I am a chronic pain sufferer for two years now. I have nerve damage in my spine and broke off my tailbone. I am looking for a compassionate M.D. in my area (Philadelphia) who specializes in pain management. I have been taking six or seven tablets a day of Vicoprofen, along with Soma (350mg). Can you give me advice? I am against injections that many of the doctors I have seen want to give me. I am already overweight and will most definitely gain weight with Cortisone shots, and the added weight will only increase my pain. My doctor said he can no longer help me because he is not a qualified pain specialist and will not risk the trouble. Thanks, Jean Thank you for your inquiry. Vicoprofen is very good but weak for extreme chronic pain. Soma, I do not recommend for chronic pain with my patients. I would recommend OxyContin tablets, 20, 40 or 80mg. OxyIR, 5mg for 'breakthrough' pain. In addition, try some light walking and, if possible, visit a pool for light swimming. Massage is also good therapy. Good luck, the Doctor at Painlab.com _____________________________________________ I am a pharmacist in a clinical, non-dispensing role. I have a friend at my church that is on OxyContin and OxyIR for spinal cancer pain. She also reports having 'breakthrough' pain as well. I find that OxyContin is sustained release but cannot find out if it is a wax matrix. Should this be normal or do we have to find another dosage form more appropriate to her gi tract? Thank P.M. Thank you for your inquiry. For any definitive information on OxyContin, including its ingredients and composition, I would point you to the makers website, Perdue Pharma. Let me add this. For cancer pain I would also recommend Dilaudid, in 8mg tablets. For her 'breakthrough' periods, I would recommend trying OxyFast, in liquid form (liquid OxyCodone). Proven to be very effective in many of my patients. Good luck, the Doctor at Painlab.com _____________________________________________ I have just started using Duragesic for chronic nerve pain in my spine and leg with so far mild side effects. However, I would be pleased to receive your comments on the success of this drug on my type of pain. So far I have not had any relief at all, in fact it appears to be aggravating the condition at present, but I have only had the patch on for 36 hours. Should I put the patch on the site of the pain rather than as instructed on the leaflet. Is there anything unusual with what has happened so far? Should I stop using it and consult my G.P. Thank you M. B. Thank you for your inquiry. Duragesic is a great product when it works but unfortunately it does not do so for all pain sufferers. Nonetheless, dosage is essential. Duragesic comes in 25, 50, 75 and 100 mgs. Therefore, you may want to adjust your dosage and keep in mind it offers short term relief, usually losing its effect after 48 hours MAX. So my advice is experiment with different dosages and place the patch at the pain effected areas. Also, and this may sound strange but placing a small amount on the tip of your nose has proven effective with some of my patients. Good Luck, the Doctor at Painlab.com _____________________________________________ Can OxyContin be used successfully to treat pain associated with Reflex Sympathetic Dystrophy (RSD)? Thanks, Ron Thank you for your inquiry. Not really. RSD Pain is related to the Autonomic Nervous System (Core Sympathetic Nervous System) and produces "Burning" Pain. Most, if not all "pain killers" will be of no use in relieving this type of pain. Surgery for this condition is useless, sometimes making the Disorder even worse. Probably the best help is hot, salty water, Jacuzzi or Pool 85 degrees and up. Sometimes cold (ice) compresses may be the answer. Good luck. The Doctor at Painlab.com _____________________________________________ Hello, My aunt is suffering from osteoarthritis of her spine and has tried numerous pain relief attempts. At this point the only option she has is surgery and a morphine pump. She has tried all kinds of pain medications but they only make her nauseous. She has had numerous stomach surgeries in the past, thus her stomach is touchy. She DOES NOT want to have surgery since the arthritis will return anyway. Could you advise me on the advantages of a low dosage morphine pump for her. I am an RN and am attempting to advise her on this issue. She does not have a history of abuse just unrelenting spinal pain. I would thank you for any help that you can provide. Thank you for your Inquiry. Morphine pumps are unstable and could prove to be a nightmare down the road. Surgery? First get three opinions from different doctors. I recommend trying Duragesic, Fentanyl patches, they are available from 25mgs to 100mg. They provide relief anywhere from 36 to 48 hours. Surgery should always be the final option. Good Luck, the Doctor at Painlab.com
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