Pain pump failure

Posted by heisenberg34 @heisenberg34, Apr 7 8:30am

I had the Medtronics pain pump implanted a year ago. Nothing else had worked to relieve my severe lower back pain which radiated down to my buttocks, legs and feet. My spinal cord stimulator also stopped providing any pain relief. I had the pump output increased six to eight times with just a few days of decent relief. Then we moved to another state. New pain doc has increased the output 5 or 6 times. With my pain still hovering between a 7 and a 9, I was desperate. I took an old oxycodone which actually helped. But the pain amped up after a few days so I went back and he upped the dosage by 30% (quite drastic). By the end of the day, The pain had turned into a numb feeling. That night I could not sleep. I was on the verge of nausea and felt like a zombie. How much dosage is too much? I am still in bad pain unless I give myself a bolus, which sends me back into the numb, zombie state. I am afraid that I am in an overdose situation. My voicemail to the doc with these concerns has gone unanswered. How can a pain pump not relieve pain at this level? Really looking for someone with similar expereince and what you ultimately did.

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I had the opioid removed from my pump in steps, and down to 0, and I felt much better. I never knew whether the pain pump helped. I had some pain in a different area (hip). The pain pump nurse talked me into putting morphine in. I still don't know if it helps. I am getting injections for Cauda Equina/piriformis and the last one 2 weeks ago helped. (From another clinic).

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@jwm61

I had the opioid removed from my pump in steps, and down to 0, and I felt much better. I never knew whether the pain pump helped. I had some pain in a different area (hip). The pain pump nurse talked me into putting morphine in. I still don't know if it helps. I am getting injections for Cauda Equina/piriformis and the last one 2 weeks ago helped. (From another clinic).

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Thanks for your info. I am having that spinal cord stimulator removed next week. I am hoping to get an MRI ASAP. Maybe that’ll show what’s going on with this back.
How long did it take you to get the pump down to zero? Any weird feelings along the way?
I just feel that I can’t put any more of this stuff in.
Chris

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4/7/24
My insurance won't even approve me for a spinal cord stimulator, because my pain is nerve pain. I can only put my hope in God. He has healed me from diabetes, thyroid disease, cirrhosis of the liver, and non-alcoholic, but my cervical neck surgery was done wrong and in Florida, you only have 2 years to file a lawsuit, it took me 2.6 years to find out what was wrong after seeing several doctors. I'm on a Fentanyl patch of 12mcg because I have lost so much weight that I had to go down, but the pain is getting to me. I have IBS so I can't take anything but Tylenol in small quantities and that still hurts the liver. I wish doctors were taught how to really fix your health instead of giving you pills to manage the symptoms.

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@lildiva4jc

4/7/24
My insurance won't even approve me for a spinal cord stimulator, because my pain is nerve pain. I can only put my hope in God. He has healed me from diabetes, thyroid disease, cirrhosis of the liver, and non-alcoholic, but my cervical neck surgery was done wrong and in Florida, you only have 2 years to file a lawsuit, it took me 2.6 years to find out what was wrong after seeing several doctors. I'm on a Fentanyl patch of 12mcg because I have lost so much weight that I had to go down, but the pain is getting to me. I have IBS so I can't take anything but Tylenol in small quantities and that still hurts the liver. I wish doctors were taught how to really fix your health instead of giving you pills to manage the symptoms.

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I can't understand why they would deny you coverage for a scs. Nerve pain was the very reason I had mine implanted in the first place. It worked fairly well, along with meds, for about three years. Of course mine was covered by Medicare, so perhaps that's the difference. Hope He can deliver you from this mess.

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@heisenberg34

Thanks for your info. I am having that spinal cord stimulator removed next week. I am hoping to get an MRI ASAP. Maybe that’ll show what’s going on with this back.
How long did it take you to get the pump down to zero? Any weird feelings along the way?
I just feel that I can’t put any more of this stuff in.
Chris

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I am not sure how long it took for draw down to zero, depends of course on high the medicine is set. I didn't suffer a lot.

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@heisenberg34

Thanks for your info. I am having that spinal cord stimulator removed next week. I am hoping to get an MRI ASAP. Maybe that’ll show what’s going on with this back.
How long did it take you to get the pump down to zero? Any weird feelings along the way?
I just feel that I can’t put any more of this stuff in.
Chris

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What medication are you using in your pain pump?

Jim

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@jimhd

What medication are you using in your pain pump?

Jim

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Hydromorphone. They tried using a mix of it last with some kind of anesthetic, but it was worse.
The worst effects have moderated, but still very unpleasant.

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I started taking that orally a month ago, 4mg BID. It's the only medication that touches my neuropathy pain in my feet, though when I have to do much walking, it doesn't keep up. I've only taken one in the middle of the day once. I've discussed the pump with my neurologist and pain doctor, and they approve it, but there's no one to maintain it near where I live, so it's been on hold for several years. Would you say that it's better than taking Hydromorphone orally? Do you know what dosage you're getting now? I can imagine that it could be a challenge to find the therapeutic setting.

Thanks for your input.

Jim

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I had the pump put in a month ago and it was immediate relief. I have arthritis, fibro, spine issues that kept me in constant pain. This device changed my life within hours. I am still recovering from surgery, but for all the discomfort, I wouldn't change a thing. I truly do feel like a new woman (80).

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@bestoflife

I had the pump put in a month ago and it was immediate relief. I have arthritis, fibro, spine issues that kept me in constant pain. This device changed my life within hours. I am still recovering from surgery, but for all the discomfort, I wouldn't change a thing. I truly do feel like a new woman (80).

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So great to hear. It must be life-changing to be out of the pain. I"m not sure why mine didn't give me relief. Just not my luck. LOL Stay well and be blessed.

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