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Having amputated left foot, percussion breaks in spine and bruised ribs. On oxicontin and cymbalta. Suggest treatment

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General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
high choose to remain anonymous fell 150 feet in 1987 amputated left foot about middle of shin my family doctor has treated this with oxicontin since 2005 plus other multiple injuries been i was skinned alive might as well say and now my pain has increased from legs to pelvis had percussion breaks in spin also chip neck bone family doctor to up the milligrams wont do it like doesnt believe me always took as prescribed and it was never enough still tolerated pain my prosthetic broke 1and a 1/2 days ago bruised ribs and some teeth got messed up went to dentist anyway is there anything you can do about my meds as increase was taken 2 60millgrams with 1 7.5 a day would also like some valium for the anguish this caused me over the years can you help if your answer is not to increase pain meds then want refund back
Posted Wed, 20 Nov 2013 in Bones, Muscles and Joints
Answered by Dr. Chakravarthy Mazumdar 11 hours later
Brief Answer: Increase pain medications Detailed Answer: Hi, You had not mentioned the pain medicines that you were taking? Is it only Oxicontin and cymbalta that were tried? Were you referred to pain management specialist and rehab specialists? It is extremely important to take their opinion before trashing any patient who is in pain and leading poor quality of life. I would carefully approach such people. I would try to increase the pain medication dose slowly till he reaches the pain free life. I would also do a large amount of counseling how to tolerate pain further and how to increase the pain threshold. A Psychotherapist intervention is needed in this case. There are other holistic ways to tolerate pain and I would try to explore them while discussing with you. Acupuncture is one thing which strikes my mind. Would you like to explore this? I will think of other options while you come back with more information. I pray for a pain free life for a person who is in front of me.
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Follow-up: Having amputated left foot, percussion breaks in spine and bruised ribs. On oxicontin and cymbalta. Suggest treatment 3 hours later
i perfer not to have any injections had more than enough of those tried personal massage and chiropractic for years also take gabapentin meloxican lisnopril trazdone hydrochlorothiazide which some of these meds are cholestorol very simply wanting to treat pain with higher dose of pain med plus have something for breaktrough pain and i tried some valium and zanax for mental part of trouble there were the 10s wasnt quit strong enough but help to an extent
Answered by Dr. Chakravarthy Mazumdar 8 minutes later
Brief Answer: Acupuncture is different from massage Detailed Answer: Hi, Acupuncture has evidence but massage therapy or chiropratice has no evidence in treating the chronic pain. I also understood that you were not referred to pain medicine clinic. This is important. I know why your primary doctor does not increase the dose beyond certain milligrams. He would come under DEA screening beyond a point. Ideally he/she should refer to pain medicine as they have higher limits to prescribe the pain medicine dose.
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Follow-up: Having amputated left foot, percussion breaks in spine and bruised ribs. On oxicontin and cymbalta. Suggest treatment 44 minutes later
went to pain clinic yesterday wrote the same meds 2 60milligrams oxy and he gave me some 7.5 vicodin 42 to be exactly see this is what happened my prostethic broke and i took a spill bruised some ribs 3 teeth gave me extreme amount of pain so i was taking my monthly meds of oxi to deal with pain went through 60 in 8 days told my doc if you look back on your records youll see my scripts were within 1 or 2 days early which the pharmacy always allowed now that my oxis are gone im dealing with pain with 7.5 vics ill have them gone in no time also this pain doc perscribed flexiryl the less they listen the farther i fall into darkness like there is no escape kind of like a famous musician XXXXXXX cobain i suggested dillotta with stronger meds in valium zanaxs for the mind even possible librium its not like i havent spent many years dealing with this and also have spent multiple times in hospital like i dont know my own body but you docs are to worried about treating your meds like there gold. also growing up ive been in 45 car accidents that where totalled and mauled in the face by a black dog or bear or panther which ever you choose to call it my life has been like the crucifixtion of christ while people plated that laughed behind all there serious XXXXXXX i also understand there are other people out in the world that have there own problems but my number 1 concern is self right now been through therapy how else do you think i learned to walk again also to compensate from my fall of a 150 feet they gave me a settlement of little over 600 thousand dollars all gone nothing like adding more stress to all these other problems people tell me let go of the past not as easy as spoken
Answered by Dr. Chakravarthy Mazumdar 22 hours later
Brief Answer: Doc thinks that you have drug seeking behaviour Detailed Answer: Hi, With all that had happened, the pain doc was not realizing that you are in intense pain. He was adjudging you have a drug seeking behaviour than real pain. Flexiril is a muscle relaxant. I am not sure how can you convince your doctor that you do not have a behaviour and you are in real pain. That should solve the problem and he can prescribe you valium and xanax. I know you spend on obtaining the medicines but for doctors it is like being under scanner. So they have an algo to prescribe the medicines from less potent to more potent. I think only repeated visits to the pain clinic would end up in getting high potent pain medications. Would you get a disability insurance?
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Follow-up: Having amputated left foot, percussion breaks in spine and bruised ribs. On oxicontin and cymbalta. Suggest treatment 3 hours later
already have disability ins. do you know of any doctors in my area hobart indiana that would be more understanding
Answered by Dr. Chakravarthy Mazumdar 18 hours later
Brief Answer: Try these options Detailed Answer: I found few pain medicine specialist around Hobart. Call them for appointment. Dr. XXXXXXX Y. Ungar-Sargon Sr, MD Neurology, Pain Medicine 255 E 90th Dr Suite W3, Merrillville, IN 0000 Dr. XXXXXXX P. Kanuru, MD Pain Medicine, Anesthesiology 3449 Ridge Rd, Highland, IN 0000 Dr. XXXXXXX A. XXXXXXX MD Pain Medicine 610 S Maple Ave Suite 3440, Oak Park, IL 0000 Dr. Behzad Aalaei, MD Pain Medicine 504 E 86th Ave, Merrillville, IN 0000
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