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What is the prognosis for osteonecrosis with cervical spine collapse?

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Posted on Wed, 10 Oct 2018
Question: I have a severe bone disease, osteo necrosis . it was diagnosed in 1986. Since then, I have had 4 surgeries on my lower spine ending with L4-5 fusion. I had body caste for 9 plus months. In addition, I have a bilateral hips replacement. Now my cervical spine has begun a collapse at C4-thru-7. I have tried to keep my weight down with success most of the time, however my HMO stopped prescribing Morphine Sulphate ER 100 mg. 2 tab. per day. They immediately prescribed Oxycodone 5mg. 4 times a day. Other then experiencing debilitating pain, I am most troubled by my nervousness and short temper. I just want an honest opinion not an " expert opinion " Thank you. I am just turned 69, retired and disabled.
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Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:

If Oxycodone doesn’t control your pain, ask your doctor to revert to morphi

Detailed Answer:

Hi,

I am so sorry to hear about this progressive and extensive bone loss and all the accompanying disease conditions and pains you are experiencing.

There is nothing more terrible to do than failing to appropriately address your pain.

While there is a strong regulation on prescribing and dispensing opioids in the USA, you are a perfect fit for the best available drugs that work for you to be served.

I strongly recommend that you go ahead and let your doctor know oxycodone isn’t helping.

His primary goal is to relieve your pain and this takes precedence over regulations.

While it is reasonable to be cautious especially in persons whose pathologies might not justify the strength and dose of their pain medication, you do qualify for every most potent pain medication available out there without any reservations.

In all, draw your doctor's attention to the growing burden of pain since switching to oxycodone and suggest he gets you back on morphine that worked great for you.

Unfortunately, these are controlled substances and I cannot prescribe online to circumvent this delay.

Hope I have answered your query.

Take care

Regards,
Dr Chobufo Ditah, General & Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6317 Questions

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What is the prognosis for osteonecrosis with cervical spine collapse?

Brief Answer: If Oxycodone doesn’t control your pain, ask your doctor to revert to morphi Detailed Answer: Hi, I am so sorry to hear about this progressive and extensive bone loss and all the accompanying disease conditions and pains you are experiencing. There is nothing more terrible to do than failing to appropriately address your pain. While there is a strong regulation on prescribing and dispensing opioids in the USA, you are a perfect fit for the best available drugs that work for you to be served. I strongly recommend that you go ahead and let your doctor know oxycodone isn’t helping. His primary goal is to relieve your pain and this takes precedence over regulations. While it is reasonable to be cautious especially in persons whose pathologies might not justify the strength and dose of their pain medication, you do qualify for every most potent pain medication available out there without any reservations. In all, draw your doctor's attention to the growing burden of pain since switching to oxycodone and suggest he gets you back on morphine that worked great for you. Unfortunately, these are controlled substances and I cannot prescribe online to circumvent this delay. Hope I have answered your query. Take care Regards, Dr Chobufo Ditah, General & Family Physician