Re-Post: What are Your Favorite Anecdotes for Chronic Pain?

Posted by georgescraftjr @georgescraftjr, 3 days ago

In a recent post, I forgot to ask a question ("What are Your Favorite Anecdotes for Chronic Pain?", when I wrote that empathy, awe, gratitude and humor are my favorite anecdotes for pain:

"I recently read a post by "@loriesco" who wrote: "I’m not sure what pain teaches us. I read your post three times over the morning maybe before. I want to say I am sorry and I empathize with the many abuse and discrimination you suffered. I also experience the same. I am not sure that I tie my pain to my childhood traumas." In response to these comments, my point is not that chronic pain is tethered to past traumatic experiences. My point is that my experiences have taught me empathy--and empathy is one of the best anecdotes for chronic pain.

Whenever I've had an especially rough night, I turn to this "community" first thing in the morning. I empathize with all of you who have health challenges, who care for someone with health issues, or both; and I especially empathize with those of you who have to deal with chronic pain since it is now in the driver's seat of my husband's life (his Alzheimer's, Lewy Body dementia, vascular dementia and Parkinson's are mere passengers).

Awe is another anectdode for pain. As a spouse of a chronic pain sufferer and as one myself, I am in awe of all of you who share your stories through Mayo Clinic Support. Chronic pain dulls our sense of being fully alive, and dealing with chronic pain is exhausting. Awe for all of you, however, stirs my soul and reawakens me to the flow of life. For that, I am grateful.

Gratitude is especially uplifting. I try to be thankful for all things great or small. That way, I don't have to dig myself out of a pit full of self-pity. (To deal with chronic pain, I swim whenever I can; and since I have recently been having back and leg issues, I am grateful whenever I am able to get in and out of the pool. And I am even more grateful for having access to a warm shower or a hot bath after my swim--especially since many people don't have that luxury.)

Humor is as also uplifting. On many days, it's hard to laugh let alone smile because pain is a cold-hearted killer. So, when all else fails, just scream and yell in between swearing up a storm. Extremely cathartic."

Since my husband's struggle with chronic pain rose another notch last week (we upped his buccal film dosage from 600 mcg to 750 mcg), and my own battle of pain has been debilitating, I would love to hear your stories.

George's Wife

Interested in more discussions like this? Go to the Chronic Pain Support Group.

Profile picture for jackiet @jackiet

@loriesco Thank you. Yes, I am aware of the two ways of deadening the nerve. I have also heard of Intrasept ablation, which seems superior to the old RFA procedures. I do plan to ask my pain management person about all of this when the time comes. Thankfully I believe I have a good person to perform these procedures. He did his residency at Yale and then an additional fellowship in anesthesiology (and whatever) at Cleveland Clinic, which I'm told is useful for doctors who do these minimally invasive procedures.

Appreciate your help.

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@jackiet I looked it up and it’s not superior — It’s used for a different purpose. I have degenerative disc disease and problems with my facet joints, stenosis, and discs shrinking and herniating. The Inracept method deals with vertebrae nerves. It’s different from the RFA I had to treat the pain of the nerve roots exiting my spine through the facet joint stenosis,; Intracept (BVN) treats a different condition. Thank you though for sharing! I always like to keep up on procedures. You can read about the differences in this great article:
https://www.hss.edu/health-library/conditions-and-treatments/intracept-procedure-basivertebral-nerve-ablation.

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Profile picture for jackiet @jackiet

@loriesco Around two months ago I switched from taking hydrocodone with acetaminophen to oxycontin (I understand that's pure oxycodone) Controlled Release, along with some Percocet (the combination of oxycodone with acetaminophen). Correct me if I'm wrong about these distinctions, because I can't follow your pink and white pill references. The oxycontin 15 mg was grey and the oxycontin 10 mg is white. The other pills were always white. When I made this switched to the controlled release (CR or ER) is when I think I started having worse stomach problems.

I had thought that was a good idea because the oxycontin was controlled release and would get me through 12 hours instead of 6, and I couldn't get hydrocodone controlled release because it wasn't being manufactured at the time.

I am lactose intolerant and often gluten intolerant as well. Based on your suggestion I am going to immediately make the switch to taking Percocet twice a day to see if that makes a difference. If it does I'm throwing away the damn oxycontin.

Thank you so much for your input. You would think my doctor could have clued me in.......

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@jackiet the OxyContin is a time release pill (your gray one). I take the Percocet 10 mg which is part Tylenol. I’ve taken that for years without any trouble. But then two years ago there was a shortage so I was switched to the oxycodone 10 mg – the pink pill KVT brand it was fine but then there was a shortage on that and they switched me to a white pill different brand and I had trouble. I looked up the lactose and definitely there is more lactose in the OxyContin time released one like 70 mg compared to 44. And the pink one there’s no listing to see. There’s something called Roxycodone - that is the one without lactose. I haven’t tried it. It’s an oral suspension and maybe I should look into that. I generally take a half a pill every four hours and later in the day or at night I can stop and switch to Tylenol. But like I said, taking lactose pills, kind of solves a problem and the pharmacist told me to take it with food and not on an empty stomach. I had my genetic testing done and I inherited my lactose intolerance from both parents. It’s in my DNA from both sides. Not only that, but I seem to have a casein intolerance as well. Sometimes I will buy lactose free cheese and I’ll still get a stomachache. That’s when I learned that I was casein intolerant. I’m very good about eating a clean diet and when I get a stomach ache it’s usually some medication that doesn’t agree with me and they put lactose in it. Good luck!

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Profile picture for georgescraftjr @georgescraftjr

@loriesco

Thanks for telling us about the difference between heat and pulse RFA. George's physical medicine/pain management group never gave us that information.

George's wife

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@georgescraftjr don’t feel bad. They never told me either. One day I went in for an RFA with a pain management doctor I had for 15 years and the RFA didn’t work at all and I thought that’s weird. So I mentioned it to him and he told me that he used pulse method. So he pulled me back in and did the heat method which is what he always regularly did on me and it worked just fine!

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Profile picture for loriesco @loriesco

@jackiet make sure you’ve seen an orthopedic surgeon for your lumbar spine. They take a simple x-ray and a good orthopedic surgeon will tell you if your discs are falling out of place. I had an amazingly successful lumbar surgery with all the bells and whistles. Unfortunately, everybody waited too long to get me to the orthopedic surgeon. After 20 years, my discs fell completely out, the bones grafted together and it squished the life out of the exiting nerve roots so they couldn’t regenerate after surgery. People put an Oogie boogie on surgery, but if they wait too long and they don’t have a good orthopedic surgeon they may not be able to fully heal.

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@loriesco Oh dear. I understand and empathize what happened to you. But guess what? I will be 90 years old in April. Think I had better to stick to the minimally invasive stuff. I didn't experience difficulty in standing and walking until about 3 years ago. In March 2023 I was still walking around all over Paris. Can't do that any more. But am blessed for being able to do it for so long.

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Profile picture for jackiet @jackiet

@loriesco Oh dear. I understand and empathize what happened to you. But guess what? I will be 90 years old in April. Think I had better to stick to the minimally invasive stuff. I didn't experience difficulty in standing and walking until about 3 years ago. In March 2023 I was still walking around all over Paris. Can't do that any more. But am blessed for being able to do it for so long.

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@jackiet

Congratulations! What a remarkable achievement--reaching 86 and still being able to walk around Paris at that age! ...and it's amazing you know how to use a computer and navigate the internet. (Most of my friends in their 80s are completely tech-challenged and many can't even use a cell phone.) What is your secret?

Here's to you:


George's Wife

P.S. George has been in utter misery all day due to lower back pain, depression and anxiety. (He is 83 and has mixed dementia.) The only thing that make him smile is when I play French marches (like the one in the above link) for him. He taught French history at a university, was fluent in French and lived in Paris twice for several years at a time.

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It seems this post took a turn somewhere. You were asking about coping mechanisms. Empathy and Humor work best for me. If I’m trying to diffuse a situation I find humor is a great equalizer. Many compliments on 20 years of CRPS and still finding humor there. Empathy is the big one. If chronic pain teaches us anything, it’s empathy for our fellow sufferers. The irony for me, my wife that can no longer deal with my chronic pain is divorcing me for being a narcissist. One that is totally devoid of empathy in any way.

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Profile picture for georgescraftjr @georgescraftjr

@jackiet

Sorry you have so much discomfort, and best of luck with your upcoming procedure.

Since you are exploring RFA, have you read the posts by others who have tried that? Some people don't experience much relief with that while others do. It didn't work for my husband, who suffers from lower back pain even after two spinal fusion surgeries. (He can't take oral opiods, so he uses pain strips that I place under his tongue. He also tried prescription pain medication administered through patches but he didn't like the patches.)

Sendidng you prayers,
'George's Wife

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@georgescraftjr Yes, actually , I have read all those RFA posts. But worth a try. Sorry it didn’t work for your husband.

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Profile picture for loriesco @loriesco

@jackiet the OxyContin is a time release pill (your gray one). I take the Percocet 10 mg which is part Tylenol. I’ve taken that for years without any trouble. But then two years ago there was a shortage so I was switched to the oxycodone 10 mg – the pink pill KVT brand it was fine but then there was a shortage on that and they switched me to a white pill different brand and I had trouble. I looked up the lactose and definitely there is more lactose in the OxyContin time released one like 70 mg compared to 44. And the pink one there’s no listing to see. There’s something called Roxycodone - that is the one without lactose. I haven’t tried it. It’s an oral suspension and maybe I should look into that. I generally take a half a pill every four hours and later in the day or at night I can stop and switch to Tylenol. But like I said, taking lactose pills, kind of solves a problem and the pharmacist told me to take it with food and not on an empty stomach. I had my genetic testing done and I inherited my lactose intolerance from both parents. It’s in my DNA from both sides. Not only that, but I seem to have a casein intolerance as well. Sometimes I will buy lactose free cheese and I’ll still get a stomachache. That’s when I learned that I was casein intolerant. I’m very good about eating a clean diet and when I get a stomach ache it’s usually some medication that doesn’t agree with me and they put lactose in it. Good luck!

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@loriesco Thanks again for the info. I’m also curious about the roxycodone because it’s in my insurance formulary. So I’m going to ask about it.

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Profile picture for georgescraftjr @georgescraftjr

@jackiet

Congratulations! What a remarkable achievement--reaching 86 and still being able to walk around Paris at that age! ...and it's amazing you know how to use a computer and navigate the internet. (Most of my friends in their 80s are completely tech-challenged and many can't even use a cell phone.) What is your secret?

Here's to you:


George's Wife

P.S. George has been in utter misery all day due to lower back pain, depression and anxiety. (He is 83 and has mixed dementia.) The only thing that make him smile is when I play French marches (like the one in the above link) for him. He taught French history at a university, was fluent in French and lived in Paris twice for several years at a time.

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@georgescraftjr You made my day with the French march. I will make this short because this discussion went sideways. My prayers to you and George.

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Profile picture for bilt4pain @bilt4pain

It seems this post took a turn somewhere. You were asking about coping mechanisms. Empathy and Humor work best for me. If I’m trying to diffuse a situation I find humor is a great equalizer. Many compliments on 20 years of CRPS and still finding humor there. Empathy is the big one. If chronic pain teaches us anything, it’s empathy for our fellow sufferers. The irony for me, my wife that can no longer deal with my chronic pain is divorcing me for being a narcissist. One that is totally devoid of empathy in any way.

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@bilt4pain I apologize for getting off the proposed subject. And empathize with you 100%.

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