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Health Forum    Pain & Pain Management
Health Discussion Forum

 Wondering something felt on rib?
I just pushed up on my left rib, and realized something on it felt... wobbely and it felt uncomfortable, scarred me actually, and I pushed up on my right ribs and I didn't feel anything. It ...

 Best way to deal with pain from fibromyalgia?
I have semi-diagnosed fibromyalgia (don't ask) in my legs and I have meds for the inflammation but I'm wondering if there are other ways to deal with it.

Sometimes the pain is so ...

 does pulling a face muscle cause?
you to having a clicking jaw on one side of you face and a swollen cheek.....

 What is the best way to cope/deal with Withdrawals?
Long stories, combined and shortened: Pretty much I have had it! I am at my last straw with this guy I am dating now.
When we met I didn’t know some of the things I know now and let’s just ...

 i take 5 mg. of methadone a day for severe pain,whats the best medication to take for withdrawal?

 is acetaminophen with codeine the same thing as darvacet?

 What's the best way to deal with back pain?

 my gf is having shooting pains in her lower back and side.?
Shooting pains in her lower back and the side of her stomach. She's been unable to go to the bathroom (#2) for a couple of days now. Should we head to the ER??...

 How much methadone does it take to manage pain?
I have been in severe pain for about 4 years. I was in surgery and the doctor cut my spinal cord. None of the normal pain pills helped. They are now trying methadone and it seems to be working. The ...

 Any tips on quitting oxycodone?
I'm currently addicted to oxycodone, I take 60mg daily orally or 45mg rectally. I've only been doing this for about a month so I'm not super addicted but I just got my hands on a ...

 my daughter woke up with her wrist swollen and in some pain what can it be?
she said she woke up with it this way didnt do ...

 should i get the surgery??????
kid punched me in the balls superbowl sunday and its been hurting since and i just had a sonogram and i have....

and a cyst

so the doctor said to wear tight ...

 What is stress and what causes it?

 please help i have excruciating pain in my leg and back?
2 months ago i slipped a disc, tore the ligaments in my lower back and have 2 trapped nerves.
ive been in and out of hospital and am having my first epidural in a month as im trying to avoid ...

 foot drop because of a right hip replacement?
my husband had a right hip replacement. during the surgery he suffered stretching of the sciatic nerve resulting in foot drop. This happened in march of '09. We are told it should repair ...

 Serious headache problem?
Everyday that I wake up early, my eyes are bloodshot and I get a horrible headache right around my forehead area. It eventually goes away. Around 4-5 hours later, the same headache comes back, and it ...

 My stomach hurts and im throwing up what to do for pain?

So here how it started i was pressure washing a floor in a location i am unable to say.My feet were wet from water getting in my boot. We had completed the task at hand and then about an hour after ...

 Question regarding gallbladder operation after pain?
You all helped before I had my operation now I am asking for your assistance with my AFTER operation pain.

I had the operation a week last Friday. For the last two days I have ...

 extreme pain in shoulder. no idea what happened. =/?
i have been having an EXTREME pain in my right shoulder for about a week now. i think it might have happened while i was sleeping because i always sleep on my right side and i didnt bump into ...

Lacey P
First Time Going to a Pain Management Doctor?
I have been referred to a pain management doctor. I am 20 years old. I have had a chronic ulcer on my lower leg since September of 2007. The wound varies. Sometimes it will get bigger and sometimes it will get a tad smaller but not by much. I have been taking Norco 10/325 since the beginning and now I take 2 every 4 hours. This amount still doesn't work very well, it just barely takes the edge off. Now I am going to a pain management doctor. What will happen there? What will he give me for my CONTINUOUS pain? The pain is always there and always the same. It is about a 6 out of 10 on the pain scale.

It really depends on the Pain clinic or doctor. I go to the Center for Pain and Palliative Mediicne and they are very good there. I see my pain specialist who is a Anesthesiologist and there is a great nurse practitioner who has pain as well.

They will likely request, want and hopefully have your medical history and especialy history of pain and issue causing pain. They will likely give yuou a lot of paperwork to do about how your pain affects your functiioning.. social, emotional, psychological, physical....

If you have a diary where you discuss your pain or keep uypw ith your levels, it can help to bring it.. they may or may bot be interested in that.

They will likely evaluate you and figure out what will work best to help your pain issues. This can be accomplished through multiple modalities, not just medication alone. The goal is making the pain tollerable but not necessarily making it go away.. that's not likely to happen.

I do personally wonder why you have such a bad ulceration an if you have gone to some specialized wound care clinic or have tried Hyperbaric oxygenation chamber treatment done to treat complex ulcerations?

Anyays, I know that sometimes hydrotherapies can and are used, physiotherapies for the purpose of massage and pain treating modaltiies. Also medicatons, injections and such.

For me, I have had PT, different spinal injections in particular, trigger point injections, OT, massage, psychotherapies, annd meds. I take long acting morphine sulphate but I have also had pain for many many years since I was a little girl. It got wosse when I was in my teens and mine comes from Juvenile rheumatoid arth, fibromyalgia, neuropathy, myofascial pain and other crap. Anyways, I also take some antidepressants. Cymbalta and NEurontin for the nerve pain... robaxin for mucle spasms but only as needed. It was a long time before I was tried on long acting pain meds due to all sorts of reasons.. many of them real.. many stupid but know that there are many other meds. Norco is medium but there migt be many other meds to try. I was on that long ago and far away and it was also used as ONLY a break through med for me as well with the morphine just so you know it's not all that potent. They will likely have a number of things for yout o try and work with. I also learned alot of psychotheraputic methods for helping to manaage pain such s ACT- acceptance and committment therapy for people with chronic pain, mindfulnes and relaxation techniques to help me with sleep, handling stress and stuff.

Anyways, good fortune and hope they help you out.

My pain went from 8/10 to 4-/10 most days ... I'm much more functional even thoughz I still need a wheelchair most times and my walker. I'm 31 now but hve had chronic pain since i was in my single digits.

Good fortune

First I believe you need to go to a wound Center to have that leg ulcer cleaned and healed. Then you may not need a Narcotic such as Norco which is a combination of Hydrocodone and Acetaminophen. Are you a diabetic? If so that's what is causing the ulcer. If you don't know, first be tested for such. Ulcers can also develop having to much acid in the blood stream from to much soda's, also too much chocolate, because of diabetic or borderline diabetic. Is the ulcer what they call an open wound? If it is, definitely go to a wound center first. My wife had some open wounds and the wound center cleared them up right away. There are special medicines, (Lubricants) for open wounds. I also tried some plain old Phillips Milk Of Magnesia on her wounds, which dries and helps heal if you want to try something at home. Or I wound cover them with Vaseline and put on a large band-aid to keep it covered which also helped. The pain center will no doubt increase your pain medication and maybe change it to an extended release type which is taken every 12 hours. The only thing they deal with is pain and they manage the narcotics for you and have you come back every so often to see how you are doing with the pain, and you can only miss one or two of the appointments or they will cut your pain medicine off. Most MD's don't write prescriptions for Narcotics, the Pain Centers do. The ulcer may be deep enough that it is touching the bone or a nerve which causes you the pain. Try the Wound Center first, but only if it is an open wound. You may have to see a Dermatologist to clear the ulcer. Wound Centers only work on open wounds, or at least in our area it's that way. (W.Va). I have never heard of an ulcer causing so much pain unless like I said, it is touching a nerve or bone. Wishing you the very best young lady and good luck on finding the cause and getting it healed without narcotics. My wife goes to the Pain Center for Arthritis and Fibromyalgia, among other pain causing conditions. None ulcers.

Be very careful of how much you take, this is a addictive drug and don't take more then what the doctor knows about.
It sounds like your not addressing the issue, the ulcer. There shouldn't be that much pain if it's being treated, you'd better ask the doctor what's going on before you loose your leg, it can happen. Stopping the pain isn't helping the ulcer.

Redfeather-Shawnee Shaman
*You are very young to have such things happening so early in life. I am a pain patient in a pain clinic due to Fibromyalgia. With you I would see a surgeon or wound care and have the ulcer removed. Remove and the pain should go away. I would be wondering if I were you on how it came to have the ulcer in the first place so you can prevent a recurrence of one.

The pain clinic will help you get the pain under control or at least down to a manageable level but they will do nothing for the ulcer. Get rod pf the ulcer, get rid of the pain. Good Luck.

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