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How Long Does It Take To Recover After Fibromyalgia And Spinal Stenosis?

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Posted on Thu, 12 Nov 2015
Question: My pain management doctor is on vacation. The NP wouldn't refill my 2 opiums for 3 days. So, I went w/o 9 doses. Now, I restarted the meds on Oct. 14, but the pain is not being back under control yet. How long does it take for it to be under control again. I have fibromyalgia, myofacial pain, and spinal stenosis.
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Answered by Dr. Dr. Matt Wachsman (2 hours later)
Brief Answer:
Not the usual situation.

Detailed Answer:
There are two components to a drug's action: how much drug and how strong it is. For nearly every drug, by three days, it has fully gotten in and is at the full amount in that it is going to get to (maybe not 100% if this is a long acting drug like methadone but certainly 80% of its full amount). For narcotics the effectiveness changes a LOT. People get used to them (tolerance) and they have less effect with more exposure. Being without them does NOT make MORE tolerance, but lowers tolerance. With only 3 days without the drug, it probably isn't changing its effectiveness either up or down. So, it doesn't fit with either being the amount of the drug nor its effectiveness.

That leaves a change in YOU. THere are a LOT of possible reasons for that.
One is that the underlying disease got worse. Happens with spinal stenosis. If the pain is in a particular pattern (like in the back and downward) this could be an explaination! Often this goes up and down with spinal stenosis and a week or two and the pain amount will change, but I don't have a good trick to improve it that you haven't already tried.
Another possibility...and the one that I think is most likely... is that the stress of having the medication pulled out from under you made the experience of the pain worse. Common. Heck, I think we've all had similar situations. Getting the physician relationship more reliable helps. OK, knowing the disorders and their relatively benign course (non-fatal, anyway) helps also.

So, if it is the disease flare, consider steroids, and about another 1-2 weeks.

If it isn't the disease flare, but emotional flare, then, doing something entirely unrelated to the pain, TODAY, will be helpful.
1) non-pain related activities. Helping others. Going to a movie, relating to others.
2) other pain management techniques such as low potency antidepressants with pain effects, exercise, meditation, yoga, accupuncture, etc.

That would cover pretty much everything about pain flares.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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How Long Does It Take To Recover After Fibromyalgia And Spinal Stenosis?

Brief Answer: Not the usual situation. Detailed Answer: There are two components to a drug's action: how much drug and how strong it is. For nearly every drug, by three days, it has fully gotten in and is at the full amount in that it is going to get to (maybe not 100% if this is a long acting drug like methadone but certainly 80% of its full amount). For narcotics the effectiveness changes a LOT. People get used to them (tolerance) and they have less effect with more exposure. Being without them does NOT make MORE tolerance, but lowers tolerance. With only 3 days without the drug, it probably isn't changing its effectiveness either up or down. So, it doesn't fit with either being the amount of the drug nor its effectiveness. That leaves a change in YOU. THere are a LOT of possible reasons for that. One is that the underlying disease got worse. Happens with spinal stenosis. If the pain is in a particular pattern (like in the back and downward) this could be an explaination! Often this goes up and down with spinal stenosis and a week or two and the pain amount will change, but I don't have a good trick to improve it that you haven't already tried. Another possibility...and the one that I think is most likely... is that the stress of having the medication pulled out from under you made the experience of the pain worse. Common. Heck, I think we've all had similar situations. Getting the physician relationship more reliable helps. OK, knowing the disorders and their relatively benign course (non-fatal, anyway) helps also. So, if it is the disease flare, consider steroids, and about another 1-2 weeks. If it isn't the disease flare, but emotional flare, then, doing something entirely unrelated to the pain, TODAY, will be helpful. 1) non-pain related activities. Helping others. Going to a movie, relating to others. 2) other pain management techniques such as low potency antidepressants with pain effects, exercise, meditation, yoga, accupuncture, etc. That would cover pretty much everything about pain flares.