Confessions of an ADDICT
Hey Mike, Sorry to hear about your chronic back pain. It is a bee-yatch! I know this not so much from personal experience, but from my wife, whose had it for over 12 years (vertebrae and disk degeneration). Along the way she's had the epidural injections, blocks, the TENS, and God knows what else. Didn't help. Back pain is tenacious - kinda like belly fat! Anyway, about 2 years she finally got hooked up with a pain management specialist. This guy knows about treating pain as a primary problem, rather than an annoying side effect like so many doctors. Unfortunately, the pain meds are still the only thing that helps my wife. But not all meds are created equal. My wife's experiences: (Of course, YMMV) Ultram - Tried it, no effect. (So it wasn't narcotic-like ENOUGH.) Baclofen - No experience with this one. Neurontin - Terrible side effects. Her kidneys almost shut down. Caused facial twitching. Methodone - Kee-riminey, man!!! Don't start. Bizzare stuff. Psychotic effects. In a word: BAD.
Something which has helped my wife: Kadian. A big gun. It's a time-release morphine, so you get a more constant level of pain relief through the day. Very helpful. You will probably still need some kind of hydrocodone or similar for what is called 'breakthrough pain', but you'll need lots less of it than if you were relying on it alone. You might want to ask your pain doctor about the Kadian. Good luck.