Pain is an every day part of life. Please Help!
SInce my second bout with cancer I have been in pain. Pretty much constant, but not always in the same spot. I have the iron bra feeling constantly, heavy tired arms. Did therapy, no drugs for well over a year. While dealing with that I wound up with a painful calf, severe cramping, After months of different testing and trying to figure it out, I now know I have severe spinal stenosis and arthritis in my l4 and l5, nerve compression and damage, plus damage on my right side. My new back doc would not give me any painkillers, doesn't believe in it. He sent me to another doc for a cortisone shot. She said she would give me pain meds because pain would increase for a couple of days before the shot kicked in. Well. she found out who had referred me to her and then said she won't prescribe meds to me, that I would have to get my original doc to do it. Called him again and he says that is not the way he does things, he won't prescribe for me. I try to fire him so I can see the other doc, but she won't take me as a patient because she would be stepping on his toes! Argghhhh! I am now in pain 6 hours after my shot and no one will help! My hubby called and finally got someone to listen. They had me call my primary doc and finally the 3 of them agreed on sending me some Tramadol. Does this seem absolutely ridiculous that it took all this to get help? I AM IN PAIN! Why is ii so difficult to get help? I do not want to see any of these doctors again. How should I find another doc? 2 of my favorite docs retired and now this is what I am left with. So much frustration. I haven't had any pain medicine since my hysterectomy oct 2012, and then just a few pills. I feel like they think I have a problem with them, but I have rarely taken them?
Comments
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Is this why we fight so hard to survive? To live the rest of our lives in pain? Docs do not own up to the pain and side effects left over from treatment. So sad and so frustrated. I thought I would be much better by now.
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I'm so sorry you're going through all this pain cr@&! I have a herniated disc which is tormenting me right now, via my right leg. I also have arthritis in the knee on that side. Aleve doesn't help much. The only thing that helped me a lot was physical therapy, which I had a year ago. Thought that might have permanently fixed things but nooooo. I hope to start pt again soon (seeing my primary Tuesday). Hope we both feel better soon!
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Yeah, it pretty much sucks. It is like the chemo and treatments have sent me to age 90. I see ladies in their 80's and 90's who are doing so much better than me in my late 40's.
Bad thing about pt is it gets expensive fast. We have a 25$ copay and I was going 2 times a week. I had to stop. I do hope you find some relief. Thank you for commiserating with me!
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Wish I had some info or words of wisdom to help you Bak, but since I don't I am posting to bump this up so others will see it. Hope you find some relief soon.
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Bak, I'm lucky in that my insurance covers pt 100%. $25.00 copay seems quite high. I also go twice a week. My leg is doing pretty well today. I never really know from day to day how bad the pain will be. Might have something to do with the weather. We've warmed up some here.
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bak94,
I don't know what you have access to, but I just went to a pain clinic in my Cancer Center and it changed my life! My oncologist gave me Vicodin but refused to do more than that. I've been in pain and felt helpless for about a year now.
The pain clinic looks at it in a totally different way than docs. They're thinking is, get rid of the pain before it gets bad. It's easier to control if your on top of it as opposed to trying to play catch up.
Please see if they will refer you to a pain management clinic. I wish you the best and hope you find the help you need!
I'm so sorry you've had to go through this!
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I got really luck in the summer of 2011 when I was fed up w/treatment I was getting from my cancer team at one local clinic and thought about switching to the competitor. I had an appt. with a medical internist. We went through my list of concerns and she said first order was to get my pain from the nerve damage during the BMX and node removal on 1/11/11. She gave me a referral to a pain clinic. I never saw her again because I really like my family doctor and have now been with her over 15 years.
The pain clinic is WONDERFUL. I don't have to fight for pain meds and txs. The doctor's listen and work with me to find the best treatments that fit me.
They actually push too much vicodin on me! I have had to tell them they keep giving me too much. I have taken tramadol in the past and still do occasionally but I had a thoracotomy right where I have nerve damage pain from the BMX, so 1 or vicodin for break through pain works better for me now.
I have medications I take on a regular basis:
Gabapentin daily for the nerve damage pain . My total daily amount is 2100 mg. They wanted me to take more, but my body can't handle it.
A muscle relaxer at bedtime. (can't remember name offhand, it recently changed because Medicare stopped covering Metaxalone).
Amitriptyline 25 mg at bedtime. It is an anti-depressant that has found to help some with pain and helps promote sleep (I wake up in pain a lot).
In the beginning of summer 2011, they tried Stillette Ganglion Nerve Block shots to the neck, but they were extremely painful and dangerous, plus I only got about 2 weeks of relief.
Then, they switched me to Lidocaine IV Infusions, where they give me a small bad of Lidocaine through and IV. Those really help me. Before the thoracotomy, I could go 9 weeks between, but the new pain can't last that long.
Is there a good pain clinic in your area to go to? That way you are seeing pain specialists, one doctor isn't trodding on another's territory (what bullcrap), and one clinic handles your pain meds.
What a bunch of BS we have to go through to get help with pain, isn't it? And being stressed about NOT being treated properly makes everything worse.
I hope you find some relief. Some of these doctors are so out of touch with what patients go through. I hope you find a decent doc.
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bak94 - I am SO sorry you are going through this. Chronic pain just makes every day miserable.
I have to echo what the others have said about Pain Management Clinics. In 2006 - way before BC - I went through a ten week Pain Management program at Kaiser. I was in horrific pain from fibromyalgia, several orthopedic problems, and multiple spinal issues. Even though my background is in medical counseling, I learned so much about the anatomy of pain, and how we do have some ability to control it ourselves.
I also earned the right to refill my Vicodin (now Norco) prescriptions at any time, as my docs were assured I would use it wisely. The one thing we learned was that if we are taking drugs to eliminate pain completely, we are abusing them. If we are taking drugs simply in order to be able to get out of bed and function during the day, or sleep through the night, that's an appropriate use. Most of us will never be completely pain-free, but we can get it down to a manageable level, that we can learn to live with.
When I had my BMX and recon, I used the same principles I learned in the program to manage my pain. I also took the meds (Norco and Valium) around the clock, 24/7 as I was recuperating. There is no catching up to acute pain.
After Exchange, I was miserable with the vice-grip, Iron Bra feeling. The PS said there was nothing he could do. The PT department was useless. I finally found an awesome Myofascial Release Massage therapist who reduced my Iron Bra feeling by about 90%. She said I had a huge build-up of scar tissue - ironically around my drain holes! She worked around my implants, as well as on my back. It was grueling, but so helpful.
Later on, when I developed even more back problems, she did MFR on my muscles surrounding my spine. That helped considerably.
Now I am receiving acupuncture treatments from a Traditional Chinese Medicine practitioner. I've only gone for two weeks, but after the last one, I could tell a difference. My MO had referred me for joint pain associated with the Femara I take.
I'm so sorry you are trapped in between two docs. If you could find a Pain Management Program or a Pain Clinic, I think you may find professionals who understand what you are going through.
Hope you find some answers - and some relief - soon!!!
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I feel so lucky to have found the doctors I have! I have bone mets in basically all my large bones! That means pain. My AI also causes pain. From the beginning my first Oncologist and my new a Oncologist (I moved three hours away) have had the philosophy that most pain can be managed if you stay in-front of it. Meaning a regular, consistent level of pain med with an extra for break-through pain. They have both believed that if the pain is having a negative impact on my life, something needs to change. I am fortunate that my pain is well-managed. No, it's not 100% gone. I would sleep 24/7 if I took that much! 😉 But I can live my life, walk, sleep all those things.
Taking care of your pain is a big part of your doctors' job. If they don't take care of you, as hard as you are fighting, then it seems you should find someone who will! You are the only one who knows if you are in pain. Your doctor should trust you.
Peace.
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It is insanity was on steroids for another medical condition for 7 yrs and learned those steroid shots alleviate inflammation but as wear off increases the severity of pain!
The worst part steroids as they wear off for pain more quickly before safe for another dosage. There are reasons doctors avoid pain killers pending were you live, insurance, medical licensing, crime rate & etc.
- Unfortunately, prescribed pain killers rank highest criminal distribution than illegal narcotic drugs.
That main reason as fighting illegal distribution some regions enacted medical license reviews if the prescription level meets a specific level upon a doctors registry it looks unfavorable as not discriminated under the same investigation as medical malpractice. The DEA has arrested doctors offering their prescription pads for sale long before Micheal Jackson died overdose dispensed by his private doctor. These registries also increase the high cost practice medicine that's medical malpractice insurance. I've seen too many really good doctors give up the profession due the frustration of this.
This is more an impact areas that have a very high propensity illegal prescription distribution activity....Many have unknowingly voted it into local legal code under the term tougher illegal drug laws summary not reading the full description of the bill passing into law.
Even, federal level funding towards medicare & medicaid reduce spending on prescription pain killers. It's the reason for part D drug coverage. I remember part D drug coverage didn't exist everything was housed under one plan. Low-income & elderly usually produce main resource not deliberate suppliers but victims that criminals have targeted. Even, pharmacies get hit with protocols handling them especially stage 3 pain killers (opiate/morphine based). It's the maddening aspect getting quality cancer treatment very practices protecting society's safety well-being is a hard shuffle destroying a society's health well-being.
I hope once getting ahead the pain with prescriptions, able find alternatives providing further grasp: I use infra-red laser therapy, sound frequency therapy with subliminal, anti-inflammatory diet, meditation breathing and herbal therapy.
The reason alternatives desire freedom driving a car just a short change scenery keeps me sane. My area if car accident, regardless necessity or not instigator accident a control substance is a criminal offense with jail time. The doctor can get a dressing down too a disability license registry tag & prescription as both require a doctors signature.
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Thank you for all the responses. Since my first post I was able to switch to the other doctor. I called the office and said I want to transfer my care to the doctor that gave me the shot and they did it! I am getting a second shot later today. This doctor prescribed me gabapentin and vicodin, actually gave me a prescription for many pills. It is nice to know that they are there for when I need them. I do have a herniated disc and started pt today. It wound up being a guy therapist, which most times I feel more comfortable with a woman, but I really like this guy, and he seems very reasonable with how he is approaching this.
I have always wanted to try acupuncture, I will look into it, My insurance does not cover it so it would be out of pocket for me. I will look into a pain clinic if this pt and shots do not work. Life is so different without pain, I had a great 2-3 weeks while the steroid shot helped. I know I can only have 3-4 shots a year, but I would do one every month if allowed, as it really made a difference.
Blessings, I also have scar tissue around my drain holes! It is very tender to this day in that area. My pt that I worked with for my iron bra was great, but she doesn't work with back pain and I can't affore to go to both pt's. So if I can get my back pain under control I will go back to her. I need to be better about my exercises. I do them, but I need to do them more often:)
Again, thank you all. I am sorry you all have gone through or are going through pain, but it makes me feel not so alone and helps me find solutions! Here is to a pain free day!
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Sry to hear about your pain bak94, you might want to add, try out some of the natural things for pain, like Noni juice from Dr. Becker, only reason I mention him is because his noni juice is pure. Another thing to try would be Bromelin, it's from the pineapple, which is good for pain, we found with mom, and also, Astragalus, which also helps with pain and side effects of chemo. Mom, didn't like taking pills, only if she had to. The other thing I take now, don't have any cancer, or anything, thank God, is called Miracle Heart, it has quite a few herbs, which is also good for pain. I am sharing this as a personal experience and when I was mom care-giver. You might want to visit her webpage on the her journey through cancer. GBU all!
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Sorry you have the pain, but I think I'm joining you. I have aches and pains all over. And for some reason it seems to be worse at night.
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Nettie, sorry to hear theat. Yes, my pain will wake me up ay about 3 am and that is when it as it worst right now. I have to take meds and go back to sleep and still wake up again with pain. It gradually gets better through the day. I think moving around is much better than not, but there are many things I can not do, like bending or twisting, Emptying the dishwasher is horrible and putting laundry in and switching it to the dryer is excruciating. Simple home chores cause may pain to flare up terribly. I feel so bad, I have been leaving much of the house chores to my hubby who works so much already. I don't work and he gets frustrated with me for not keeping up on the house, but he doesn't quite understand how much pain I am in. He tells me he is in pain every day and just pushes through itl I have tried to push through it and I wind up in bed for 3 days barely able to walk to the bathroom.I wish I could afford a housekeeper, but also kinda embarrassed for them to see the messy house.
I am having my 3rd steroid shot next week. Not good to hear that it can make the pain worse after it wears off! All I know is I can get my house clean and live virtually pain free for a couple of weeks before the pain returns!
Oh, switching to my current doc was the best thing I could have done. Today I saw a new primary doc because my main one was not in and I was in terrible pain. I just loved this dos so I think I am going to switch to her. So hard to get set up with doctors that you like after having such great ones that retired, but I am getting there!
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I completely understand, I have the same issues, except I work full time.
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bak94 I don't know if you've tried this but sometimes calf cramps are caused by a potassium or sodium deficiency. You can also try calf stretches. I know what you mean about pain. I am glad that you found some docs that you like and who are willing to listen to you.
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Hi all
I had a BMX with tissue expanders immediately following, two post op infections, one hospitalized for 6 days and then another infection after the expander that had to be removed from the first infection was taken out and put back in. I also had two chemo drugs and herceptin for a year and was on and off a ton of antibiotics for a year.
It is now two years from diagnosis and I am still taking daily pain meds, Norco 8 - 9 a day and the pain is "managed" this way but it hasn't gotten better. I also found I have an autoimmune disease of the thyroid, developed osteoarthritis in neck, hips, knees and shoulders and have fibromyalgia now.
Has anyone else had to just stay on pain meds? Thank gody tolerance has built up so I now function normally, can drive and work but if I don't take something every 4 hours I can not function and when I wake it is the worst, takes 45 mins to an hour to get going and get the pain and stiffness gone before I can go about my day.
Would love to hear others experience.
Julieho
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I have been taking pain meds since my surgeries- 5 total. I also get lymphatic massages (not very often because of the cost), practice meditation with the help of a therapist. I take Percocet, started with Vicodin which did not help much My PCP is very understanding, he said if (when) the drugs are not effective - then he would refer me to a pain specialist. -
Bak, I have the same back issues. I am currently doing well with my last steroid shot but if the pain returns I will try medicinal marijuana. I hear you can get the edible kind that targets pain receptors.
I go to a highly rated spine clinic and my doctor said he'd never give more than 3 shots for pain in a year. He'd resort to surgery.
Katarina
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What do you do when you can't take pain meds anymore? I don't know how much more of this I can tolerate. I love my children and my husband, but I feel like I'm more of a burden than a help. I can see where they would be better off wih someone else.
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I too am so sick and tired of daily pain. I just want to get a good nights sleep without waking up in the middle of the night with this neck pain and ringing ear
Why can't there be cancer drugs that actually make us feel better
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Do NOT relocate to Delaware if you need oral pain meds.
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Tramadol recently was added to the list of class III narcotics. and off formulary because so many people take it now.
Tramadol is for moderate to seere pain.
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Find another doc. Try to get a good one that is board certified for palli.care. Most people think it is hospice, but it isn't. You can get it at any time once diagnosed, and not just for cancer.
Too bad you are in Washington. I know a good one at Penn in Philly.
Hope you get some relief soon. Nobody should be in this type of pain--it steals your soul.
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Don't you want to smack someone when you tell them you are metastatic and they tell you you look great? I look good, but nobody knows how you feel under the happy face.
I want to get a tee-shirt, with an arrow pointing up, that says 'looking good', and then an arrow pointing down and saying either 'you should see what's in here' or 'the rest if full of cancer.'
But, they probably wont get it, duh.... I do not hide my battle scars, or the ugly red tumors pushing up and out. Deal with it.
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I spent more than 2 years trying to get pain management for cancer and conditions that went back to birth--while working and commuting.
Seems like so many docs can't take an accurate history. Or, they do not understand that , "I am on Disability" means 'Do not write for anything high priced.' When you send them an email with detailed information on the pharmacy, location and telephone number, call it in there. When you tell them the dose and quantity, in their language, that's what they should write. If I took a med based on a script from a resident, not the 'Top Doc' I made the appointment to see last year, I'd be dead. The pharmacist caught it too. They are your best friend when it comes to meds management. They know what you are taking.
Somehow, the docs do not read you chart too carefully. Heads are buried in laptops, like they really hear you while you talk and they hunt and peck at the keyboard. Mistakes on records, and while I stand guard with a family member, make me nuts. Many of the ones 50+ are clueless about how the main computer works, and can't spell for beans.
I had better care in some Socialist countries. The US is #1 on healthcare spending and ranks with deeloping nations when it comes to treatment. My parents were in medicine, we all had lifelong illnesses (me from birth) and I worked in post-graduate medical education. I know good care from bad and I expect good care.
This may sound awful, but checking out soon is a relief, not only for medical care, but a number of issues.
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You got lucky--good for you. I am on or took most of what you do. Did you know that Gabapentin can be compounded as a cream? Just a bit messy, though, depending on where you put it. My body couldn't handle the oral ersion's side effect of wicked nightmares.
Was the muscle relaxer Meloloxican? That's an NSAID. Trade name is Mobic. I was switched off Diclofenac.
Amitriptyline is an anti-depressant and also a nere blocker so you don't wake up in pain a lot.
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Grngrl,
I hope you are feeling better these days. I'm single and hae the same thoughts sometimes. If someone doesn't find me housing that is not in a high rise, ghetto, or the hinterlands, I may check out early. I'm not going to wait around in misery, in a bad housing situation, waiting to die. I want to enjoy my time left peacefully. My dog is what keeps me here.
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People tell me that i should smoke each day. My gut reaction used to be, "I neer smoked, I wouldn't know how." And they'd just laugh.
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Bak, i am sorry to hear about your pain, i have the same problem, back pain, bone mets on t9 spine, my surgeon had to put rods to protect my spine from collapsing, my surgery was done in sept 2014, since then my back pain got worse, i was taking hydromorphone, it helps but i had to take them every 4 hours, i have no qualit o lif now, like you i am still young, 57 years old. i am curious how long you had pain? I hope you find good pain med. I am also still trying to find an altenative pain med myself. Good luck for both of us
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