FAQ/Help |
Calendar |
Search |
Today's Posts |
|
Chronic Pain Whatever the cause, support for managing long term or intractable pain. |
Reply |
|
Thread Tools | Display Modes |
|
11-12-2011, 10:46 AM | #1 | ||
|
|||
Elder
|
I read all the articles you posted on the pain forum. thank you for providing that. I do all the correct things mentioned for my pain control, and I am overly candid with my pain doctor. Completely honest, and fear of the pain can make you do that for sure. Maybe that is why he is not overly concerned about me. I just read so much that is scarry about this drug, and I do not want to up and up the dose and have some mental problem with it. I want to go down, so that there will be help if I should need it in the future. He knows this. Treating this pain has been the most difficult part of my cervical problems, and that includes surgery. Keep posting about pain, I need all the articles you send to us. I will read all of them. ginnie
|
||
Reply With Quote |
"Thanks for this!" says: | Dr. Smith (11-12-2011) |
11-12-2011, 11:45 AM | #2 | |||
|
||||
Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
|
I can tell that you do. Discussion forums are an imperfect means of communication, prone to miscommunication of every sort, but the best we have despite their foibles. When I post something to a public forum, I'm assuming everyone can read it (because they can ), so I try to do it in a general informative way (even when I fail miserably, and I do). I don't ever mean to talk down, or be condescending, to anyone, and if I've ever appeared to do that, I am truly sorry.
If/when I have something to say to just one poster, I do it via PM. Doc
__________________
Dr. Zachary Smith Oh, the pain... THE PAIN... Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE. All opinions expressed are my own. For medical advice/opinion, consult your doctor. |
|||
Reply With Quote |
11-13-2011, 10:38 AM | #3 | ||
|
|||
Elder
|
You do great Dr. Smith. You do the research and present it to us. Couldn't ask for more. I appreciate your responces to the forum alot. When you deal with pain, one can never be too carefull with the medications. I have a healthy respect for the med. I am on and have no wish to upset the apple cart. I also insist on good communication with my pain specialist. I don't think it could be done any other way. Ginnie
|
||
Reply With Quote |
11-13-2011, 12:54 PM | #4 | ||||
|
|||||
Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
|
Quote:
Quote:
Quote:
Quote:
__________________
Dr. Zachary Smith Oh, the pain... THE PAIN... Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE. All opinions expressed are my own. For medical advice/opinion, consult your doctor. |
||||
Reply With Quote |
"Thanks for this!" says: | ginnie (11-13-2011) |
12-01-2011, 11:54 AM | #5 | ||
|
|||
Member
|
I stumbled upon this post you made and am battling burning allodinya pain in my neck and upper back. My neurologist diagnoisis is SFN, My Pain Dr. is saying a neuralga. Here is a link to my story.
http://neurotalk.psychcentral.com/thread159222.html I have had every blood test under the sun but never knew to get my harmones checked, so I did. My Thyroid Profil, Cortisol, and other harmones were all good based off what you recommend to get checked. My Pregnenolone, 21 was low. Range was 23-273. My Testosterone was in range 168 Range 160-726 but on the low side. I am 39 years old. I am on lyrica 225mg going up to 300mg in next week. What advise wdo you have for me? |
||
Reply With Quote |
12-01-2011, 04:27 PM | #6 | |||
|
||||
Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
|
First, don't do anything I suggest without researching it yourself and running it by, and with acknowledgment of, your own trusted doctor(s).
I read the entire thread, and got 3 impressions, most of which have already been expressed. 1. It sounds like it could be viral due to the changing symptoms and moving around. An oversimplified analogy would be a virus cold that begins in the sinuses with congestion/runny-nose, then moves down causing sore throat/laryngitis, and continues down into the chest where it lingers the longest with coughing & stuff in your lungs. Viruses can do really crazy things. Just out of curiosity, did this whole thing start during or just after your having a virus? Have you ever had Epstein-Barr virus (mononucleosis) even as a kid/teen? 2. I know your cervical MRI didn't show anything, but that area (c5-c7) is where a lot of my problems are, and some (the burning pain in the neck & between shoulder blades) are somewhat familiar. A lot of nerves branch out in that area (odd that c7 doesn't even show up on that dermatome chart) so I wouldn't be surprised if something there was missed, has changed (this has been going on for a couple/3 years now, right?), or just didn't show up at all for some reason. 3. I also have severe osteoarthritis and bone spurs throughout my spine, and again, the burning pain in the same regions (though I do not have the skin sensitivity). When I was in my mid 40s, they told me I had the spine of a man in his mid 90s.... whoopie. Do ant-inflammatories have any effect on your burning? You had some questions about RLA. I know it seems logical that you should take half of the ALA dosage, but for some reason, the ratio works out just as well with 1/6. I started taking 100 mg./day (RLA) almost a year ago for the burning (feet) of PN. My results were not typical, but the burning stopped virtually completely within 48 hrs., and hasn't returned (unless I do something stupid to aggravate it). A few months ago, when I began taking the pregnenolone, I added the pantothenic acid (B5) and got further improvement in the PN pain. I'll take it. Since you're low on pregnenolone (like I was) and that's the mother hormone of all the others, it might make sense for you to start there like I did, along with B5 to fuel the process of turning pregnenolone into whatever in-between steps your body needs, all the way up to the testosterone. Read Dr. Tennant's (4) articles: http://www.practicalpainmanagement.c...-pain-patients http://www.practicalpainmanagement.c...tractable-pain http://www.practicalpainmanagement.c...in-update-2010 http://www.prescription2000.com/Inte...ranscript.html then go on to NIH, Mayo, and any others you can find (sorry I don't have URLs handy...) As I mentioned early in this thread, most doctors aren't accepting the idea of adrenal fatigue/exhaustion http://en.wikipedia.org/wiki/Adrenal_fatigue but since your cortisol levels look ok, I wouldn't even go there. You're somewhat low in pregnenolone and testosterone (though not critically so) run those by your doctor with the articles (if he'll read them or look into it) and see if s/he'll help guide you through trying this for a few months. You might need to see an endocrinologist, who may do some more/different testing with some different ideas. There are articles that caution about taking pregnenolone, and they're right. I found the dosage recommended by Dr. Tennant too high for me, so I started much lower and titrated up. As it turns out, this is pretty easy to do because this stuff converts in only a matter of hours (and is gone quickly too). Also, the articles I saw that cautioned against it were talking about people with normal levels taking it for "fountain of youth" purposes - not people who were deficient and supplementing/replacing very low levels. Big difference. Doctors usually want about 3 months between tests for a lot of bloodwork to see if (whatever) is working, and that should be about right here to. If it's going to help, you'll probably know within the first week or two (though things will taper off as your levels come up). In your other thread you wrote: Quote:
I've found this enlightening too; maybe you've seen it in another post: http://www.medpagetoday.com/Blogs/21266? Google: stages of grief and read a few articles, cuz that's what we're all going through here. Life-changing events we never expected, would never want in a zillion years, but we're stuck with them. Bleah. I'm a little at the stage you want to be in in the second paragraph; I was preaching/practicing "pay it forward" decades before that movie came out. But I still get depressed and scared for the same reasons as you. Doing what I can - whatever I can - is one of the ways I distract myself from the dark side, and deal/cope with it all. HTH, Doc
__________________
Dr. Zachary Smith Oh, the pain... THE PAIN... Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE. All opinions expressed are my own. For medical advice/opinion, consult your doctor. |
|||
Reply With Quote |
12-01-2011, 07:03 PM | #7 | ||
|
|||
Member
|
First, don't do anything I suggest without researching it yourself and running it by, and with acknowledgment of, your own trusted doctor(s).
I read the entire thread, and got 3 impressions, most of which have already been expressed. 1. It sounds like it could be viral due to the changing symptoms and moving around. An oversimplified analogy would be a virus cold that begins in the sinuses with congestion/runny-nose, then moves down causing sore throat/laryngitis, and continues down into the chest where it lingers the longest with coughing & stuff in your lungs. Viruses can do really crazy things. Just out of curiosity, did this whole thing start during or just after your having a virus? Have you ever had Epstein-Barr virus (mononucleosis) even as a kid/teen? Yes, the Vocal Fold Persis could have been caused by a virus but when this whole thing started I wasn’t aware of one. http://www.healthboards.com/boards/s...d.php?t=830960 This is one of the threads that I had some input on. I probably had Post Viral Vagal neuropathy. I didn’t have cough but not everyone does. The Doctor I was seeing at the time has a nice write up on PVVN. http://www.chronic-cough.net/ Interesting you mention EBV. Yes I did have it. I had Mono when I was 17 . I had a lot of sore throats and was online antibiotics 6 times a year. The stuipd GP doctor I was going to didn’t think of sending me to an ENT. What did I know I was only 17. I just wanted to party, drink, and have fun. Thank goodness my mom brought me to an ENT. He took one look at my tonsils and said, "These need to come out right away" He told me your GP is a moron and should lose his license. He told us when he took them out the fell apart. Mono must have been infected in them. When I turned 25 I got really stressed out and felt sick like mono for 3 weeks. Doctors didn’t know what was wrong with me. I had low WBC, they thought I might of had leukemia. I was in bed with a low grade fever 100-101. It turns out it was EBV. Every time I got stressed out my EBV would act up and I felt weak for a day or so. Once I cleaned up my diet my immune system got better and never had issues again. 2. I know your cervical MRI didn't show anything, but that area (c5-c7) is where a lot of my problems are, and some (the burning pain in the neck & between shoulder blades) are somewhat familiar. A lot of nerves branch out in that area (odd that c7 doesn't even show up on that dermatome chart) so I wouldn't be surprised if something there was missed, has changed (this has been going on for a couple/3 years now, right?), or just didn't show up at all for some reason. I just got 2 MRI's of my cervical this year one in MAy and one in September. My Posture has been bad. I sit a lot infront of the computer. I probably have upper cross syndrome http://www.dynamicchiropractic.com/m...e.php?id=52014 and that may have contributed to my Thoracic spine issue. All these doctors say my neck is not causing what I have. I have had this posture ever since I can remeber. 3. I also have severe osteoarthritis and bone spurs throughout my spine, and again, the burning pain in the same regions (though I do not have the skin sensitivity). When I was in my mid 40s, they told me I had the spine of a man in his mid 90s.... whoopie. Do ant-inflammatories have any effect on your burning? Not really. I got 2 Epidurals in my T-sPine and 1 in my cervical and they didnt really do much if not anything. I did also do 1 week of Predisone 40mg . It possible helped a little but again couldnt say for sure as my pain is bad some days and better other but never great. You had some questions about RLA. I know it seems logical that you should take half of the ALA dosage, but for some reason, the ratio works out just as well with 1/6. I started taking 100 mg./day (RLA) almost a year ago for the burning (feet) of PN. My results were not typical, but the burning stopped virtually completely within 48 hrs., and hasn't returned (unless I do something stupid to aggravate it). A few months ago, when I began taking the pregnenolone, I added the pantothenic acid (B5) and got further improvement in the PN pain. I'll take it. Since you're low on pregnenolone (like I was) and that's the mother hormone of all the others, it might make sense for you to start there like I did, along with B5 to fuel the process of turning pregnenolone into whatever in-between steps your body needs, all the way up to the testosterone. Read Dr. Tennant's (4) articles: http://www.practicalpainmanagement.c...-pain-patients http://www.practicalpainmanagement.c...tractable-pain http://www.practicalpainmanagement.c...in-update-2010 http://www.prescription2000.com/Inte...ranscript.html then go on to NIH, Mayo, and any others you can find (sorry I don't have URLs handy...) As I mentioned early in this thread, most doctors aren't accepting the idea of adrenal fatigue/exhaustion http://en.wikipedia.org/wiki/Adrenal_fatigue but since your cortisol levels look ok, I wouldn't even go there. You're somewhat low in pregnenolone and testosterone (though not critically so) run those by your doctor with the articles (if he'll read them or look into it) and see if s/he'll help guide you through trying this for a few months. You might need to see an endocrinologist, who may do some more/different testing with some different ideas. There are articles that caution about taking pregnenolone, and they're right. I found the dosage recommended by Dr. Tennant too high for me, so I started much lower and titrated up. As it turns out, this is pretty easy to do because this stuff converts in only a matter of hours (and is gone quickly too). Also, the articles I saw that cautioned against it were talking about people with normal levels taking it for "fountain of youth" purposes - not people who were deficient and supplementing/replacing very low levels. Big difference. Doctors usually want about 3 months between tests for a lot of bloodwork to see if (whatever) is working, and that should be about right here to. If it's going to help, you'll probably know within the first week or two (though things will taper off as your levels come up). In your other thread you wrote: These words could have been written by me or countless others I've met on my journey. I once dubbed the feeling as "guinea pig complex" - being bounced from specialist to specialist, test to test, treatment/therapy to treatment/therapy... you feel like nobody knows squat and you're just their latest lab rat (sometimes we are; that's how they learn). Then I looked it up online, and found out about a dozen other folks had all thought they came up with it too... There's some truth to it; there's more that doctors/medicine don't know than they do know, but they still know more now than ever before, so what else can we do? I've found this enlightening too; maybe you've seen it in another post: http://www.medpagetoday.com/Blogs/21266? Google: stages of grief and read a few articles, cuz that's what we're all going through here. Life-changing events we never expected, would never want in a zillion years, but we're stuck with them. Bleah. I'm a little at the stage you want to be in in the second paragraph; I was preaching/practicing "pay it forward" decades before that movie came out. But I still get depressed and scared for the same reasons as you. Doing what I can - whatever I can - is one of the ways I distract myself from the dark side, and deal/cope with it all. |
||
Reply With Quote |
Reply |
|
|
Similar Threads | ||||
Thread | Forum | |||
Hormone Therapy - More from Dr. Tennant | Chronic Pain | |||
White rat preliminary report on light therapy | Parkinson's Disease | |||
Improvement after hormone therapy | Traumatic Brain Injury and Post Concussion Syndrome | |||
Hormone Replacement Therapy | Women's Health |