@jimhd
"Opioids don't treat neuropathy pain."
I agree opioids weren’t designed to treat and don’t do a very good job of treating neuropathy pain however I was on the fentanyl patch and it did indeed he decrease my neuropathy pain.

"Opioids are prescribed for acute pain."
I don’t know what planet your doctor came from but many patients use them long term for Chronic pain.

"Opioids become ineffective when used to treat chronic pain." Sure opioids become ineffective u
In some people and opioids usually need to be increased over time because of that very reason but that’s no reason to not ever give them. When I took the fentanyl patch my doctor started at 100 micrograms and I changed it every three days. I asked her if we could go down to 75 Micrograms to see how it work so we tried 75 and then I asked her if we could try 50 µg so we did that it didn’t work at all well so we settled out
on 75 Micrograms but she was more than willing to increase it as necessary.

“Opioids can cause harm if used long term.”
What drug doesn’t? Anti-convulsant do, anti-depressants do, antipsychotics do and on and on

"Doctors don't like to manage chronic pain long term because they don't make money”
Well perhaps they don’t make as much money but they still make money especially when they have you coming back every 2 to 3 months.

"The money is in giving injections and doing procedures and doing implants." Yeah, work or not!

I hope you called him on each thing he said.

In my own personal opinion your doctor would’ve sounded much more intelligent if he would’ve kept his mouth shut and in my opinion Jim your doctor is a dope and I would leave him ASAP!!!

Just my two cents worth.
I hope you will be feeling better since the increase,
Take care Jim,
Jake

How about Cymbalta?

Well, hoping your increase in overall dosage will help you. As to comments, you certainly were correct about some of them!

1. Nerve pain doesn’t respond to anything usually very well but any doctor worth his salt knows that nerve pain causes muscle pain, cramps, joint pain, and others types of pain that opioids WILL treat. Nerve pain is torture but add the others on top of it and you have hellacious pain. The first statement is a “federal fabrication” to fit their narrative.
2. Long-term opioids are never used for acute pain. They were designed, manufactured, approved by the DEA, and prescribed for long-term pain usage. They include MS Contin, OxyContin, Fentanyl, and others.
3. If dosed correctly and managed correctly, opioids can be used adjunctively or alone to treat chronic pain. They’ve been used for decades for successfully for this purpose.
4. Yes, all opioids and long-term pain medications available in the arsenal against chronic pain can be dangerous with long-term use including OTCs. Tylenol and naproxen can cause liver damage, ibuprofen (Salsalate, Celebrex, Mobic) can cause ulcers and kidney damage, aspirin can cause platelet damage, and alcohol...we won’t talk about that legal depressant.
5. Doctors don’t like to manage long-term pain patients because they don’t make money...
Doctors take an oath called the Hippocratic Oath. To deny care and treatment of a patient who falls within their scope of practice with the availability of regular compensation routes and practices is considered malpractice.
6. What matters is the chronic pain management of the patient not the money to be made by what can be done through that care. Why? Chronic pain patients have unique issues such as allergies (drug and food), full records of past treatments which usually include injections, stimulators, and other alternative therapies.
7. Chronic pain patients are not stupid and doctors need to stop treating us like we are.