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Ulnar nerve damage, and pain relief help??

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Unread 11-19-2012, 01:08 PM   #1
CRPSsongbird
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Attention Ulnar nerve damage, and pain relief help??

Ok so this is a follow up. My left arm, (in elbow) was damaged form a bad venipuncture(blood draw). My doctor put me on Gabapentin 100mg 3x's a day and short term Tramadol 50mg 2xs a day for pain relief. The Gabapentin did help a bit with the pain, but the side effects are SO severe that I had to quit taking it. The side effects were interfering with work and home life to a huge extent. The Tramadol doesn't really help the actual pain just muddles my brain so it's not quite as intense. It's changed from the stabbing burning pain to a constant and i do mean CONSTANT intense throbbing achy tight feeling pain, that I can not ignore. I'm finally get a new script of tramadol for pain today after a week of calling doc to get help. But, I know it's just going to barely mask to problems! I have started taking a Vitamin D and Glucosamine and chondroitin vitamin regiment for the past 3 weeks......they've had -0- effect for pain relief. I am starting to reach the end of my rope. I don;t know what I can do or ask my doctor. I don;t want to be "drug-seeking" but should I try and see another doctor? My PCP doesn't seem to be understanding my level of pain and extreme exhaustion in dealing with this pain............HELP. I seriously can't take this much longer......
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Unread 11-19-2012, 02:23 PM   #2
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Any help or advice is much appreciated!
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Unread 11-19-2012, 05:56 PM   #3
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you might try Lidoderm patches. Has your doctor offered them?
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Unread 11-20-2012, 11:36 AM   #4
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Originally Posted by mrsD View Post
you might try Lidoderm patches. Has your doctor offered them?

No, He hasn't offered them. I had to stop the Gabapentin. It really did seem to help with the pain but the side effects made my job almost impossible, and very difficult in caring for my 7yr old. He only prescribed tramadol 50mgs but cut the dose in 1/2 basically gave me 14 pills that have to last 2weeks. It's not cutting it with that dose, and only truly helped with the gabapentin but I couldn't function. The soonest appointment I could get in was 11-30 and I'm trying to get a referral to a neurologist. Maybe I can get some REAL help. My current doctor doesn't seem to get how this is a CONSTANT pain. I will NOT take an anti-depressant when I'm not depressed. But am willing to try other anti-seizure meds but not when they have side effects that are as bad as Gabapentin was for me. I will ask him about the patch thing though. Maybe after a nerve conduction test they will have a better treatment plan. All I know is I CAN'T take this pain much longer!
Thanks for your suggestion
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Unread 11-20-2012, 07:02 PM   #5
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Default Any advice until doctors appt?

I was wondering if anyone had any pain relief ideas until my doctors appt in 11-30-12 The Tramadol is laughable at best for making any real difference in mobility or daily doings. I've been icing but can't do that 24/7 I really am hurting and just kind of don't know what I can do.....
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Unread 11-20-2012, 08:21 PM   #6
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Originally Posted by EMILY ANDERSON View Post
I was wondering if anyone had any pain relief ideas until my doctors appt in 11-30-12 The Tramadol is laughable at best for making any real difference in mobility or daily doings. I've been icing but can't do that 24/7 I really am hurting and just kind of don't know what I can do.....
I haves pinched nerves at wrists and elbows in addition to my other neuropathies. The first flare up was the worst, I really do believe that you get used to this level of pain, crazy as it sounds don't automatically assume it will always be this bad.

The more accounts like yours I read the more fortunate I feel that gabapentin not only helps me, but also that I have few side effects. It certainly doesn't cover all the pain, and I take oxycodone, 7.5 mg every 4-6 hours. It does allow me to get some housework done. I am not working and can't imagine doing so in my condition, but I am still homeschooling my youngest.

If tramadol doesn't help at all than oxycodone or other opiates may not either,
but they are often very helpful, and they are very safe drugs, with a long history. I agree with you about anti-depressants. They have far more side effects than many opiates, but they are often combined with opiates and anti-seizure meds for chronic pain.
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Unread 11-21-2012, 12:32 AM   #7
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They use very low doses of antidepressants for pain. They work differently at low doses for pain, than they do at higher doses for depression. If you are taking them at low dose for pain, they are not an antidepressant for you, they are a pain medication. Many medications get classed by their first usage but then get used for other purposes, so I don't think you should worry that anybody thinks you have a psychiatric illness just because they give you a low dose antidepressant. And that just shows how the stigma of psychiatric illnesses lives on too, that someone will not even take a low dose of antidepressants for pain for fear of the stigma. Wow. I wonder if bipolar people ever don't want to take anticonvulsants for their illness because they're not epileptic and don't have neuropathy? I doubt it. In fact the Gabapentin is an anticonvulsant so maybe you should worry about people thinking that you are epileptic? Sorry, as a person who suffers from depression, I'm just trying to make a point here. My point here is that just because you are prescribed an antidepressant, doesn't mean you have depression, just as getting prescribed anticonvulsants doesn't mean that you are epileptic.
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Unread 11-21-2012, 08:32 AM   #8
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I don't think either of us referred to not wanting to take them because of some stigma- half the country is on anti-depressants and opiates are far more stigmatized. Your post, Krista, was very informative, but most of us with chronic pain know how they are used for it. My experience with trying Effexor was horrifying, my pupils were so dilated I was basically blind, so I am just not interested in going there, just like some people cannot tolerate gabapentin. I have also seen what admittedly much higher doses have done to my sister's personality, and it scares me. If they work for you that is all that matters, but as my pain is tolerable with opiate therapy alone I do not want to add drugs unnecessarily. Incidentally, I have struggled with very deep depression with suicidal ideation since childhood (mine was a nightmare) and opiates have been found to be effective in cases of long-standing depression. They certainly help me.

But afraid to take them because of some stigma? I feel like a drug addict every time I get my prescriptions filled, and I am considering switching to methadone, which is worse. I am not afraid of what anyone would think of an anti-depressant.
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Unread 11-21-2012, 11:21 AM   #9
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Quote:
Originally Posted by KristaQ View Post
They use very low doses of antidepressants for pain. They work differently at low doses for pain, than they do at higher doses for depression. If you are taking them at low dose for pain, they are not an antidepressant for you, they are a pain medication. Many medications get classed by their first usage but then get used for other purposes, so I don't think you should worry that anybody thinks you have a psychiatric illness just because they give you a low dose antidepressant. And that just shows how the stigma of psychiatric illnesses lives on too, that someone will not even take a low dose of antidepressants for pain for fear of the stigma. Wow. I wonder if bipolar people ever don't want to take anticonvulsants for their illness because they're not epileptic and don't have neuropathy? I doubt it. In fact the Gabapentin is an anticonvulsant so maybe you should worry about people thinking that you are epileptic? Sorry, as a person who suffers from depression, I'm just trying to make a point here. My point here is that just because you are prescribed an antidepressant, doesn't mean you have depression, just as getting prescribed anticonvulsants doesn't mean that you are epileptic.
I never said I didn't want to take it because of a "stigma", or people thinking I'm depressed. I don;t want to take it because years ago when I weas with an abusive ex-husband they put me on an SSRI (Lexapro), and it made me suicidal. I had it be the reverse of what it is supposed to help with. I could care less what people think of me because of a medication I take. I never said I was worried people would think i'm depressed because I'm not. I haven't been since i divorced my Ex-husband.
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Unread 11-21-2012, 11:29 AM   #10
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Sigh.... I just wish there was something else I could do. Not medication wise until I can see a specialist. I ice it and coat my arm in icyhot which is a very temporary relief. But it doesn't matter what I do it just hurts. If i don't use it it hurts. If I use it it hurts more......any nurses out there if a patient complains about a needle hurting during an iv placement.....remove don;t keep fishing around for 10 mins trying to get the vein then another 5 trying to force the catheter through......any other tips are welcome. I'm getting B12 supplements tonight but any other tips are welcome
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