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@beau238

Thank you for your reply. I'm updating my post to include I am a on blood thinner (Aggranox- it's kinda like aspirin on steroids) having suffered a ischemic stroke in 2013. Honestly I cannot distinguish which pain is sciatica related and which pain may be stroke related. I'm ready to rule out an SCS due to the blood thinner.

I'm currently on 7.5mg oxy (4x/day) and 30 mg Cymbalta (1x) and apply Lidocaine 5% ointment. I've also tried various otc ointments and creams without much success. And I exercise regularly. I want to get off the oxy, but fear my options are limited. Lyrica and gabapentin have been eliminated as both left me drowsy and lethargic. My PCP prescribed a low dosage (30mg) of Cymbalta in hopes it won't produce similar side effects. And if successful, we'll gradually increase the dosage. I'm wondering if there are other options available other than what I've described. I am in the process of finding another pain management specialist but have become cautious towards those recommending additional procedures. Your suggestions are appreciated! BEAU238

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Replies to "Thank you for your reply. I'm updating my post to include I am a on blood..."

You have tried many ways to handle to your chronic symptoms, and are still hopeful to find suggestions for your path forward. That's inspiring!

My suggestion for you is to take a moment and watch Dr. Sletten from the Mayo Clinic, Jacksonville, explain central sensitization syndrome (CSS). He teaches at Mayo's Pain Rehabilitation Center (PRC), and he and his team do an incredible job.

https://www.youtube.com/watch?v=8defN4iIbhohttps://www.mayoclinic.org/departments-centers/pain-rehabilitation-center/sections/overview/ovc-20481691

I'm hopeful that you find a pain management "team". Through my past experiences, I never had a team or group effort that was collectively trying to improve my quality of life, given my circumstances. I benefited greatly from PRC's comprehensive, all inclusive approach on teaching me how to live my best possible life with quality. I gained independence and confidence back, and felt like I was in charge of my well being again.

Do you mind sharing your feedback after watching the videos?