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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Pain Due To Arthritis And Fibromyalgia Be Treated?

I am 54 years old I am a white female with chronic pain I have had since 2001 when I was diagnosed at Shands Hospital in Florida. I had had chronic pain from TMJ and had already had one surgery on both jaws in Augusta, Georgia from Dr. Anthony Neal. He went in both sides of my jaws and sucked out all of the cartilage that had come loose from my jaws which he said was from arthritis in my jaw joints. I was in bed and knocked out for a week with very strong pain medication and finally was able to get up and just sit on the couch or lay on it. I had a machine that I had to put in my mouth and pump my jaws open 500 times a day. This worked for a little while but I was diagnosed with fibromyalgia at the Shands Hospital in Florida in 2001. The physical therapist that worked on me told my parents that I was decrapite and she didn t know if I would ever get better. Well I went home and started exercising on the floor of my living room and I got some better but I was still in so much pain that I went to a pain clinic and I was prescribed Oxicotin 80 mg every 6 hours and 30 mg for break through pain I did not know what I was taking and how addictive it was. My husband could not stand it because I just quit taking it and I had the worst withdrawal symptoms in the world. I could not sleep or be still. I was so nervous and agitated that I finally went to my parents and told them and they took me to the pain clinic and went to talk to the doctor. He wanted to put me back on the oxycotin and I would not go back on it. So he put me on an anti-depressant that put me to sleep as soon as I put It under my tongue. So I was getting enough sleep but as soon as I woke up I was so nervous that I could not stand it. I cried a lot and all I wanted was to be with my family and I was but I was not getting any better because of the effects of coming off of the oxycotin cold turkey. My husband got me to see a Christian therapist who really did not help me because all she wanted me to do was to get into a group therapy for depression. I went one time and that was it. My husband was tired of it and told he wanted me to either get better right now or get out of the house. So my parents came and got me and I had to leave my children. That just about killed me. My daughter was like 11 years old. My husband filed for a legal separation and filed a motion to keep me away from my children. So I went to stay with my parents and my father took me to a psychiatrist who specialized in pain management. He was wonderful at first he put me on 10 mg of methadone and it helped me tremendously. It took away my nervousness but it really did not control my pain because it was so great. So eventually he put me on Cymbalta, Lortabs 10 and Xanax. It all helped me so much but then I messed up a disc In my lower back and had to have back surgery. After the back surgery the doctor quit taking medicare so I had to find a new psychiatrist and a pain clinic. I found a new psychiatrist but he would not prescribe me Xanax. I went to a pain clinic because I tore the rotator cuff In my right shoulder and had surgery and during physical therapy a piece of bone broke off and I could not move my right arm. The doctor did surgery but I could not move my right arm and he told me that he could not do anything for me and sent me to a pain clinic which prescribed me Norco 10 and it really helped my arm pain. Well about three months later I broke my right ankle. It twisted to the left and broke and then it twisted to the right and broke. I called my father and he came and took me to the hospital and this doctor operated on it and I went home and I was out of my pain medicine from the pain clinic and the doctor wrote me a prescription for Norco 10 and I got it filled. I did not know that I could not get another prescription for pain medicine from another doctor. But I got it filled because it was past time for me to get my prescription from the pain clinic. Well my father took me to the pain clinic for my next appointment in a wheelchair because I could not walk because a pin had come out of my ankle and I had to have another surgery. So when I went into the pain clinic the doctor saw on the computer where I had gotten pain medicine from my surgeon and he would not prescribe me any more pain medicine. So I had to get my family doctor to send a referral to another pain clinic and I got in and everything was good until I broke my left arm in three places and had to have surgery and after that surgery when they put the cast on it two screws camel loose and I was in so much pain that I went to the doctor and told him how bad it hurt and he x-rayed it and saw that the screws had come loose and he sent me to another doctor who is a very good trauma specialist and she put me in the hospital and operated on it in this year late February. I stayed in the hospital for four days and finally went home both of these doctors gave me pain medicine and the pain clinic was fine with it. They knew that I was in a lot of pain and when I went back to them they gave me Percocet 10 mg. They never got onto me for getting pain medicine from the doctors because I had given out of their prescription and they knew that I needed the medicine. Well everything was fine until July 22, 2017 and I had to take a urine test. I thought it was strange because the lady handed me the specimen cup and she did not have me initial it like I usually did. So anyway I took the cup into the bathroom and it did not have my name on it. I thought this was not right but I went ahead and urinated into the cup and I could not get the lid screwed on right I tried several times it just would not fasten right so I placed the lid on the cup the best I could and put it into the slot where we put the urine samples. Well when I went back on August 22, 2017 I went in and had all my vitals taken and the nurse left and the doctor came that I had been seeing for a couple of months and she told me that the head of the pain clinic had stopped my narcotics because the urine drug test came back showing that there was cocaine in my system. I was shocked beyond belief. I told the doctor that I did not do illegal drugs and the cocaine was a false positive. So she brought Dr. Tafor the head of the clinic in and I told him that I had not done cocaine that I did not do illegal drugs. I mean mentally sane person would do an illegal drug knowing that they had to take a urine test that day. He just sat back and laughed at me and told me not to come back. Well I went home and wrote a letter to the pharmacist who did the drug test and sent her several articles from the internet that talked about false positive drug test and what could cause them. I copied Dr. Tafor and Dr. Warren. Most of the items or incidents that were on the articles I could relate to: I am a diabetic, I had take amoxacillan two weeks prior to the drug test. I take several of the medications that it said could cause a false positive for cocaine. I am waiting to hear from the pharmacist I sent it certified mail return receipt requested. I am now trying to get into a pain clinic with a referral from my orthopedist trauma doctor and I am having PT and OT twice a week in my home. I have one prescription left from my orthopedist that I get filled next Tuesday. So I am just hoping and praying that I can get into another pain clinic. That is my story. I live with chronic pain everyday from the time I get up until the time I go to bed and get maybe 4 or 5 hours sleep at the most. Thank you for letting me share this with you. God bless and take care. Tracy A.Queen
Wed, 22 Aug 2018
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General & Family Physician 's  Response
Hello,

As per my clinical experience, the chronic pain syndrome responds well with following guidelines:

@ Safest drug intake as tramadol hydrochloride or else as per the
choice of your doc.
@ Regular assisted physiotherapy.
@ Pain patches
@ Interventional pain management in case of severe pain as laser shots, segmental nerve block or others.
@ Control of body weight, blood sugar are very vital.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can Chronic Pain Due To Arthritis And Fibromyalgia Be Treated?

Hello, As per my clinical experience, the chronic pain syndrome responds well with following guidelines: @ Safest drug intake as tramadol hydrochloride or else as per the choice of your doc. @ Regular assisted physiotherapy. @ Pain patches @ Interventional pain management in case of severe pain as laser shots, segmental nerve block or others. @ Control of body weight, blood sugar are very vital. Hope I have answered your query. Let me know if I can assist you further.