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3039221 tn?1340461200

Back Attack!

3 months ago an MRI revealed buldging discs (L4/5 and S1) and I have been taking Oxycodone and receiving epidural injections (which do not help).  The pain is only getting worse all the time.  My Neuro said I cannot be helped by surgery, but I have made an appointment with an Ortho to confirm that opinion. A few weeks ago he added Morphine to my meds, but the pain is simply increases every day.  

5 days ago, after having a truly painful, but otherwise uneventful day I han an unprovoked "Attack" of my back.  I've never felt anything like it in my life!  I don't cry much, but I was howling for 3 days, especially if I tried to move.  Not the cute, boo hoo, either -  I mean uncontrolable bawling.  Could it have been what people call a "Spazm?"  There was no injury - I didn't lift anything or twist my back.  In my 20 year "career" in pain I have only been to the ER 3 times in my life and 2 of those visits took place in the last 5 days.  They gave me a Toradol inj. and some oral (narcotic) muscle relaxer one day and A steroid - oral Rx and injection and Delaudid injection and oral diazepam 2 days later when there had been no improvement.  The treatment helped just slightly - I still suffer terrible pain, cannot stand up straight, but the crying has ceased.

I saw my Neuro yesterday, but this time I was prepared...The ER doc suggested Fentanyl patch.  I looked it up, printed 25 pages of indications, opioid conversion charts, patient instructions, etc.  I was given 100 mcg gel patch which I applied for the first time 13 hours ago.  I am feeling a little better (have not taken anything else for it so far today).  Thanks to the good people on this site, I am informed that peak serum level can be expected at about 17 hours.  So, I think I might be on the right path.

Has anyone ever heard of such a terrible back unprovoked back attack?  Could it just be a reaction by my body from enduring such high levels of pain for so long?

Even if you can't answer,  I'd like to thank you for being here.  I have looked at other sites, which to my utter amazement are written by real "Junkies" who have clever (and often disgusting) ways of getting high - not sincerely and responsibly trying to manage genuine pain.

Many thanks!
2 Responses
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1711789 tn?1361308007
MEDICAL PROFESSIONAL
Hi there!

Well, it would be difficult to say what had caused the acute pain. This could be due to sudden inflammation or continued inflammation reaching at a peak level or due to other causes such as muscle spasm etc. I would recommend having this evaluated by a neurologist or an orthopedician for suggestion of an appropriate management plan.
Hope this is helpful.

Take care!
Helpful - 0
11294965 tn?1416944007
Hello,

I too suffer from the same type of back pain. I have a herniated L4-5 disc(s), and I have these "attacks" as well. In fact, I have one going on today. I am on 5mg of Methadone, and that is it. I am planning on asking for the Fentanyl TD as well. I too am not bad enough for surgery; I often wonder what it will feel like when I am bad enough for surgery!! I cannot even imagine. I just wanted to let you know there is someone else out there who is just like you! Thanks for you post!!

Jen
Helpful - 0
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