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← Return to Chronic Back Pain for Years
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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.
Replies to "1. Nerve pain doesn’t respond to anything usually very well but any doctor worth his salt..."
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All kinds of pain respond to opioids. Most pain originates with the nerves in the spine. My intrathecal pain pump dump tiny amounts of narcotics directly into my spinal fluid and that treats pain throughout my body on less than 5 mg in 24 hours. The only other thing I take is amitriptyline , 25mg, once per day for neuropathy. Large doses of oral narcotics do have long-term consequences. The treatment becomes ineffective. You can also develop hypersensitivity to pain. I have experienced both conditions. As far as opioids is not treating neuropathy, I don't believe that's true. My doctor's justification for giving me the pain pump is the combination of neuropathy caused by chemotherapy combined with a need for high pressure compression of my left leg from my toes to my cro iijtch. It's a combination which is exquisitely painful. the only thing the narcotics do not treat is a sensation I occasionally get in my large toe that someone is driving a nail through my large toe
The amitriptyline prevents that from waking me up in the middle of the night. Having a very small amount of Narcotics leaked into my spinal fluid prevents any pain signals from getting back to my brain from the areas where they are created. The doses are so small b 500 uhcecause it is 100 to 300 times more effective to deliver on narcotics that way then it is even more effective than it would be to inject it in your vein. That means I'm getting the benefit of 500 to 1500 mg of Dilaudid every 24 hours, a dose which would surely kill me if I took them orally.