Dear Pain Meds,
Knowing when and how much to use of pain meds is one of the biggest
questions we face with PA. Everyone is different in their level of pain and
it also matters where your PA is the worse as far as pain goes. My PA first
started in my jaw joints, so I had facial pain almost 24/7 and was in
miserable pain. I couldnt work, talk on the phone, chew anything of
substance and the only relief I got was from ice or pain medication.
Finally it happened to me, I had TMJ surgery to see what was going on with
my joints and then the pain went through the roof. After only 10 days from
the surgery, my surgeon refused to refill my pain medication and my family
doctor kept referring me back to my surgeon. I found myself in pain
management and ready to almost give up. At the time, no one even knew I had
PA and had really no idea what was going on.
I have no doubt that pain management saved my life. Finding a
rheumatologist that is willing to prescribe pain meds is just amazing. Most
of them refuse to do it, and tell you the addiction is much worse than the
pain. My response to this is, Have you ever had PA or even PA pain?
Unless they can convince me and they havent yet, I know the pain is worse.
Ive seen 7 rheumatologists before I finally got the correct diagnosis, but
in all that time pain management stuck with me and never let me down. Ive
been with them now for over 8 years and its true you do have to increase
your pain meds to keep the pain under control. Developing dependence is
part of the deal with narcotics. But dependence is a big difference than
addiction, which is something most people dont understand. Your body does
depend on the drugs and you do face the risk of becoming addicted, but if
you follow along with a managed plan, like pain management, you should be
ok. I went really slowly and started at a low amount. It has taken 8 years
to get me to the level of narcotics Im on now. The main thing you should
think about is the pain doctors are experts at what they do. If you find a
good one, and they are just like all doctors, good and bad, they really know
what they are doing. Im currently on a long-term narcotic and I also have
break through medication that I can use when the time-released drugs are not
enough. My doctors knew which drugs kept me from going up and down so I
never felt high on my meds and never experienced the lows that come along
with just 4-6 hour pain meds. The also offer other treatments besides pain
meds. I have had several injections into bad joints, tender point
injections, and spinal blocks. Vitamin supplements IVs, counseling
treatment, biofeedback, visualization therapy and the list goes on. I am
always willing to try anything that doesnt hurt me in the long run. One
thing I found out is if you are in severe pain, you seldom feel the pain
medication high feeling at all. The pain is so bad that it seems to be just
used up from the pain alone. Luckily, I dont have an addictive
personality, and Ive always gone along with my doctor and never took more
than has been prescribed.
For me now morphine works the best, but you probably arent to that level
yet. If perocet works for you, then I would do what I had to so you can
function the best. Since it took my doctors over 4 years to figure out
what was wrong and how to treat me, all of my joints are affected now. As
it stands now, I need both jaws replaced, both knees replaced, my toes and
fingers are in pain all the time, my spine is affected in every area, and
now my hips are acting up. Trying to survive this is all I can do, and
being dependent on my pain meds to survive is the least of my problems.
Before I got sick, I worked full time, drove, and managed to run a
household. Now Im home all the time, I cant drive, I use a power wheel
chair at home and a cane the rest of the time. Im on predinsone all the
time and I hate the dependence of that drug the most of all of them. It
destroys your bones, skin and everything else it seems like, but it does
save your life from time to time.
Like you I have colon problems as well and a lot of arthritis problems cause
colon problems too. I just had a colonoscopy to remove a large polyp and
the scope from my stomach shows I have 2 ulcers. My gastro doctor isnt
worried at all about my predinsone, but he doesnt want me on any arthritis
drugs right now. So Im trying to cope without them, which isnt easy.
Sometimes inflammation only is helped by anti inflammatories. I also have
Fibromyalgia and a skin condition from the arthritis called erythromelalgia,
which causes my skin to turn red and burn like mad. That bothers me almost
as much as the arthritis pain. So everyones degree of pain is different.
It sounds like you have a good rheumatologist though who at least
understands the pain that goes along with PA.
All drug decisions have to be a personal decision. For me it was either
take them, or die. I didnt feel like I had a choice in the matter, but
maybe you arent that bad yet. Talking to a good pain doctor might help you
feel more comfortable taking them and make you realize that just because you
take narcotics you arent addicted to them.
I hope this helps some, and if you want more details let me know and I can
write you personally. Take care and I hope your pain lets up soon.
Fran in Florida