My mother in law recently underwent surgery to relieve the extreme pain she was experiencing in her hand. Since the surgery she continues to experience consistent chronic pain in her operated hand. She is reluctant to take any of the pain medications offered by her physician. Her main concern is the fear of addiction. My request is this: On several occasions, I have heard that pain limits effective and efficient recovery from surgery. Could you confirm this? I think it would help my mother in law overcome her fears. Thank You. Thank you for your inquiry. You are absolutely right. Pain should be suppressed or at least controlled. Do not fear addiction. In many instances, any problems encountered during recovery is due to poor pain control. Tell your mother in law not to believe unfounded fears of addiction and pain medications. Good Luck, the Doctor at Painlab.com _____________________________________________ I need your help! I have two doctors at each others throats regarding Oxycontin. One doctor in another area has used the drug successfully to treat my fibromyalgia. I was taking 20mg three times per day. When I* transferred up state to another doctor, she saw the prescription and exclaimed that the doctor could lose their license for such abuse. This new doctor wrote a new script for one 40mg twice a day but refused to issue it until 3/27/2002. It seems that the prescriptions were written as follows: 1. 5/31-6/30 2. 6/27-7/30 3. 7/24-8/28 4. 8/27-9/28 5. 9/24-10/28 6. 10/24-11-27 7. 12/18-1/26 8. 1/14-2/25 9. 2/11-3-27 So they are making me wait until I am back on the original schedule. I am going through withdrawal which is very uncomfortable. Please advise as to what the law says regarding this. Thank you, Ken D. Thank you for your inquiry, Each state in the U.S. has its own laws and regulations regarding medication prescribing. Lately many doctors have become wary of prescribing pain medication for fear of attracting the attention of local, state and even federal authorities. Your doctors are being hesitant not because they are unwilling to see you cured but because they are frightened. Good luck, the Doctor at Painlab.com _____________________________________________ Hello, Is it common for OxyContin to not last the full 12 hour dosage? And is it also common for individuals who take OxyContin over a long period of time to see their dosage increase? I have gone from 20mg to 80mg over a two year period and am worried about the amount of medication I am taking. Thank you very much for your time. Mark Thank you for your Inquiry, OxyContin almost never lasts a full 12 hours. Although the manufacturer, Perdue Pharma claims otherwise. Maximum period of relief is usually 8 hours or less. An increase in dosage is usually needed if started at a low level or if the pain level increases. Do not be worried by the amount of OxyContin or for that matter pain medication you take. As long as you are able to sustain a pain level of 5 or less on a scale of 1 thru 10. Remember to do light exercises and other forms of therapy alongside a narcotic regimen. Good luck, The Doctor at Painlab.com _____________________________________________ Hello, Please tell me the difference between Oxycodone and Oxycontin. Also, what are the side effects of using Oxycodone? I seem to develop a rash every time I have taken it.I also have a severe reaction (Sleepiness) when taking Benedryl. What else do you recommend I use? Thanks, Croirish Thank you for your inquiry. OxyCodone is OxyContin, or, so to speak, its active ingredient. OxyContin is a Time-Release pain medication. For possible side-effects to OxyContin please visit their informative web site of the same name or visit our medications section. I have never had a patient or heard of a person experiencing a severe reaction to Benedryl, brand name for DiphenHydramine HCC. Possible replacement for Benedryl may be Paenergan. It's only side effect may also be sleepiness. Good Luck, the Doctor at Painlab.com _____________________________________________ Hello, I am a 32 year woman in good health, with the exception of my back. I had a laminectomy at L4-L5 in 1998 for spinal stenosis. The surgery was successful in relieving my pain. I herniated a disk at the same location which caused severe pain down both legs to my feet.I had a decompression fusion one year ago. I have not had pain relief since. I have tried physical therapy, to no avail. I have had a MRI, EMG, Discogram and Mylogram in the past 2 months. The discogram created pain at the level they operated on, but it only recreated the pain down one leg and created pain I do not normally have. My surgeon has sent me to pain management (I am going next week.) I consulted with the neurosurgeon who did my laminectomy and he suggested taking out the instrumentation in my back from my fusion. Is this normally done? Is this a complicated surgery? What are the risk factors? I assume I should try the more conservative approaches offered in pain management, but is removing the instrumentation a viable option if pain management does not work? Also, I am sensitive to medication and will pain killers work for me? However, I am not able to drive or work on them. I am also taking Neuroton, which also makes me feel a little out of it, making me uncomfortable driving or working. As most pain sufferers, I am anxious to get back to work and back to a normal way of life. Thank you, Shannon Thank you for your inquiry. I have had several patients with Severe Spinal Stenosis over the years. They underwent MRI's and other tests. No surgery was ever performed. Only Chiropractic visits, NSAID's and DRX machine. "Professor of Trauma at Cornell Medical School will not perform surgery unless patient can't walk anymore." Yes, you can have hardware taken out of your spine but pain will persist. Proper pain management without narcotics is unhelpful. You should experiment with various pain medications other than Neurontin, which in my experience is unhelpful in pain such as yours. Perhaps your pain management doctor can prescribe Oxycontin 20mgs three times a day and Time-Release OxyIR 5mg when needed for pain flare-ups. You will never be able to drive or work again without proper pain management. Good luck, the Doctor at Painlab.com
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