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chronic long term pain and coping suggestions

  • 12-01-2015 5:27am
    #1
    Registered Users Posts: 394 ✭✭


    Sorry if this is in the wrong forum.

    For the last 4+ years I have been suffering with severe chronic back and leg pain from various causes. Usually I am pretty good at getting on with things and doing what I can do. I had facet joint denervation at the start of December and ever since I've been suffering with new types of pain. I don't know why but this seems to be the last straw to my sanity. I'm finding it exceptionally difficult to get out of bed, leave the house, even motivate myself to wash my hair. Usually after a few days I snap out of it or blow off a bit of steam with friends. Because of three different types of pain, instead of the two I'm used to, it feels like I have no control. I know people are going to advise me to see my gp but he just wants to put me on anti depressants without helping me to cope with the added pain and restriction on my life. Anyone have any suggestions for coping mechanisms that have worked for you. Thanks


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Comments

  • Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Regional West Moderators Posts: 59,681 Mod ✭✭✭✭Gremlinertia


    Perhaps try and get a referral to a pain clinic in nearby hospital?. While it might take a while to get the initial consult after that hopefully you'll be monitored and assisted enough to keep your mental health strong.. I attend in Galway and while it's slow it does help.. My gp referred me as he said that he wasn't specialised in the area, was very grateful for his honesty and his progressive solution..


  • Registered Users Posts: 706 ✭✭✭SATSUMA


    Sorry if this is in the wrong forum.

    For the last 4+ years I have been suffering with severe chronic back and leg pain from various causes. Usually I am pretty good at getting on with things and doing what I can do. I had facet joint denervation at the start of December and ever since I've been suffering with new types of pain. I don't know why but this seems to be the last straw to my sanity. I'm finding it exceptionally difficult to get out of bed, leave the house, even motivate myself to wash my hair. Usually after a few days I snap out of it or blow off a bit of steam with friends. Because of three different types of pain, instead of the two I'm used to, it feels like I have no control. I know people are going to advise me to see my gp but he just wants to put me on anti depressants without helping me to cope with the added pain and restriction on my life. Anyone have any suggestions for coping mechanisms that have worked for you. Thanks

    have you considered homeopathy? I know what it's like to be in pain and feel like there is no control. I found it very helpful but you will need to go to an experienced homeopath. It's worth a try anyway. Best of luck. x


  • Registered Users Posts: 394 ✭✭livemusic4life


    Thank you both, I do attend pain management in cork, I have had denervation, nerve blocks, epidurals, physio, acupuncture, acupressure, homeopathy, hypnotherapy, depression meds, massage, osteopathy, you name it I've tried it. I meant more along the lines of mentally coping. I've tried yoga which I love but can't do it since I got my nerves burned in December. Tai chi which caused my whole back to go into horrible spasms.


  • Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Regional West Moderators Posts: 59,681 Mod ✭✭✭✭Gremlinertia


    Oh dear.. I've done most of that though not the burning nerves job as they can't figure out exactly where my problem lies.. I went the meditation route. Last resort as I previously had no faith in it.. Got a mindfulness book with a cd, pushed through scepticism for a few weeks and found at times it can distant me from the pain somewhat.. It's not easy at all.


  • Registered Users Posts: 394 ✭✭livemusic4life


    They didn't know which set of nerves for me either, hence 3.5 years of nerve blocks to find out. Trial and error situation. Meditation is something I find really difficult with the amount of opiates i take for the pain but i'll give it another try. At this point i'm feeling rather desperate so i'll try pretty much anything.


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  • Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Regional West Moderators Posts: 59,681 Mod ✭✭✭✭Gremlinertia


    They've decided I have something called complex regional pain syndrome, so I'm basically stuck here.. There may be a spinal cord stimulator somewhere in the future.. I've beentreated on and off for twelve years. The meditation/mind over matter thing only started to give any relief when I'd exhausted every other possible route. Can't take opiates as I'm also on anti-depressants and I continue to work, both those would complicate taking stronger medication.. I'm aware that within the next few years I'll have to wave the white flag and stop working but I'm not ready yet.


  • Registered Users Posts: 394 ✭✭livemusic4life


    They've decided I have something called complex regional pain syndrome, so I'm basically stuck here.. There may be a spinal cord stimulator somewhere in the future.. I've beentreated on and off for twelve years. The meditation/mind over matter thing only started to give any relief when I'd exhausted every other possible route. Can't take opiates as I'm also on anti-depressants and I continue to work, both those would complicate taking stronger medication.. I'm aware that within the next few years I'll have to wave the white flag and stop working but I'm not ready yet.

    I've never heard of it but i will look it up. Have you tried a tens machine. That was quite useful for me when I was still able to work. I really want to get back to work. I went part time for a year after my accident and I was just about able to do it. Bosses got tired of me not recovering and asked me to go. But if i can get some of this under control then i could try work again and it would help my mood.
    I think you are right in not mixing anti depressants and opiates. It is not a good combination and can lead to terrible paranoia as i found out when I was working, and thats not ideal if you have to deal with people


  • Moderators, Category Moderators, Politics Moderators, Recreation & Hobbies Moderators, Society & Culture Moderators, Regional East Moderators Posts: 12,108 CMod ✭✭✭✭Dizzyblonde


    Thank you both, I do attend pain management in cork, I have had denervation, nerve blocks, epidurals, physio, acupuncture, acupressure, homeopathy, hypnotherapy, depression meds, massage, osteopathy, you name it I've tried it. I meant more along the lines of mentally coping. I've tried yoga which I love but can't do it since I got my nerves burned in December. Tai chi which caused my whole back to go into horrible spasms.

    Are you in touch with others with similar problems? I don't have pain but have a chronic inner ear problem that causes constant false motion and disequilibrium and limits my activities, and the best thing I've ever done was to find an online support group. I now have a group of good friends and we support each other daily. With chronic conditions, especially if they're invisible, only other sufferers really "get it". I can't tell you how it changed my life, finding others who are in the same boat.


  • Registered Users Posts: 394 ✭✭livemusic4life


    Are you in touch with others with similar problems? I don't have pain but have a chronic inner ear problem that causes constant false motion and disequilibrium and limits my activities, and the best thing I've ever done was to find an online support group. I now have a group of good friends and we support each other daily. With chronic conditions, especially if they're invisible, only other sufferers really "get it". I can't tell you how it changed my life, finding others who are in the same boat.

    Thats great advice, thank you so much. I didn't even think of it. Sympathy and support from people who don't know what you are going through doesn't last very long


  • Moderators, Category Moderators, Politics Moderators, Recreation & Hobbies Moderators, Society & Culture Moderators, Regional East Moderators Posts: 12,108 CMod ✭✭✭✭Dizzyblonde


    You're welcome - and I hope you find a good support group.
    People can be very uncomfortable around chronic illness and before long you find out who your real friends are. And no matter how much those close to you care, they can't know how you feel.


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  • Registered Users Posts: 49 ms horatio


    They've decided I have something called complex regional pain syndrome, so I'm basically stuck here.. There may be a spinal cord stimulator somewhere in the future.. I've beentreated on and off for twelve years. The meditation/mind over matter thing only started to give any relief when I'd exhausted every other possible route. Can't take opiates as I'm also on anti-depressants and I continue to work, both those would complicate taking stronger medication.. I'm aware that within the next few years I'll have to wave the white flag and stop working but I'm not ready yet.

    Hi, I almost cried when I read your post today. The first thought that came to me was "It's not just me"!!

    I was diagnosed with this condition just over a year ago and like you, I've been through the mill ever since. How you've coped for 12 years is just mind boggling. The amount of pain meds, anti-depressants, nerve blockers etc. that I take has become ridiculous and - at this point - very scary. I've had Stellate Ganglion Blocks, Nerve Blocks, you name it - I've been through it. My consultant has also now referred me for a spinal cord stimulator

    Because of the type of work I do, I've had to stop working and this has been very hard to deal with.
    If I had a fiver for every time someone has said "Never heard of it" I'd be rich, and I'm including many nurses and doctors in this. Although my own GP and Physiotherapist are wonderful, one of the worst things about this horrible illness is the awful feeling of being so very alone. If you ever feel like a chat or just a good rant, I'm happy for you to PM me. (MODS- not sure if that's ok?)

    I'd also love to hear more experiences of acupuncture etc., as I'm considering such treatments too.
    Thankyou for sharing your struggle.
    ms h


  • Banned (with Prison Access) Posts: 1 not_insured


    Thank you both, I do attend pain management in cork, I have had denervation, nerve blocks, epidurals, physio, acupuncture, acupressure, homeopathy, hypnotherapy, depression meds, massage, osteopathy, you name it I've tried it. I meant more along the lines of mentally coping. I've tried yoga which I love but can't do it since I got my nerves burned in December. Tai chi which caused my whole back to go into horrible spasms.

    ive tried all those things as well and i can add in going to a chiropractor , i see you didnt include that which is good , a chiropractor greatly added to my pain

    ive been in pain since 2007 but im doing much better since early 2013 , i get flare ups every so often and its just a case of trying to get through it as best you can , walking makes the body more loose , you need to avoid heavy lifting indefinately


  • Registered Users Posts: 394 ✭✭livemusic4life


    ive tried all those things as well and i can add in going to a chiropractor , i see you didnt include that which is good , a chiropractor greatly added to my pain

    ive been in pain since 2007 but im doing much better since early 2013 , i get flare ups every so often and its just a case of trying to get through it as best you can , walking makes the body more loose , you need to avoid heavy lifting indefinately

    I have scoliosis, lordosis and kyphosis - 3 different curves in my spine. :rolleyes:

    I have been warned that if i go to a chiropractor with such an irregular spine that i would probably end up paralysed, otherwise i would have tried it, i can assure you. walking doesn't do much for me as i have a terrible limp most of the time and the uneven pounding on concrete/tarmac kills me after about 45 minutes.


  • Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Regional West Moderators Posts: 59,681 Mod ✭✭✭✭Gremlinertia


    Ms Horatio, apologies for how long it took me to reply. Been busy on another health front the last week..

    I'm coming more and more to use breathing techniques to help with pain.. I find distraction techniques useful as dwelling on the pain drives me crazy. I can't concentrate on the pain issues a huge amount right now as other health issues have taken precedence


  • Registered Users Posts: 40,291 ✭✭✭✭Gatling


    Man I feel your pain suffered hip and knee pain since my early teens now 37 .
    Pain in hips and knees is constant, my shins feel like snapping when I walk .
    I'm living off 4 hours of sleep a night and have done for the the last 7 years ,
    gone from working 100 hour weeks to barely able to walk for more than 20 minutes at a time ,
    Done hours and hours of physio, hydro ,pain meds , anti arthritic' s , steroids ,
    And regularly suffer bad depressions all while looking after 2 kids while my OH is in college .

    While I can't offer much advice your not alone in your situation .


  • Registered Users Posts: 2,273 ✭✭✭UsedToWait


    Sorry to hear of folks suffering with long term pain - I know the feeling and can empathise.

    This book review I was reading recently might offer hope to some:

    The Brain’s Way of Healing by Norman Doidge

    "Dr Michael Moskowitz, an American psychiatrist specialising in treating pain, had long been his very own laboratory rat. After breaking his femur jumping from the turret of an army tank, he made an important discovery: the brain could be taught to turn off even screaming pain, once the body had sent the necessary alarm signal."

    The book covers other aspects of brain plasticity, but the sections on training one's brain to ignore pain signals might be something worth investigating further?


  • Registered Users Posts: 7,316 ✭✭✭naughto


    For the last 6yrs I have chronic pain in my right wrist after an accident can't go in to it as legal matter are on going.
    I have done every nerve block from here to Mars at this stage my pain specialist does not recommended the spinal cord operation so any one thinking about it make sure you do you're research as a lot of them are taking out after a number of months yrs.


  • Registered Users Posts: 7,316 ✭✭✭naughto


    Are you in touch with others with similar problems? I don't have pain but have a chronic inner ear problem that causes constant false motion and disequilibrium and limits my activities, and the best thing I've ever done was to find an online support group. I now have a group of good friends and we support each other daily. With chronic conditions, especially if they're invisible, only other sufferers really "get it". I can't tell you how it changed my life, finding others who are in the same boat.

    Can you pm me the online support group


  • Registered Users Posts: 6,389 ✭✭✭jonski


    This will probably be of no help to anyone but I have been meaning to put it up here for a long time , no idea why I didn't maybe I felt it was irrelevant .

    I'm out of work 10 years this month and it feels everyday of it . Reading the above makes me feel lucky tbh , same goes for visits to the pain management clinic . You realise that there is a lot worse out there and also that, no matter how bad you are feeling, you are not alone . My main problem is myofascial pain syndrome in my back which radiates around to the front and feels like there is a hot crowbar running right through me , add in some sciatica,vertigo and elevated heart rate and shur tis all fun and games . Did the whole lot at the start, traditional and alternative, tried loads of different types of pain killers but the only family of pain killers that seemed to work were the ones that had me sleeping most of the day away and with three growing teenagers I wasn't game for that . That left me to just try and manage it myself and at first I found I wasn't able to do anything without suffering more than was bearable . Even trying to watch TV became a chore as after a bit my brain would start fixating on the pain and I couldn't concentrate enough to follow what ever I was watching . Same would happen with sleeping , I would have to wait until I was completely exhausted before going to bed and then try and get a few hours sleep and as soon as I woke up the pain would start to take over again , so I learned to sleep in stages . A few years into it I met a company doctor who while chatting to me after the official examination said to me that this was going to be my life from now on . He said I should prioritise certain things that I really wanted to do and just suffer the consequences otherwise my life would eek away without me doing anything . I have to a certain degree followed this advice with things like , do nothing today because I am going to cut the grass tomorrow and split up cutting the grass into cutting one week strimming the next week . Or go to a concert knowing that I won't be able to do anything for a few days afterwards .

    Anyways.......... the one thing that I did find relieved the pain ( it didn't actually but it distracted me enough ) was getting immersed in my sons video games ! , yeah , I know , this is not going to appeal to most people and it's a bit difficult explaining to my peers but it worked for me , for the time that I was playing, it sometimes completely took my mind off the pain . I was lucky enough in so far as fairly early on I met other men my own age online and have since become great friends with some of them so that kind of kept me involved . The kind of games that worked for me were obviously immersive ones and not the slower paced FB kind of games . It's a bit of a long shot I know and I only ended up doing it because I was at home and it was a bit of father son time, but it might work for someone else .

    Jeeese , that was a whole lot of typing and I can feel my middle back solidifying as I get to here :)

    TL:DR Version , try video games for brain distraction .


  • Registered Users Posts: 394 ✭✭livemusic4life


    naughto wrote: »
    Can you pm me the online support group

    I'd like the name too if you don't mind


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  • Registered Users Posts: 7,316 ✭✭✭naughto


    jonski wrote: »
    This will probably be of no help to anyone but I have been meaning to put it up here for a long time , no idea why I didn't maybe I felt it was irrelevant .

    I'm out of work 10 years this month and it feels everyday of it . Reading the above makes me feel lucky tbh , same goes for visits to the pain management clinic . You realise that there is a lot worse out there and also that, no matter how bad you are feeling, you are not alone . My main problem is myofascial pain syndrome in my back which radiates around to the front and feels like there is a hot crowbar running right through me , add in some sciatica,vertigo and elevated heart rate and shur tis all fun and games . Did the whole lot at the start, traditional and alternative, tried loads of different types of pain killers but the only family of pain killers that seemed to work were the ones that had me sleeping most of the day away and with three growing teenagers I wasn't game for that . That left me to just try and manage it myself and at first I found I wasn't able to do anything without suffering more than was bearable . Even trying to watch TV became a chore as after a bit my brain would start fixating on the pain and I couldn't concentrate enough to follow what ever I was watching . Same would happen with sleeping , I would have to wait until I was completely exhausted before going to bed and then try and get a few hours sleep and as soon as I woke up the pain would start to take over again , so I learned to sleep in stages . A few years into it I met a company doctor who while chatting to me after the official examination said to me that this was going to be my life from now on . He said I should prioritise certain things that I really wanted to do and just suffer the consequences otherwise my life would eek away without me doing anything . I have to a certain degree followed this advice with things like , do nothing today because I am going to cut the grass tomorrow and split up cutting the grass into cutting one week strimming the next week . Or go to a concert knowing that I won't be able to do anything for a few days afterwards .

    Anyways.......... the one thing that I did find relieved the pain ( it didn't actually but it distracted me enough ) was getting immersed in my sons video games ! , yeah , I know , this is not going to appeal to most people and it's a bit difficult explaining to my peers but it worked for me , for the time that I was playing, it sometimes completely took my mind off the pain . I was lucky enough in so far as fairly early on I met other men my own age online and have since become great friends with some of them so that kind of kept me involved . The kind of games that worked for me were obviously immersive ones and not the slower paced FB kind of games . It's a bit of a long shot I know and I only ended up doing it because I was at home and it was a bit of father son time, but it might work for someone else .

    Jeeese , that was a whole lot of typing and I can feel my middle back solidifying as I get to here :)

    TL:DR Version , try video games for brain distraction .

    What console do you have I have an Xbox one used to play a good bit before my accident not so much now as its to painfull
    Plus i have 17 month young lad that takes up my time


  • Registered Users Posts: 6,389 ✭✭✭jonski


    naughto wrote: »
    What console do you have I have an Xbox one used to play a good bit before my accident not so much now as its to painfull
    Plus i have 17 month young lad that takes up my time

    I use a PC that I built myself which also helped in maintaining interest . the type of games I play are team based ones that I can get into with other lads around the same age as me so we are having a laugh and a chat while we are at it . Also my kids were all teenagers when I started so not so much minding involved .


  • Registered Users Posts: 275 ✭✭dannyo666


    Sorry if this is in the wrong forum.

    For the last 4+ years I have been suffering with severe chronic back and leg pain from various causes. Usually I am pretty good at getting on with things and doing what I can do. I had facet joint denervation at the start of December and ever since I've been suffering with new types of pain. I don't know why but this seems to be the last straw to my sanity. I'm finding it exceptionally difficult to get out of bed, leave the house, even motivate myself to wash my hair. Usually after a few days I snap out of it or blow off a bit of steam with friends. Because of three different types of pain, instead of the two I'm used to, it feels like I have no control. I know people are going to advise me to see my gp but he just wants to put me on anti depressants without helping me to cope with the added pain and restriction on my life. Anyone have any suggestions for coping mechanisms that have worked for you. Thanks

    Hey

    What consultants have you seen in cork?

    I found out the hard way all the best are in Dublin unfortunately


  • Registered Users Posts: 394 ✭✭livemusic4life


    dannyo666 wrote: »
    Hey

    What consultants have you seen in cork?

    I found out the hard way all the best are in Dublin unfortunately

    Mr O'sullivan in the cuh - neurosurgeon - horrible individual. Mr hegarty in the south - pain management. A few others for side effects from pain killers.


  • Registered Users Posts: 275 ✭✭dannyo666


    Mr O'sullivan in the cuh - neurosurgeon - horrible individual. Mr hegarty in the south - pain management. A few others for side effects from pain killers.

    O sullivan is exactly what you said-Loves to duck and dive when the **** hits the fan.Dr hegarty is genuine enough ive found,his prices however arent

    Pm me if you want an name of a doc in dublin that changed my life to one of misery to one where i have a life

    Im from Cork also so i know its a bit of a balls to go to dublin but thats life really

    Take care of yourself


  • Registered Users Posts: 394 ✭✭livemusic4life


    dannyo666 wrote: »
    O sullivan is exactly what you said-Loves to duck and dive when the **** hits the fan.Dr hegarty is genuine enough ive found,his prices however arent

    Pm me if you want an name of a doc in dublin that changed my life to one of misery to one where i have a life

    Im from Cork also so i know its a bit of a balls to go to dublin but thats life really

    Take care of yourself

    I was trying to be polite about Mr. O'sullivan. Your description is far more accurate.

    The name of the doc would be great but as a public patient, i doubt i'll be able to afford it for a while


  • Registered Users Posts: 2,429 ✭✭✭brettmirl


    OP - Know what you mean about feeling alone. Chronic pain is something I've suffered with for years. Have a disc problem that tends to manifest itself in various guises.

    Presently, am going through a bout of muscle cramps in my legs, especially at night. It's gone to the stage where I'm almost afraid to sleep so I can 'catch' the cramp before it starts. Countless combinations of pills aren't stopping it.

    This next part sounds wrong, but I'm somewhat 'thankful' that some people I work with have similar issues with their back/spine so I have people to vent with or get advice from.

    My dad, who had back issues in the past, but has been pain free of late, said to me that back pain is the worst, as you can't "see" it...yet it affects every part of you. If you break an arm, people see the cast and allow for it...with back pain, you are irritable, down on yourself, sore, and there are no 'visible signs'.

    There are good days and bad days. I guess you just have to keep trying to find what's right for you. I tried the nerve burning and it worked for a while. Attempted the surgical route but was persuaded not to go down that route just yet. Right now, I'm trying exercise and Pilates...But everyone is different.

    Easier said than done, but don't let it get you down. There's always people on here to support you, and that will be more than willing to listen to you if you need to vent.


  • Registered Users Posts: 6,389 ✭✭✭jonski


    brettmirl wrote: »

    My dad, who had back issues in the past, but has been pain free of late, said to me that back pain is the worst, as you can't "see" it...yet it affects every part of you. If you break an arm, people see the cast and allow for it...with back pain, you are irritable, down on yourself, sore, and there are no 'visible signs'.


    I find it embarrassing to have to tell people I'm out of work because of my back and always find myself hoping people don't ask . Last week I actually told a friend I hadn't seen in about 10 years that I was retired .


  • Registered Users Posts: 14 mamabearhug


    I am so sorry for you, I know exactly how you feel, i have chronic pain for 20 years now and i am just 40 years old, you name it i have tryed it, mindfullness is great but only if i listen to Joh Kabit zinn he is the guy who started it , look him up on utube also look up a 10 mintute session with him on it , just relax you will not get it at first,
    next ask your pain clinic to find out about MBSR course , its 6 weeks , once a week with one saturday, i know people who swear by it.
    check it out in google or the Hse website. if you are like me you will check all suggestions,
    accuppunture is great but it only lasts a day or 2 for me,
    this is not an easy road but it does get better, i wish you the best and pm me if you like healing and light to you my friend


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  • Registered Users Posts: 2,429 ✭✭✭brettmirl


    This might be of interest: http://www.rte.ie/radio1/the-john-murray-show/programmes/2015/0318/687836-the-john-murray-show-wednesday-18-march-2015/

    It's about half way down the page to listen back to
    Chronic Pain Management
    In Ireland currently 1 in 8 adults are living with Chronic Pain & the physical, emotional and indeed financial effects are profound. John is joined in studio, by Dr. Paul Murphy, Consultant Anaesthetist at St Vincent's Hospital to discuss the challenges people face when suffering from chronic pain & to answer listeners questions.


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