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Author Topic: Pain management expectations  (Read 889 times)

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Offline kaci74

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Pain management expectations
« on: March 31, 2012, 04:26:50 PM »
Hi.  My physician told be the next step with my knee pain is to see a pain management specialist.  What should I expect from such a service.  While I am not against taking pain medicine I don't really want to go back on them simply be ause of the side effects.  Thanks for your thoughts!

Offline amoler

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Re: Pain management expectations
« Reply #1 on: April 02, 2012, 02:13:41 AM »
The 1st level usually iinvolves trying several different NSAIDs, which usually have kind of minmal side effects except for maybe a GI upset.
'77- Rt knee menicus tear
'90 -2nd menscus tear
'91 -failed arthroscopy/partial menisectomy
patella dislocation 10/ 2010
Dx = grade 4 chondromalacia + synovitis + Meniscus tear + lax strained medial ligaments
Fall down the stairs 7/20/11 - mcl sprain + 2 meniscus tears

Offline shmily

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Re: Pain management expectations
« Reply #2 on: April 02, 2012, 03:45:12 AM »
Hi.....
I went through a lot of different things before going on pain meds. Starting with draining the fluids off the knee every six weeks, to cortisone injections, to Halgen (sp) injections, there is a series of 5 if I remember correctly, and now I am on the pain meds. I take up to 8 of the 10 mg hydrocodones a day. I refuse to take anything stronger. As a matter of fact, a lot of the stronger meds slow my heart rate down to slow. Hope things go well for you and you have good luck with managing your pain. Keep us posted if you find something that works besides meds because I would love to get off the meds.

Sheri

Offline mtlady

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Re: Pain management expectations
« Reply #3 on: April 02, 2012, 06:45:32 AM »
Hi kaci74,

I have dealt with two pain management doctors since my pain in my knees began, and we have tried several treatments for my pain.  We have tried several different medications (Lyrica, neurontin, amitryptilyne, oxycodone, etc) either alone or taken in combination, physical therapy, injections of anesthesia combined with cortisone for inflammation, and lidocaine patches.  Since we have not found a method that has helped me significantly yet, we are discussing the possibility of having a spinal cord stimulator implanted in my back - it is an electronic device that is supposed to reduce your perception of pain.  That will probably be my last resort since I don't really like the thought of something in my spinal column!  I am also looking for a surgeon that would be willing to try an operation to reduce my pain.
Not every treatment if appropriate for everyone, and your treatment will, of course, depend on what is causing your pain (nerve problems, inflammation, injured tendons, etc etc), but just wanted to give you a picture of my experience.  Some pain management docs are more stingy with meds that others, especially things like oxycodone, others are more lenient.  It is important that you find someone you feel comfortable with - if you feel that you are getting nowhere with one, try someone else.
Best wishes for you!
Andrea

Offline kaci74

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Re: Pain management expectations
« Reply #4 on: April 02, 2012, 07:44:08 PM »
Thank you so much for your replies.  I feel better knowing what to expect.  I hope you all find something that takes the pain away!















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