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» LymeNet Flash » Questions and Discussion » Medical Questions » what to take for pain??

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Author Topic: what to take for pain??
ELymeNancy
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I have been in so much hip and joint pain for the past week. I recently had surgery for ovarian cysts and a thermal ablation. I am still experiencing pain from that. My LLMD will not perscribe any pain medication so I am "rationing" the percoset I have left from my surgery. I had been diagnosed with IC last year before the LD diagnosis and have some Ultraset left from that but that is not touching the pain.

Anyone know of something that really works for this terrible pain we endure? I just need to be able to get out of bed and take care of my family.
I have taken a nose dive with my symptoms since the surgery...does it typically take longer for a Lymie to recover from surgeries? That would be my guess.

Please share your ideas.

thanks
-Nancy

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cityzen
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I don't know if this works for everyone,but someone I know who has LD says that sitting in a bathtub filled with hot water with epsom salt helps with his pain.

I'm sorry you're in so much pain.

I hope you feel better soon!


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smiles
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Hi, ELymeNancy,

Sorry you're in such pain. Regarding non-medicine/pill based pain management....

Have you tried music-assisted imagery?
One of the things I have found that helps me occaisionally is to put on a relaxation CD - you can pick one up at Target (if you don't have any) put it on, at a pleasing volume. I will breifly outline an imagery scenario...

Sit or lie in a comfortable position. Start with deep breathing, allow your breath to enter into your body, drawing it deep to your stomach. With each breath in, imagine the oxygen traveling to all your cells and with each breath out, imagine all the discomfort and illness being exhaled from your body.

Then I do a variety of images, sometimes I imagine myself walking along a beach, or on a mountain path. But lately my favorite one has been a healing energy that enters in my forehead, filling my head and brain, every cell as it moves over my face, down the neck.. shoulders, arms and pushing out my fingers all the 'keets'... this healing energy cleansing my body...

I imagine it continues through my torso, hips, down my legs and out my toes. For me I think of it going to the places with most discomfort, imagining it circulating and healing and releasing tension.

If you prefer a religious side of it, I sometimes imagine the Holy Spirit filling me with peace.

I don't know if this is helpful, but feel free to post additional questions with this.

Also please check the website for the American Pain Foundation. They have a pain patient bill of rights, along with other great resources you can share with your doctor.

Take care.. and Hope you are feeling better soon. Hopefully others will share their experiences.


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k-lyme
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Nancy,

I feel for you. That is complete and utter bull**** that the LLMD won't help you out. The reason is is they cannot prescibe pain medication because they are not pain management specialists and it would be seen as "self serving". You need to find a pain mamagement specialist to help with the pain. Or, would your surgeon be willing to prescribe more percoset? For me, I have tried everything orally, and nothing has worked. I use Actiq which is the fentanyl lolipops. This is considered the "big guns" and you owuldn't want to jump to this right yet. You might consider: Tylenol/Codeine #3, Perkidan, Oral morphine, Vioxx, Flexeril, Demerol, Aleve, Duragesic patches (which is fentanyl), and vicodin. These didn't work for me but have read that they have done wonders for others pain. If it gets to the point where you run out of percoset and your in tremendous pain, go to the ER. Take Care, Hang in there, and GOOD LUCK!


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JillF
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Flexeril works for me.

Epsom salt is great!

You can also get some Bath Therapy (Kmart, Walmart, Grocery Store, etc). I use both together and it really helps those aches!


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HaplyCarlessdave
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Hi, Nancy,
I'm sorry to hear you are going through a painful time. I had a hard time finding anything that would help with the lyme pain- there seemed to be several different kinds of pain.
Extra strong Ibuprofen helped a little, but was rude on the gut. And ..a 'pain killer' (yeah, riiight...) called 'celebrex' made me forget about the pain for awhile, but mainly because it caused a multitude of nightmnarish side effects that came close to sending me to the emergency room! (and believe me it takes alot to get me THERE!)
There were other things that did help, though. One was a supplement called 'nutrijoint'.- it has things like glucosamine sulfate and MSM. I got it from my llmd originally, but you can get it on the net, I believe. It is made by 'complimentary medicines' or something like that.
Another thing that helped a lot sometimes was heat, in hot tubs, saunas, or just long hot showers.
Occasionally heat seemed to "stir up the keets a little", but the overall effecy of heat was definitely very good.
Another natural thing that seemed to help with the pain somewhat was colloidal silver, taken a few hours before doing something that required some physical action. (I would hurt later when I did that, though it was probably good for me in the long run.)
As far as pain still left over from the surgery, what do the doctors that treatred you for that say? I should think they'd prescribe pain killers in a flash. ---But maybe not, if they know you have lyme...!! (pretty sick, that is, but I realize it happens....)
One more thing that seem to help some kinds of pain for me--headach type pain-- was gingko biloba. I realize that gingko is not generally known fo that, though. I think it's good in other ways, too, though; my llmd advised me toi take it. I think I recall reading that it's a natural blood thinner.
. I hope you feel better soon!
DaveS

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riversinger
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Nancy, it may partly depend on why you are having pain as to what might help.

If you are post surgery, you should definitely talk to the Dr. who ordered or did the surgery. You could be developing adhesions or other complications, which could affect your hips, etc.

Lyme can make recovery from surgery more difficult. My Lyme flared after an auto accident years ago, and doctors kept telling me I "should" be better than I was. Don't let them tell you this. You are as much better as you are. Not more and not less.

Have you had enough time to recover from the surgery? Between Lyme and surgery, you NEED to be able to rest enough.

Here is a previous post on a Patient's Right to Pain Relief. Pay attention to Sent's reply, referring to a patient bill of rights. I know that there is one in CA as well, and probably one where you live.

There are many things that can be used, from antiinflammatories, muscle relaxants, tricyclic antidepressants (which also reduce pain) to various opiod drugs, like vicodin, percocet, etc.

Surely one of your doctors can find something that is acceptable to them to prescribe, and actually helpful to you.


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guiney
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Hi, Nancy
I'm sorry you are in so much pain and cannot get releif. Hot bathes do work...temporarly

Heating pads too. I take Vicodin and Soma (muscle relaxer).

My llmd told me when a patient with LD has surgery and goes under the spiro. multiply because there's nothing to fight them off!

Because when you go under your white blood cells can't fight. So surgery for us IS very bad.

I've had several myself and never seemed to bounce back like everyone else.Now I know why.My lyme got worse.

I am on treatment and am having pain now. It's 3:30am and it woke me up.I sleep with a heating pad but my legs and joints hurt so bad.

I had to take half of a Vicodin and 2 somas.I'm drinking hot tea to help melt the meds. so they will work faster so I can go back to sleep.

YOU HAVE THE RIGHT FOR PAIN RELIEF!!!!!!!What about your PCP? Will he/she perscribe any?

Just watch out for constipation on pain meds. It can be very serious.

I hope you get some relief soon....Jamie

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SentByHim
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I see riversinger refered to my post about your right to not be in pain. This is Law here in FL. Some Dr will not perscribe pain killers because they can't, they have had problems in the past and have restrictions against them. This they don't tell their pt's only that they don't perscribe pain killers. This was the case with one of my PCPs. But he was a moron anyhow and that is another story.

For lyme related pain I tried everything. I don't like taking narcotics, they don't actually relive pain, they just block your brain from recieving the information about the pain. Anti-inflamitories however reduce inflamation so that there is no pain being produced, this also helps promote healing in the area that is inflamed. Problem being that with lyme the inflamation is SO bad that many NSAIDs don't work (Non Steroidal Anti Inflamitory Drug) or destroy our stomachs or have bad side effects like those that were mentioned about celebrex.

I destroyed my stomach and esophagas with motrin/advil (same drug) though it is quite effective in higher doses. So that is out. I tried vioxx and celebrex it did nothing then I tried Bextra, I had to take quite a higher dose than what was indicated 20 mg 3x (20mg 1x is what is indicated but I am near 300lbs) to get the inflamation under control. Once I got it under control I was able to take a maintance dose of 20mg 1x.

Now that I have been on treatment this long I no longer need it. It is quite expensive, with out insurance it would have cost near 400.00 to fill each month's supply, but it was the only thing that actually stopped the pain, and did so consistantly.


So there is my two cents about pain relief. For immediate relief I would use a narcotic like percocet or some such thing, but for long term I would try to exhaust all NSAID options first. Torodol is also a good NSAID but it upsets my stomach, but it might not yours.

Oh yeah NSAIDs are non addictive too always a bennifit. Narcotics are addictive physically, not saying that you will become a junkie but you will eventually become physically addicted to them eventually. A while ago,I don't remember who, someone was switched from oral pain killers to a patch. She thought she was having a horrid herx, turns out she was detoxing from a physical addiction to the orals she was taking. It wasn't pleasant, and is always something that needs to be considered when taking narcotics for pain management.

Sent


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Aniek
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It's already been said, but if you have chronic pain, you need to find a doctor who specializes in pain management.

It can take a while to find the right one, as some pain management doctors are not familiar with Lyme. And once you find a good one, you won't find a magic pill overnight.

It often takes more than one type of treatment to adequately control chronic pain. Some drugs help better with joint or muscle pain. It is also possible to find a drug that will help control the cause of pain (swelling, tightness, etc.) and in addition need a pain killer.

Vioxx, Celebrex, and other similar drugs are not pain killers. They are NSAIDs (Non-Steroidal Anti-Inflammatorie Drugs). They can help if you have inflammation that is causing the pain.

Flexeril is a muscle relaxer, although it actually works similar to some anti-depressants. It helps control muscle pain more than joint pain.

Then there are multiple classes of pain meds. Some there is a risk of physical dependancy, but this isn't addiction. People using narcotics and opiods to treat pain are much less likely to become addicted than people not in pain. There is less of the euphoric high if you are in pain.

Physical dependancy means that your body gets used to having the drug in the system, so you need to increase the dose for effectiveness and will have withdrawal symptoms if you stop abruptly.


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2MUCHLYME
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Nancy,
My doctor told me to take Aleve and to stay away from everything else. So none the less Aleve and I are Best Friends now. Sometimes it doesn't help alleviate most the pain.
Christina

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SentByHim
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Aniek, your playing a semantical game between "addiction" and "dependancy". We are meaning the same thing.

Bottom line, find a doc that WILL treat your pain as a real thing.

Treating the source of your pain i.e. inflamation, muscle tension, will do more to aid in healing than just masking the pain with pain blockers like narcotics.

However, if you are in pain immediate relief may only be attained by such meds, and there is no need to suffer. That is why a pain specialist is so important.

Remember you have the right to not be in pain and have your pain taken seriously and treated.

Sent


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mammachase
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When I have horrible leg/hip//buttocks pain I end up using my TENS machine, can your doctor prescribe one to you. It's small patches which you attach/electrode patches and set the little box to zap you continuously to numb the pain, it helps me almost 100% when I need it to move around and go to work.
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jbgoth
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Nancy,

Boy do we have things in common.

I have had ovarian cysts (so bad i lost an ovary), been diagnosed with IC and have had 4 surgeries in the past 15 months.

I felt fine (except for the pain) before my surgeries.

After, my first surgery i have been having low grade fevers off and on. I also have/had terrible joint pain.

I think surgery brings lyme out of hiding or make it much worse. Im so sorry that you are going through all of this. I think im still recovering from all of my sugeries.

For my cysts, endometriosis, and IC i was taking vicoprofen. I understand about rationing my drugs. I like vicoprofen because it had the ibuprofen in it to decrease inflammation.

I have been on doxycycline for 3 weeks now and my pain levels have decrease substationly with my bladder.

Good luck to you and you can email me anytime.

Jordan

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mammachase
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I had the same experience, they gave me a full hysterectomy thinking that would help the pain before I was diagnosed a year later with lyme, I couldn't recoup the way I was suppose to and the doctor told me I should be better by now, it took me almost 3 months to recover when others in the hospital were walking the next day. Wouldn't you have thought that they would have known I had something else wrong with me. My doctor prescribed me 120 percocets and sent me on my way telling me she couldn't diagnose my problem. The TENS machine helped alot and I keep that close by and laying on a electric blanket helps alot wrapped around my body. But now I have a yeast infection and feel like I'm dying.
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Aniek
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Sent,

I know we are meaning the same thing, but I think it's more important than semantics. Dependency and addiction mean 2 different things, and patients and doctors need to understand the difference. Especially because patients are often denied adequate pain meds because of a fear of addiction. I myself was scared of them because of fear of addiction.

I also agree with you that ideally, you try and find a medicine that stops the cause of the pain rather than masking the pain. But sometimes it isn't possible. My pain was about 95% under control with Flexeril before I started herxing. Now I need the pain meds about twice a week.

I found the following definitions on CNN.com health website. It's an interesting breakdown.

When you think about problems that pain medications can cause, you may think of addiction. But your body reacts to opioids in several ways:

Tolerance is the decreasing effect of a drug after regular use at a constant dose. Over time, you may need higher doses of the drug to achieve the same effect.

Physical dependence is a physiological state that occurs as your body adapts to certain medications taken regularly. Without the drug, you may experience withdrawal.

Psychological dependence is an emotional state that may occur as you become accustomed to taking a drug to experience its positive effects. Your body may or may not become physically dependent on the drug, but you believe that you need it.

Withdrawal is a set of symptoms you may experience after abruptly stopping or reducing the dose of certain drugs you've been taking regularly.

Addiction is a chronic, potentially relapsing disorder in which you compulsively seek and use drugs. Changes in the neurochemicals in your brain occur in addiction. Even though you know there may be serious consequences if you continue seeking and using drugs, you feel compelled to do so anyway.

Pseudoaddiction is behavior that suggests the presence of addiction but is really an attempt to relieve pain more effectively. A person with pseudoaddiction might occasionally take


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cindy_leigh
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Nancy, Dr. Hargus in Norwich (near Backus) specializes in pain management, actually he's quite well know in the area. There was a big write up about him in the paper sometime within the last year or two. Maybe he can help you get on a good pain management routine while your lyme is being treated.
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SentByHim
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Aniek,

Good post, liked the definitons, too bad it got cut off.


Sent


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Lymelighter
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I've had good luck with my TENS unit. I take Vioxx & Robaxin for other aches & pains. Stronger pain med make my fog way too thick and cork me up something fierce.

I've never tried Prolotherapy but have hear d mixed reviews.

The problem with non steroid pain injections is that they're relatively short acting. Pain Ducks love to use steroids to increase the duration of pain relief. They're rarely LL and thus the generous use of steroids for pain relief will generally compound the Lyme problem. It's a catch 22...


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Aniek
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Oops, here's the rest of the definition for pseudoaddiction. It was the last in the list.

Pseudoaddiction is behavior that suggests the presence of addiction but is really an attempt to relieve pain more effectively. A person with pseudoaddiction might occasionally take a higher dose of a prescribed drug or hoard pain medications for times when the pain is worse.


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