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Not sure about this new PM doc.My new PM doc just told me something interesting and I wanted to get everyone's opinion. I have been diagnosed with D.D.D at L-3, 4 & 5. I also have buldging disks at 3 & 4. Anyway, when he saw on my chart that I am on the Duragesic Patch and Perc's for BT pain, he told me that the Narcotics are hurting me rather than helping me. He said that people that have been on long term narcotics develop a condition called "Hypersensitivity" to pain. He said that the pain that I (or anyone on long term Narcs) feel is heightened due to the fact that the meds have messed with the brain receptors. For instance; If a friend of mine was to step on a pebble with no shoes on, they would say "ouch" and be on there way. If I was to step on the same pebble with no shoes on, it would hurt me tremendously because my "receptors" are all messed up due to the long term use of narcs. He said that little things that shouldn't cause people pain is intensified for those of us who use Narcotics. Needless to say, he wants me weaned off all my meds and to see an addicitionologist. Any thoughts on this anyone? So now what am I suppose to do about the pain from the DDD and the buldging disks? ( categories: Chronic Pain and Pain Management )
He is right about the
1010.....All I really wanted
1010.....All I really wanted to know was if anyone else has heard of this "Hypersensitivity" thing that my doc was telling me about or if he was full of B.S. and didn't want to Rx my meds to me. But you answered my question and I appreciate that! I really don't want to go off of my meds so it looks like I will be finding another doc. What your physician was more
What your physician was more than likely referring to is what's known as Opioid Induced Hyperalgesia. The problem with this is that there is just not enough evidence to support it's existence in the majority of the chronic pain patient population. Depending upon who you ask, a few will say the issue is widespread but if you look at the studies it becomes apparent that this isn't the case. "Hyperalgesia" is an experimental construct; the vast majority of articles about it are animal studies. There are isolated case reports where "hyperalgesia" might be an explanation for the clinical course of an individual patient, but there exist ZERO studies, to the best of my knowledge, showing that "hyperalgesia" is a significant clinical phenomena. Unfortunately, there are those in our society; who would not allow chronic pain patients access to opioids, and all this does is create more barriers for those who need these medicines for semblance of life.
To this same effect, have
To this same effect, have any of you read or heard of the studies about redhead women having a higher pain sensitivity and needing more pain meds than others for the same amount of pain? I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience. I believe narcotic
I believe narcotic hyperalgesia does exist. Having pain all the time may affect your brain's perception of pain as well and make you hypersensitive. Since pain relief with narcotics is seldom 100%, it is hard to tell which is which. Some patients find that the amount of pain they have is the same on or off of narcotics, and choose to stop narcotics rather than continue to increase the dosage, which might help for a week or two, but then requires another increase in dosage. Have you tried other treatments: interventional pain management, TENS unit, hydrotherapy, accupuncture, physical therapy, NSAID's, etc. Sure I am sure....
Sure I am sure any amount of constant assurances can make you believe anything? Some think hyper whatever is truth, others are skeptical. What I am wondering is, is this just the new fad because some become tremendously engrossed in the news and constant REMINDERS by a letter or a negative and overall slanderous words by another professional. I am thoroughly versed on both sides of the issue. I think doctors are very defensive of their practices. But being the third arm of the law is conflicting medicine. I Love CSI!! But remember, its TV! Pain receptors..
My pain management Dr.told me that thru continued Methadone usage that my pain receptors were being damaged and that It would be best to bring me down to hydrocodone. He said they become damaged and if and when I have my neck and back surgery that it is better to be able to put you under with out risk of death,, or waking up during the operation.. I hurt worse now,, but do realize that I was pushing myself and even had two abscessed teeth during a 20mg methadone day habit and wasn't even aware of it,,Interesting,,Good luck,, lodine, gabapentin, and the tens unit do help.. It doesn't seem right
I don't think the Dr. should have said anything about addiction to you though, not if you suffer from serious pain. Sure every1 that takes the meds will become dependent, but unless it's abused i don't think it should b considered addiction. It almost seem like the Dr. labeled you as a drug seeker/abuser which isn't right specially if you have proof of your condition. I would find a different Dr. if i were you. Dav32085....Yes, I did show
Dav32085....Yes, I did show him my MRI from a month ago and he still wants to wean me off of the patches and the Perc's. I felt like he wasn't taking me seriously. I could see if the MRI showed nothing wrong with my back then he would have reason to question me. What really made me mad was the fact that he wanted to cut me off my meds right then & there. I had to explain to him that I have a job and kids and there is no way I could go through instant w/d and still work and take care of my kids. He said, "Well, you'll feel bad for about 48 hours and then you will be fine." 48 hours??!! Try a couple of weeks, you quack! I was told by my Dr. that
I was told by my Dr. that Hypersensitivity does exist, and speaking from experience I believe it to be partially true. Have you considered surgery, or any of the following treatments others have posted here. I was in the same situation you were in a few years ago, and I ended up having surgery, and it relieved my pain immediately. Surgery should not be taken lightly, but it can be highly effective if done by a good Neurosurgeon, or orthopedic. The reality is you can't stay on pain med's forever, and if alternative therapy's have not worked, you need to try something else. The goal for us all is to use Pain med's when needed, but try to work towards a solution that can get us opiate dependent free. Good luck, and I feel for your pain. I have had and still do have DDD of the C-Spine, and U\I know the pain you deal with. Be careful to not switch to, to many doctors in a short amount of time. It is not your fault ,but you know how easy it is to get labeled, and then your hosed. Good luck in the future. God Bless. |
Joined: 2007-05-01