Feeling at my wits end with Chronic Pain and Fibromyalgia

Posted by Jen, Alumna Mentor @sandytoes14, Aug 19, 2019

Usually I am not one to share much of my personal story but here goes...I have what is called moderate to severe degenerative disc disease, arthritis of the spine C3-C7 and lumbar spine, and Fibromyalgia. In the 20 years Ive had pain, I"ve been though many treatments including PT, tens unit, bio feedback,injections, nerve ablations, you name it. I'm prescribed Cymbalta 60 mg for Fibro and anxiety as well as 225 mg of Lyrica. I have been on and off various painkillers too. I'm currently on a long acting oxycodone of 13.5 mg and once a day one 15 mg of IR oxycodone. This has been my regime for a few months now as I switched from 15 mg IR oxycodone. Now for those who are worried about me ODing...I understand. I actually hype-vigilant about my meds. (And I have my hubby and son who watch) Years ago I was on 15 mg Fentanyl patch for 10 months and came off it in one month with no side effects.
Right now I'm really struggling with this rotten pain. I have no appetite, either can't sleep or nap during the day.

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Profile picture for fmcfs @fmcfs

@sueinmn you are parsing on semantics here. GF sensitivity is definitely helpful for FM patients, but so is not eating sugar and simple carbs because they also cause inflammation. So, it’s diagnosed over time. It took me a year to be diagnosed after 10 different specialists. A true FM syndrome would remain even if you are on a low carb, no sugar, no gluten diet. It would probably not be as painful, but it would be underlying. I mentioned misdiagnosis because doctors know very little about it, and are quick to give up and just say idiopathic pain, Fibromyalgia. A catch all.

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@fmcfs I was definitely not disagreeing with you. Please reread my post, where I said "... So really, fibro is a condition that can "wax and wane" depending on other things going on, medication, stress, even weather...", it was about the same as "...It would probably not be as painful, but it would be underlying..."

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Profile picture for fmcfs @fmcfs

@jeannesf1 I’m so sorry! STUPID doctors don’t know a darn thing about how to wean off psychotropics like Lyrica and Cymbalta! It only take less than a month for these drugs to REWIRE your brain. So going off them cold turkey or too quickly has SIGNIFICANT and sometimes SEVERE side effects which may or may not eventually resolve! I was in a Cymbalta Facebook group 10 years ago where people warned me about it and gave detailed instructions how to carefully titrate off it. It took me an entire YEAR to safely get off Cymbalta and another year to get off Lyrica. Well worth it. My brain came back to life and I could remember my best friend’s name again. These drugs are not meant for long term use. They work for a time then it isn’t as effective. By then, your brain is oatmeal. I take Tramadol and Prozac. If you get off those drugs, Google gradual detox for them!

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@fmcfs I feel so damaged. I’m so upset . You made something very clear that I couldn’t manage to figure out or research on my own. If you look at my phone under notes, and texts created for different subjects so I could remember everything. I still get scared from cognitive things I should know and struggle to remember or have to learn how to do again. Throughout this fibromyalgia journey I had 2 different insurances. I had many many doctors. Of course neither of those were specifically or close to being trained on fibromyalgia meds. NOT ONE DOCTOR EVER cared to know how long I was on these meds and just kept prescribing them. Never suggesting I could or should get off. And I was only taken off Cymbalta because I REQUESTED IT and was given instructions for getting off in 2 weeks. Thank you for your enlightenment it means a lot. It’s not just brain fog, it’s these drugs too being administered without a care for the patients brain. Will I ever regain what I’ve lost? I feel like my IQ was cut in half.

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Profile picture for jeannesf1 @jeannesf1

@fmcfs I feel so damaged. I’m so upset . You made something very clear that I couldn’t manage to figure out or research on my own. If you look at my phone under notes, and texts created for different subjects so I could remember everything. I still get scared from cognitive things I should know and struggle to remember or have to learn how to do again. Throughout this fibromyalgia journey I had 2 different insurances. I had many many doctors. Of course neither of those were specifically or close to being trained on fibromyalgia meds. NOT ONE DOCTOR EVER cared to know how long I was on these meds and just kept prescribing them. Never suggesting I could or should get off. And I was only taken off Cymbalta because I REQUESTED IT and was given instructions for getting off in 2 weeks. Thank you for your enlightenment it means a lot. It’s not just brain fog, it’s these drugs too being administered without a care for the patients brain. Will I ever regain what I’ve lost? I feel like my IQ was cut in half.

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@jeannesf1 I’m so sorry it happened! You are not alone. Fibromyalgia is such an individual syndrome, and each medication affects people differently. There is still a good chance to recover if you take care of yourself. Counseling, good exercise program like Tai Chi, and or yoga, eating well (no gluten, sugar, minimal carbs like bread, pasta, potatoes) and vitamins like D and B Complex. It’s important to find a good sleep med and avoid stress as much as possible. I moved to the beach because of Fibromyalgia. TIME will tell. But the things I mentioned will give you a fighting chance. Sending love.

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I’m in the same terrible place you are. I’m in 10 mil oxycodone twice a day it stopped working. I’ve also taken muscle relaxers. No one can seem to find the root of the problem. I got all the ablations all the shots that I could handle nothing has helped. I was told that I had a fiber myalgia. I do not have that. I totally feel your pain. God bless.

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Hello fellow sufferer! I do feel your pain and I do understand.
The first time in years I finally had a regimen that gave me hope. Don’t feel bad about your pain med regimen. We are all different! What finally started to control my pain was long acting oxycodone 18 mg in am and 36 mg in pm. Additionally, fast acting Oxycodone 10 or 20 mg for breakthrough pain. Yes, it happens, even on high doses of the long acting. If you can wake up and have a few good days a week not in constant agony, you forget what it feels like to feel good for just one day. Don’t let anyone tell you otherwise. It’s your body and your pain. Initially, I freaked out thinking how on earth could I possibly take so much. I’ve never been an addict or abused my meds. If you have a physician actually willing to help you, consider yourself lucky. Unfortunately, I had to change insurance plans and my new insurance doesn’t cover my pain meds. I went back to trying to survive and the pain was so overwhelming, I gave up and paid over 2k to get back on my regimen. Fibromyalgia is real. Chronic pain and fatigue is real. I also have several autoimmune diseases that contribute to my pain. I wish you all the luck and strength you can find!

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Profile picture for Oh My Aching Back & Neck @jmweissler

Hi. I am a 62-year-old male living on Long Island, NY. I suffered a fracture & spondylolisthesis @ L5/S1 in 1998 & had fusion in 1999. After the surgery the pain never went away & at times was worse. I started pain management in 2001. They gave me different meds that didn't work until I was on the maximum dose of both Oxycontin & Oxycodone. When that wasn't helping, they added Fentanyl patches until I was maxed out on that. Lived like that until 2008. In 2006 I had a spinal cord stimulator (SCS) implanted. I lived this way until 2008 when my family decided I couldn't live like this anymore. Went to The Hospital for Special Surgery (HSS) in June 2008. They did an exploratory. They discovered that the fusion failed, even though numerous surgeons told me all was fine. My exploratory turned into a 6-hour PLIF. Ten days later I had ALIF. They also removed the SCS. It was discovered that I suffer from a severe case of osteoporosis (-3.2). Rehab was tough. Felt better but not great. Was still on all the meds. I retired from my job on disability as I could no longer work. In April 2011, I started having severe pain. Back to HSS. A MRI was done and the diagnosis was a fracture @ L4/L5. Back in the OR & another fusion. In November 2011, the pain was worse. It was discovered that the fusion failed so I had a revision. Fifteen days later I experienced the worst pain so far. It was a cyst @ L4/L5. Emergency surgery. In January 2013, it was discovered the fusion @ L4/L5 failed again. Another revision. Did relatively well but still lots of pain until November 2014 when L3/L4 went. Had a good 2015 but in February 2016 L1/L2/L3 went. They fused T12 to L3. In December 2016, guess what, L1/L2 failed and another revision. Moving on to September 2018 when C3 to C7 went. Had 4 level Anterior Cervical Discectomy (ACDF). Please don't question my surgeon's abilities as he is one of the top spinal surgeons dealing with diseased spines and IT IS HSS! I have had 2nd, 3rd, 4th and even 5th opinions from some of the top spine surgeons in the US including The Mayo Clinic. This brings me to the present day. I have been having in pain in my lower lumbar and hips for months and it has escalated to the point I can’t walk my dog. Had an X ray taken and sent to my doc. He said my Sacroiliac (SI) Joints and right hip are completely shot. I did an Epidural Steroid Injection (ESI) & then RF nerve ablation. Followed by (after the proper waiting time) a series of 3 more ESI’s over 6 weeks as I need a week in between to go back on my blood thinners. The shots did not help at all. help. My surgeon has asked me to come in for a chat this week. We all know that when a surgeon calls you in, he’s gonna tell you that you need surgery! In addition, I have had 2 heart attacks and a mini stroke which is why I need to be able to walk every day. I have a Service Dog (yes, a real 1) to help pick up the numerous things I drop (due to cervical fractures), retrieve things and the best part, he keeps me smiling. As this disease eats my bones, I will eventually need a bigger dog to help with my balance & then later down the road, to pull me in a wheelchair.
My advice to all in pain:
1) Pain is here forever
2) Opioids will rarely help the pain
3) Go to the best surgeon even if you need to travel
4) Get a 2nd & 3rd opinion as this surgery will affect your life
5) Do any and everything possible not to have a fusion unless it is a must
6) If nothing helps, try marijuana (in legal states) as I have found that this is my best pain relief
7) Most of all, find happiness in anything.
Thanks for reading. I feel better already.
I am reading lots of posts and can’t believe how many people are hurting. Thanks Mayo for making it possible. If anyone has had SI Joint surgery, please let me know about the surgery, postop & if it helped. Thanks. 😊

PS – I got off all of meds at the end 2017 when I fell & broke my nose.

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@jmweissler I’m speechless reading your litany of horrific procedures and endless pain. I have fibromyalgia and chronic fatigue, failed back surgery and both knees shot from OA, failed knee surgery. Something you didn’t mention is psychological therapy for trauma. I hope you’ve addressed counseling because you obviously have PTSD and are susceptible to depression and anxiety from pain. Biblical counseling helped me more than psychologists. But everyone is different. I used to do yoga ( chair yoga is possible too). But now I teach Tai Chi for free at the senior center. This is excellent for mental as well as physical health. My paltry suggestions are likely a drop in the bucket. But I seriously would join a good church for support as well. God have mercy on you. ❤️

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With what you are taking, I am surprised you can actually get out of bed, or think coherently! I have no advice for you as I too have suffered pain for decades and tried so many things. All I can say is make sure you are going to a teaching hospital with a renown staff of top physicians. It matters.

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