

Thanks, Kenny





Enigmuh's picture
Posts: 176
Joined: 2008-03-03
>>Meditation is awesome,

>>Meditation is awesome, and get in a routine for EVERY DAY, cant go to sleep at 10, next time 4 am, then midnight, etc. your body needs a schedule so it can tell itself when to sleep and when to wake, your "internal clock" (is it circadian rhythm, i forget) is spot on always a couple of ways, i time everything. meaning i have a set schedule every day, wake up at 7, take dose at  of OC one at 230 then i take a dose at 10 of OC, i take 3x daily, every 7 -8 hrs or so, that way i always have a steady amount in me. getting to sleep for me usually isn't a problem, if i'm having trouble due to pain, i'll take my bt me with my evening dose if i know i'm feeling pain, then i will immediately lay down w/in 15 min of taking the 10pm dose. that way my body can relax and mind can slow. the pain is the tricky part. i have this thing that usually works for me, since you are tense from the pain and feel discomfort, my pain is in my head, so its really tough, but what i do is the moment i lay down i go through this exercis.  a 5 min routine. i lay in bed, i get my pillows behind my head/soft as hell pillows, then under my arms going along my body from the base of my pillows are two more pillows so i cant roll over at night, really bad for my pain, while i'm chillin in bed i start to conciously think about each muscle and relaxing it, for every part of my body, i start with my feet, and feel it relax as it goes up, i do this for this part. when i get to my neck and head since thats where my pain always is, you will notice if you try this, when you cant sleep your face, eybrows, lips cheeks, everything isn't relaxed, once you go through this you will immediately feel more relaxed. It is insane how tense your face is, what i do before just gets my mind in the zone so i can relax my head. like i said takes about 5 min. not only are you focusing on your body, but you have no wondering thoughts, or too many thoughts focusing on pain, so your brain is slowing down and focusing on one thing, thats the point of meditation, to calm your mind by starting to focus on one thing. make up your own version for your pain, or try mine, its a version of meditation. by the time your done, bam youre asleep.

I ALWAYS wake with severe pain in my head, and sometimes headaches too, (my pain and headache pain are two separate types and feelings) i find its because i sleep on one side, or the other of my face, roll around/restless so to minimize it thats why i wrap myself in pillows so i stay in one spot, and always comfortable.

Dont forget, not only do you stay up from pain, but sometimes people get an upper affect from analgesics/narcotics/opiates, they don't always make you sleepy, especially after you've become tolerant to them. Maybe get an Rx,not for a sleeping pill you don't want to wake up dead, but perhaps a small dose of a benzo or a sedating drug that will not affect your respiratory system, give that a shot with your doc, you should get your doc's email so you can update him personally with these kinds of problems, or have call you after you leave a note with a nurse, dont feel like youre a pest if you go in every few days, you are the patient, and if you need help than that comes first. let me know how you do. ( i'm awake right now because i'm on a new regiment tomorrow and i have to sleep till my OC wears off, then begin the new med)

I am not a doctor, i am an experienced individual

Enigmuh




Enigmuh's picture
Posts: 176
Joined: 2008-03-03
reminder

>>getting 10 hours of sleep is as bad as gettin 6 hours of sleep. Over the next week try and get in that rhythm, 8 hours is the best and i find my pain is less when i get that kind of sleep, watch out with taking narcotics close to bedtime as i find i have a lot of dreams which isn't good sleep, great sleep comes with no dreams. good luck

I am not a doctor, i am an experienced individual

Enigmuh




Posts: 9
Joined: 2008-03-10
Try the natural route before resorting to Rx

I have had problems with sleep all my life (I'm a narcoleptic).  Nowadays I take a combo of 3mg Melatonin and an herbal concoction and it seems to work for me.  I was prescribed sleeping pills at first and ended up being addicted for 3 years and in treatment.. so I would only go that route if nothing else works. They also are very habit forming and can hurt you in the long run.

 Melatonin is great for making you very sleepy, as well as promoting a healthy sleep schedule.  Once you establish a schedule, it should get easier for you. If that doesn't work, Klonopin worked pretty good to relax me and help me fall asleep. A few common herbs to help sleep are Valerian Root, Passionflower, and Lavender if you want to go that route.

As for helping you fall asleep when you're in pain.. I guess I don't really know what kind of pain you're talking about.. like pain in your whole body?  The only thing I can think of is getting some painkillers for only when you need them, so you can sleep and keep on a schedule. 




Posts: 90
Joined: 2007-12-16
Bit off topic

My pain comes from 3-7 areas. 7 sounds like many but if it is 7 that doesnt mean my whole or most of my body. Anyways, because of my hemophilia, my right elbow and right knee swell up often causing constant pressure along with both sharp and dull throbing. When my joints are not swollen, I have nerve pain in the which I take gabapentin, but that is a hit or miss on if it works or not. That nerve pain is very very very sharp shocks every 30 seconds - 5 minutes. I would rate the shocks at a 5-6 on the scale :(. I would say I am in some pain 80% of my time and days and in major pain the other 20%. Thanks to my meds thos the 80% is managed well where the pain is at a 2-4 on the scale :)

 

Thanks, Kenny

 

 I think I might start another thread asking other to describe there pain. Let me know if you guys think if thats a good idea and I will start it. We all like to share anyways. 




Posts: 9
Joined: 2008-03-10
Massage and Accupuncture

Have you ever tried theraputic massages or accupuncture to relieve some of the pain?  A friend of mine was in a bad accident and messed up her back pretty bad, and she said that accupuncture worked wonders.  I'm sure it wouldn't completely solve the problem but it would probably help.  Just a thought.



Enigmuh's picture
Posts: 176
Joined: 2008-03-03
>>kenny, tell me something

>>kenny, tell me something please, when you said

"That nerve pain is very very very sharp shocks every 30 seconds - 5 minutes"

when you say shock, is it a surge of pain that just literally appears, very very hardcore? or is it a shock like electrical, i don't understand.

See, my pain is of unknown origin, and cannot be imaged (MRI etc) but we all know it is there, it came about after a very very extensive surgery on my jaw , and fixed deviated septum, bout an 8 hour surgery, it went perfect, got it done by the best in the field, first surgery ever in his many thousands that went perfect, finished in 6 1/2 hr when it avgs 8-10hrs depending on complications,  i had zero complications. However besides the chronic migraines ive always had, the surgery was hopefully goin to help that but wasn't why i got the surgery, and out of nowhere i got this pain in my head, constant, in the back and sides, sometimes all over, but different from a headach, feels like a broken bone, but in my head

Point being is that i get these incredible surges of pain that can knock me flat on my ass, last 5 sec to a couple minutes max, but when i get a migraine they come on more frequently and longer, they can't get stronger they are already at max no matter when, so when you say shock, would you mind describing that, it may shed some light on part of these "surges" i get. please be detailed thank your

I am not a doctor, i am an experienced individual

Enigmuh




Posts: 90
Joined: 2007-12-16
Two types

Hmm, It may be somthing I can look into. I am pretty sure my insurance can cover it but will double check. Might habve to start another thread asking others how much they have benifited from the treatment.

Hey enigmuh. When I say shock I actually mean two types of sensations. One actually feels like a small amount of voltage that shocks around the elbow and up my arm to my shoulder. The Other being a very sharp pain as is a somebody was to stick a knife into the middle of the lbow joint and scrape around inside. This is acompanied by sharpness in my last three right knuckles and shoulder, yes, it does skip my forarms and goes straight to the knuckles.

The sharp stabbing is instant a quik pain while the voltage shocks last about 3-10 seconds. Maybe that matches what got aswell.




Enigmuh's picture
Posts: 176
Joined: 2008-03-03
>>i definately get the

>>i definately get the sharp, stabbing pain as if a knife is jammed in my head, and its i get it in two spots, but one mainly. One is at or near the greater occipital nerve in the occipital lobe (right at/near the base of your hairline, top of spine bottom of skull in the back, i've had that nerve blocked/inhibited before too, but didn't help) the other is on the right side, i think the temporal lobe area, of my head.

Have you ever thought about getting nerve blocks? it inhibits the firing of the nerve, the pain signals and all, but doesn't shut the nerve down forever, each block for me was like i think 6 months, it was done 3 years ago, can't remember that well, they just injects steroid/maybe a numbing lido/novacain, man i can't remember shizit from that, dont think it costs that much at all with insurance or without

if you wouldn't mind, maybe monitor the pain when it happens, i'll bring it up to my doc on wed if its similar enough> thank you.

I am not a doctor, i am an experienced individual

Enigmuh




Posts: 90
Joined: 2007-12-16
Never Heard

I just recently started to get he nerve pain in my arms and knees. Abuot 8 months ago so my docs and I have not talked much of it besides being put on the gabapentin. Can you tell me more or provide some links to more info on the never block injections?

Thanks buddy, Kenny

 Ohh yea, this is a bit off topic but I still would like this thread to stick to the sleeping scheds. Please guys post how your sleeps go :)




gcdylan's picture
Posts: 340
Joined: 2007-05-03
Myself,I have always been a

Myself,I have always been a very light sleeper before 1990 when I was badly hurt. Needless to say I take 2 50mg of Elavil to help me sleep and maybe 5 mg of Diazepam if I my eyes are wired open. I rarely get a very deep sleep and I am up at least 5 times during the night. There have been some things I do that I have read online to help in sleep  and at times it works. I have been offered a sedative from my doctor but I absolutley will not take another med and I have read if I take the diazepam too often I might very well become dependent on them. I already am dependent on opiates and I will not become dependant on another. .



Posts: 852
Joined: 2007-04-12
Establishing regular hours

Establishing regular hours when you are relatively pain free is the best way to get your body to sleep even when you are in pain.  In other words, turn off your TV, disconnect from the internet, and turn off your computor.  Lay down in a dark quiet room with your eyes closed at a certain time every night until you fall asleep.  Don't use your bed for anything but sleeping.  Mediation, self-gratification (I got blocked for using the m-word here so I am trying again), or sex will help you relax.  Ask your doctor about Rozarem.  It is a  non-addicting, non-benzodiazapine, non-benzodiazapine like medication.  It works like melatonin on the melatonin receptors in the brain.  It is a medication that is intended for long term use, up to a year or more. 



gcdylan's picture
Posts: 340
Joined: 2007-05-03
Thank you for the name of

Thank you for the name of that medication Lois. Maybe I will give it a try



Posts: 9
Joined: 2008-03-10
Rozarem

A few questions about Rozarem.  You said its a non-benzodiazapine but didn't say anything about non-narcotic.. was one of those meant to be narcotic?

 Also.. you're not supposed to get hooked on Lunesta, but I managed to.  Is Rozarem in the same drug class or similar to it?




Posts: 852
Joined: 2007-04-12
Ambien was originally

Ambien was originally thought to have little or no addictive potential, and I believe it was initially released as a non-scheduled drug.  Post- marketing showed that some people did develop addiction and it was changed to CIV along with all subsequent drugs in that class (sonota, lunesta, and I think there is one other).  Rozarem is an entirely different class.  It is not a narcotic or a benzodiazapine, and  has no GABA or Mu receptor activity.  It supposedly works on the melatonin receptors in the sleep induction centers of the brain. 

I recently got a little chart that shows relative abuse potential of sleep aids, even benedryl is on it.  I will see if I can find it.  It was put out by the maker of Rozarem so needless to say Rozarem ranks very favorably.  




solo5010's picture
Posts: 1063
Joined: 2005-10-06
 Lunesta is a CIV so it

 Lunesta is a CIV so it shows atleast some potential to be addictive or misused, whereas Rozerem is not a controlled substance. According to the Controlled Substance Act no sleep aids are considered a Narcotic.



slitter028's picture
Posts: 290
Joined: 2008-02-09
Sleep?...or not...

I've had trouble sleeping most of my life, mostly from medical causes...HIV, depression, anxiety..blah,blah....Everyone's response to pain is different. Ever since I started taking narcotics on a daily basis and am not in constant pain i sleep quite well with just a sleeping pill, dalmane 30mg. Before I could never get more than 4 hours of sleep and that was usually in 30-40 min increments during the night, and the sweats, that is horrible too. Ever since i started treating the pain my sleep has improved somewhat, at least now I feel a little rested when i get up, and am not having to take as many naps as before...But, that's just me..BTW...HAPPY EASTER..Ray

Remember: Just do it.. EVERY PILL  EVERY DAY




Posts: 25
Joined: 2007-12-08
Sleep what is the real

Sleep what is the real definition? I go to bed by 11pm, usually up the first time between 12 and 12:30 with the babies, then about 2am it's the dogs, and finally at 3 it's a toss up. Either the babies again, but if not them then the alarm for sure cause thats what time I get up for work. What usually happens is I get up at 3 take a 15mg Oxy and lay back down for about 20-30 min till it starts working I find the pain of trying to get up is so bad I have to sit on the bed using my arms to lift the pressure off my back. If I try to get in the bathroom right away I have trouble standing. Oh, back to the sleep. Then when I come home from work I start nodding out in my chair at the PC. My wife doesn't understand why I'm so tired. Then dinner and it starts all over again. I don't think I have had a straight 6-7 hrs, I don't know when. So when asked the question of how's my sleep from the PM DR I give it a 2.



slitter028's picture
Posts: 290
Joined: 2008-02-09
What is real sleep?

I know exactly how you feel, some nights I will go right to sleep, other nights I can't fall asleep, but once I do I stay asleep. Most night tho are just laying there "pretending" to sleep, I know that's not good sleep hygiene, but......some nights I'll sleep all night, but usually it's 35-40 min naps all night long and I wake up really tired and feeling lousy....I would say 5 outta 7 nights of the week i can't sleep...Using rozerem right now, but not with much luck. I ususally don't have trouble falling asleep, it's staying there....I'm askin for Dalmane when I talk to the shrink today...I gotta get some zzzzzzz's.....Ray

Remember: Just do it.. EVERY PILL EVERY DAY




Posts: 90
Joined: 2007-12-16
no sleeping pills.

I am not rx'd any sort of sleep aids or sleeping pills :( One more thing to addt o my list of probs is that if I end getting back onto my sleeping schedule when I am not in much pain is that I wake up, often. I seem to wake up every 5-20 minutes. Never more than 20 minutes always between 10- 35 minutes in between each short nap, my body wakes me up and then I am back to "pretending to sleep for another 20-30 before I doze off again. anyone else get anything similar? 




slitter028's picture
Posts: 290
Joined: 2008-02-09
I am

I am exactly the same way...most of the time with sleeping pills...esp if you've taken them for a while, so i like to mix it up ...dalmane one month, restoril another, trazodone another....so on so forth.....I mostly am troubled during the night by the sweats...The room has to be lke a freezer or i will sweat myself to death one night...lol, one doc told me to wear goggles and flippers to bed....i told him would if he would write a prescription for some halcion....needless to say, i got at least a few nights of sleep...Remember: Just do it.. EVERY PILL  EVERY DAY




Posts: 852
Joined: 2007-04-12
For poor quality sleep;

For poor quality sleep; waking up frequently at night, feeling fatigued in the morning depsite adequate hours of sleep, consider a sleep study for obstructive apnea. 



slitter028's picture
Posts: 290
Joined: 2008-02-09
sleep study

I did have the sleep apnea test and I don't have a problem with that, my breathing was fine. I've always had trouble sleeping, now with HIV the meds and their side effects...it's even worse....The seroquel def. helps at lower doses 25-50mg, I actually got like 7 straight hours of sleep last night..And woke up feeling like a million dollars....All i'm currently taking for sleep now is Seroquel 25-50mg at bed and Rozerem 8mg at bed.....It's working for now

Ray

Remember: Just do it.. EVERY PILL  EVERY DAY




Posts: 90
Joined: 2007-12-16
New Problem :(

I just developed a new problem relating to my sleep. It is a bit hard to find the words so I apologize if it is difficult to understand my point(s).

When I take my night time dose of meds, I start to get sleepy at about an hour after. This time, falling asleep is not the problem. The Problem is waking up to soon and in a fast action. I am going to try and describe how I wake up but as I said above, It's difficult so please bare with me.

When I awake, it happens very FAST. Before I open my eyes for the first time and without me thinking or telling me so, My body automacticaly switches from prone, to sitting up. After my body sits up I open my eyes. After openening my eyes I look around the room and think "what happened?".I am not slow in getting up like when I'm tired in the morning, remember this happens fast, within 1-2 seconds. Also, when this happens I can never remember what I was dreaming. Now this occurs atleast once but up to 3 times a night, almost everynight since I started on my new pain regimen, which has been about 3 and a half weeks. I am not 100% for sure if this is a side effect of the new drug(s) and I hope it is nothing to serious because these new meds help me alot with the pain. 

Just to clear things up. 

I do not wake up in a way similar to when you awake from a nightmare.

My Heart seems to be fine, normal heart rate and pulse.

No sweating.

I remember and know who I am & where Im at.(Kenneth/in my room)

the Medications I take at bedtime are 

6mgdiluadid/20mg Methadone/10mgAmitriptlyine.

I am posting this mainly to share me\y experiences since I started these meds and maybe relate to others while possibly getting a explanation. So.... What do you guys think? LoL

Thanks, Kenneth




Posts: 3
Joined: 2008-03-21
Kenny's new prob...

 my name ia Sandi... i sleep on such a strange scheduel and weird things happen all the time. i as we have major coronic pain problems... 4 buldging discs (in my neck), pinched nerves, spinal stanosis, and when ia was growing up i had shermans syndrom (very rare) i know all about pain and trying to leave, act, sleep and play normal. lol...

valerian root wrks very very well if ou wannt to do it nautrally. i see you are allready on meds and it sounds like they are helping more then before. the only thing that helps me to sleep well (which is difficult and hard to make happen) is to take my meds, go to sleep at the samw time every night, eat at least 3 hours before you go to bed, meditation and prayer are by far the best things for me. i first forcus on my breathin head to toe, listent to my breathing, pray, and then as i relax i say my prayers. if ny mind is running and i am hurting (which is always) i slowing get comfy and think of the word NOTHING if anything comes into your head think it again think black nothing. you will go to sleep.

 

as for the strange way of waking up... i have had that happen to me as well; many times in fact. i have found it is anxiety. i think of it as referred anxiety... dunno just a thought.  

 

take it easy and think " NOTHING" really do it it is not a negative nothing it is a clearing of thoughts and energy, nothing for that time...

 S

 

 

 

 

 

I am not a doctor or giving medical advice.




DanieBCMT's picture
Posts: 1
Joined: 2008-04-06
I find that rutine with

I find that rutine with added structure has helped train my brain that once I am in bed i sleep. I don't lay down any where besides the couch to sleep I train my brain/body that the bed is my sleep time I only go in my room (bed) to sleep at night even if i am sick. I am on a some what "normal" schedual I understand the pain and not sleeping i used to cry myself to sleep after hours in pain until i was prescribed Soma for my pain due to muscle spasms etc. I have Fibromyalgia it didn't hit me that the pain was getting worse until I couldnt move and began massage school. It now comes and goes with some days of graditute that I can walk others I can sit comfortably. With my random babble said. there are many things that may help you sleep music, rain, thunder, a warm bath with ebsom salt. find what works best for you and take an hour each day before bed to do something that you may find comfort talk on the phone, read, take a bath, walk, write etc. to wined down.... i know this was very random hope this has made sense to you and helpped you. Hope all is well and best of luck. Sleep patteren may increase as well as decrease pain as well.



slitter028's picture
Posts: 290
Joined: 2008-02-09
same problem

I have the same problem with my sleep meds....I get sleepy about an hour after taking them and usually have no trouble falling asleep, but at least twice a week....soon after i fall asleep, I am abruptly awakened...It's like that dream that you're falling and u wake up when u hit the ground....except without the dream...It is a jolting awakening, like i've been shocked or something...very unplesant, and two times when this happened i ended up at the hospital with a panic attack...They called it sleep terrors...sometimes it precipitates a panic attack, sometimes not...Funny thing is, is that i've NEVER had a panic attack while I was awake...Always in the middle of the night outta nowhere....It's very frustrating....I've actually jerked so hard upon awakening like that that i pulled a muscle in my shoulder one night....No medicine (and i've had them all) has prevented this so far....Probably the thing that works the best is Dalmane, but my shrink doensn't like to prescribe that because i also take xanax and he doesn't like to prescribe 2 benzos concurrently.....Right now i'm just using rozerem 8mg at bed and seroquel 50mg at bed.....Has anyone else had this problem, I know someone out there somewhere has...I would just like some insight..

Ray

Remember: Just do it.. EVERY PILL  EVERY DAY