Mayo Clinic Connect
my chronic pain is often a downer. I do take meds for it but often am late with them and then the pain is awful. is life worth living is the trap i get into..i am a very senior person.
Liked by Jim, Volunteer Mentor, lioness
I have the same problem. I have the chronic pain in my feet & legs. I am on Cymbalta . They first started me out on 30 mg & I took it for 4 weeks & no improvement so they put me on 60mg & I have been on it for a week & still no improvement . I am home most of the time because of the pain. I understand what your going through. I guess we have to try different medications to see what works. I bought cream for the legs & that don't help either. I am also a Senior & am dealing with chronic pelvic adhesions so my life is pain. Try to stay busy if you can & I soak my feet in hot water & that helps for awhile. I am hoping this medicine will kick in. Has anyone had good results on Cymbalta? Best of luck to you.
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@tigreyes2004, Good evening. I am concerned that you have had no improvement in your pain. Were you given duloxitine (Cymbalta) for pain? My understanding was that it was for anxiety about the pain, I was a basket case mentally when my PCP prescribed that medication. It made a huge difference for me, I am now at 60mg in the morning.
Anxiety about pain, creates more pain which creates more anxiety and on and on. You get into a loop that is quite disabling. I am glad to be out of the loop.
May you have comfort and ease in your day. Chris
Thank you for your concern. I have been on this Cymbalta for 5 weeks now. I started with 30 mg & last week it was increased to 60 mg & still no relief. I don't have much of a life. I know this Cymbalta is an antidepressant but does it not help for pain?. I also tried the Nortriptyline & it was helping but made me so constipated that I had to get off of it. Then I tried the Gabapentin 200 mg & it made me so tired I had to taper off that. I don't know what meds to try. I worry a lot about the side effects. Mainly weigh gain & constipation. I am so glad I found this group because I am learning a lot. I also have pancreatitis. My lipase & amylace is going higher & higher & I had MRI & ultrasound done & they don't don't why it is like that so I am going through a ot right now. Thank you for your support.Genie
Liked by Lisa Lucier
@kalo37 I understand the interaction between pain and mental health. I'm not seeing a therapist right now, but I have most of the time for 14 years, working with depression, anxiety, PTSD and suicidal ideation. I had six sessions with a pain therapist, which did help me.
I've never been able to pin point a trigger for depression. The first thing I did when I noticed that I was feeling down was to talk with my PCP to see if there were any organic issues that could explain how I was feeling. We worked on that for a year and I discovered I have sleep apnea (I slept more than 12 hours a day the first few months), my gall bladder was working at only 12%, so it was removed. I don't remember the other things we found and addressed, but though I felt better physically, depression continued to worsen, and I was so far down I attempted suicide several times. I finally checked myself in to Sage View, a new facility that's for suicide survivors, and stayed for six weeks. The norm is one week.
Within six months I retired and started the process of climbing up out of the hole I was in. It was a slow, painful process. At Sage View the therapists suggested that we rate each day on a scale of 1-10. 10 would be the best day of your life. On my scale, 4 meant that I was actively suicidal, 5 is I have suicidal thoughts, but not in imminent danger. I thought I would never get up to 6. It took a couple of years to reach 5, and there I stayed for around 5 years. I finally made it to 6! I've been at 6 with occasional dips to 5, for several years now.
While I was struggling to get to 6, I started having numbness and tingling in my feet and legs. A neurologist told me it was peripheral neuropathy. I learned that all of my 5 siblings and our father had/have neuropathy. It was only an annoyance for a couple of years, but then I started having burning pain in my feet. That pain is part of the reason I was stuck mentally, keeping me down to 5 and sometimes 4. One step in getting a spinal cord stimulator is an assessment by a psychiatrist. He cleared me, but in that appointment I kind of fell apart. I hadn't been able to see a therapist for a year because the only one in town is a hospital staff, and the only one who took Medicare. The psychiatrist told me that a new therapist was going through the routine of setting up an office and would start working with clients in a month. I had dropped back down to 4 by then. At the end of my first session, I told the new therapist that he had saved my life. With his help, I started to feel better over the course of a year. I know that pain was playing a role in the downward spiral. I work now on separating the physical pain from the mental pain. I think I have a way to go yet. On days when my pain level is up to 8, it does affect my mental state. Thankfully, I find that being busy in the yard actually lessens the pain. It hits me when I lie down in bed. We have ten acres, with irrigation rights for just over 7 acres. A neighbor leases the pasture and does the irrigation so her cattle have good grazing. And it's convenient for them. They put a gate in the fence line and she can easily work the stock. I have plenty to keep me busy, maintaining a barn, garage and house and a large yard and lots of planting beds and a garden. We live in central Oregon, where it's high desert, and usually have around 12" of rain. This summer it's rained enough that God did a lot of watering for me. Most years it's almost a full time job keeping things watered and weeded. Having this nice home in the country is good therapy. I hope to be able to stay here for many years.
So, I know that life is worth living, and I know what a negative impact my death will have on my wife. Much of the time I can convince myself that I can keep going. I wish the same for you and more.
Liked by Teresa, Volunteer Mentor, Lisa Lucier, Chris Trout, Volunteer Mentor, Ginger, Volunteer Mentor
Cymbalta is good for pain, but I found it took longer than 5 weeks before I really noticed a big difference. For me, it took perhaps 6 months.
Liked by tigreyes2004
I went to the dr. yesterday & now they want me to take Cymbalta 60mg in the morning & to take a 100mg Gabapentin at night for a week & then increase the Gabapentin. I like the Cymbalta & have not noticed any real side effects. I just worry about constipation. Did you have any problems with constipation? I will try this & see what happens. I return to the dr, in a month. Thank you for your respond. It gives me a little hope bc I am in terrible constant pain. I can hardly walk bc it hurts so much.
Liked by Teresa, Volunteer Mentor, Jim, Volunteer Mentor
No medication has helped me with the pn pain except morphine sulfate contin. I take several meds that may be constipating, and I've been in the hospital for bowel obstruction and surgery several times in my stomach. So I take Lactulose at bedtime. It does well keeping things moving.
I don't think that constipation should be an issue if you take something like that. It's a thick, sweet liquid, and I take a tablespoon, but if I start feeling constipated I take a little more.
Constipation has not increased with the Cymbalta, however, I just take 20 mg, once a day. Gabapentin, however, really resulted in serious constipation.
I know most of the medications do cause the constipation so i guess I have to deal with it. I have been told to take Ira Lax. Have you tried that? It sounds like you have been through a lot too. I wish you the best.
Liked by Jim, Volunteer Mentor
I have been on the Cymbalta now for 6 weeks & I see no improvement yet but the Pharmacy said I would not notice anything for a month. now that I am taking the Gabapentin. I hope it doesn't constipate me but I guess i will have things on hand. I have Milk of Magnesia. I don't like to have to depend on that stuff but I guess sometimes you have to.
@tigreyes2004 Miralax can be quite helpful. I suggest you start with a small dose and increase the dose as needed. Keep posting, I'd like to know how you are doing.
Thank you for the info. I was always afraid to try it bc I was afraid I would get diarrhea while I was out. I was told you add to a drink & that it is tasteless. Is that correct? Do you take it only as needed? I better buy some & have it on hand. I will keep you posted. I am also dealing with pancreatitis & abdominal adhesions so I am dealing with a lot. Thank you for your help.
Liked by Teresa, Volunteer Mentor, trellg132
Hello @tigreyes2004, Yes, I add it to cranberry juice (personal preference) I hope it helps you. I have had 3 surgeries of the upper digestive tract, so I too have problems with constipation. You should use it as necessary. My doctor said I can use it daily, if needed, however, I don't use it that frequently. Find what works best for you. You might also try Smooth Move Tea, that can be helpful as well.
Liked by Jim, Volunteer Mentor, Lisa Lucier, trellg132
Thank you so much. I am going to get some. I never had constipation problems till this last abdominal surgery so now that I'm on the new pills that can cause it, I better buy some & have it on hand..
Liked by Teresa, Volunteer Mentor, Lisa Lucier, trellg132
@tigreyes2004 Wishing you well. Please post again and let me know how you are progressing.
Liked by trellg132
I have a similar situation and I guess I’d have to say that there is a time when life isn’t always worth tolerating the intolerable. All of the well meaning therapy and encouragement is just talk.
Amen my pain is so bad somedays I wished I didn't even wake up! And for the people not in pain, don t know how it feels , God bless us all
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