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Message Number 259668
Re: Kidner Procedure Patient View Thread
Posted by Jessica Nearman on 8/13/09 at 10:27

I had the modified kidner procedure a little over 2 weeks ago (July 29th). I was in a non removable splint for a little less than 2 weeks and this last Monday I had my stitches out and am now in a hard, fiberglass cast for 4 weeks. Both casts go up to my knee. The first 2 days were pretty painful, but not too terrible. I thought I might not have to take the hydrocodone, but was REALLY happy I had them. After the first 2 days I didn't need the Rx pain pills anymore. On the 2rd day after surgery the swelling kicked in. I have been a very good girl and had been elevating and icing most of the time....allowing people to take care of me. This last Tuesday (2 weeks after surgery) the swelling completely went down. I don't feel any pain or discomfort from swelling. Although getting around on crutches and a rolleraid is a pain in the ass, I think it's important to stay non-weight bearing on my foot for the full 6 weeks as my doctor has recommended. I can deal with 6 weeks of limited mobility in order to be confident my foot will heal properly so I can get back to my very active lifestyle!!!! I am so happy with how I am healing. Looking forward to getting the cast off and getting in the boot!

Result number: 1

Message Number 259503

Re: Tarsal Tunnel Syndrome View Thread
Posted by vernie b on 8/08/09 at 18:12

Thanks for writing me.I will talk to my DR. about other medicines.I am now taking Hydrocodone.The DR started giving me them about 3 yrs ago but I would only take 1/2 a one win desparate now I am taking sometimes 3 halfs a day and I did not want to get hook on them but I am to the point that I can't take the pain any more.I have two kids both teenagers and my house stays a mess. And I work two it has became to much for me.I am quitting my job the end of august.Don't know how we will live but can't take it any more its to much.I don't think my DR would give me any think stronger.I am also on neurontin 4 time aday and I do take all 4 and still miserable.Are you working let me know thanks for the advice.Again thanks.

Result number: 2

Message Number 259277

Re: Tarsal Tunnel Syndrome View Thread
Posted by Mike on 7/31/09 at 23:19

Im so sorry you are experiencing this pain for so long!
Seems like you are at the point I was several years ago. After 2 years of trying all the different meds and physical/mental therapies and surgeries - none of which worked! I found the solution that worked for me and it was narcotics.

Because of possible side effects and addiction issues, it is for some, the last resort - but if you have a decent Dr and the personal responsability required - it can be handeled effectively and can give you your life back.

I was started on Hydrocodone which worked great but I became concerned with the amount of acetaminophen I was getting in these pills so my Dr switched me to OxyContin - basically the same thing without the acetaminophen. I was on it for about a year but I built up a tolerance fairly quickly so instead of continuous doseage increases, my Dr switched me to Methadone(pills) which actually worked much better because of its long half life.

This medication has litterally given me my life back!!! Instead of lying on the sofa in pain all day, I could do all the things I used to do - without the pain! I could finally sleep at night! Actually, one of the side effects is tiredness which is a bummer but it can be delt with and now I can actually fall asleep at night within a few minutes of lying down.

Dont get me wrong - there are major issues that need to be considered and side effects that need to be delt with, but I seriously beleive that I wouldnt be here today if I would have had to live with that pain for much longer. And I dont mean to make it sound 100% perfect because I do still go thru some pain episodes but nothing close to before!

Also - it doesnt work for everyone. It worked for me and Ive read about several other people with TTS or neuropathy or other nerve pain issues that it has worked well for. But then there are some that cant deal with the side effects and some that it didnt work for at all - But it's sure worth a shot - especially if you have tried everything else!

The main thing is to find a Dr that understands pain and that you can work with to develop a long term relationship to manage your pain.

Good luck - I hope you find something that works for you - and soon!

Result number: 3

Message Number 255340

Time release meds ! View Thread
Posted by BrianG on 2/21/09 at 07:24

Hi Jenny S,

As you can see, there is no one thing that is going to help your husband. It will mostly be a combination of things. I can only tell you about myself, who has tried numerous things to get my pain under control. There has been only 1 thing that has worked for me, daily pain meds. I can give you a little info, that you may want to talk to his pain management doctor about.

The methadone is a 'pure' type drug, that should not be tearing up is stomach and liver. From what I can see, it's the Vicodin. At the amounts he is taking, it doesn't surprise me that he has problems. The Vicodin has two main meds, which you probably already know about, acetaminophen, and hydrocodone. It's the acetaminophen that is tearing up his stomach and liver. Check this web site, for the side effects:


http://www.drugs.com/vicodin.html

If I was standing in your shoes, I would print out the linked page, and bring it to your pain management doctor. Tell him exactly what is going on with his stomach and liver. If he's a good doctor, he should already know, but I can't see any reason why he's been on such a large dose, for any amount of time. This medication (Vicodin) should only be prescribed for short amounts of time. There are two time release pain meds that you should talk to your doctor about. One is MS Contin, and the other is OxyContin. I believe the Oxy works better for nerve type pain, but I'm not a doc, this is from my research.

Ask about weaning your husband off the Vicodan, and then start either the OxyContin, or MsContin. If your doctor balks at this, it's time to look for another pain mangement doctor!! Any doctor can hang a 'Pain management ' shingle outside their office, but that doesn't mean they will prescribe the correct meds. Some are actually afraid of the Govt, and will not prescribe the stronger pain meds. Thats BS!! The time release meds that I mentioned do not have any thing else in them, except fillers. They will not harm your husbands stomach, or liver !!!!
Please remember, I'm not a doc, just a chronic pain patient, who has done a lot of research on what works best for me.
Good luck,
BrianG

Result number: 4

Message Number 255271

Re: Chielectomy Recovery Timetable View Thread
Posted by Mary S on 2/19/09 at 14:45

I had a Chielectomy on Dec. 19,2008. I had considerable pain the day of surgery trying to get to the bathroom and was very concerned about how bad the pain was really going to be and for how long. I was taking Hydrocodone. The morning of the 20th I woke up and it felt amazingly better. I was able to put on my sugical shoe and walk to the kitchen without help. I kept it propped and iced the 20th and 21st and by Monday the 22nd, I was off the hydrocodone and walking around in my surgical shoe just fine. I was amazed at how really pud this surgery was for me.

Well its going on 9 weeks now and I'm a little disappointed that I still don't have much flexibility in my big toe. When I stand or walk for long periods the whole ball of my foot goes numb (but the Doctor said there is no neuroma and there is still pain trying to wear anything but athletic shoes. The doctor said that some people just don't get a lot of relief with the surgery and end up having to have the joint fused. In my case, however..there was a piece of bone broken off and was sitting on top of the joint. Removing that helped a lot of the pain I had on the top of the joint and having shoes press on the top of the joint does not hurt anymore. It just still hurts when I bend or flex the toe.

I've ordered some MBT's ($219) and hope that they will give me some relief.

Result number: 5

Message Number 255270

Re: Chielectomy Recovery Timetable View Thread
Posted by Mary S on 2/19/09 at 14:42

I had a Chielectomy on Dec. 19,2008. I had considerable pain the day of surgery trying to get to the bathroom and was very concerned about how bad the pain was really going to be and for how long. I was taking Hydrocodone. The morning of the 20th I woke up and it felt amazingly better. I was able to put on my sugical shoe and walk to the kitchen without help. I kept it propped and iced the 20th and 21st and by Monday the 22nd, I was off the hydrocodone and walking around in my surgical shoe just fine. I was amazed at how really pud this surgery was for me.

Well its going on 9 weeks now and I'm a little disappointed that I still don't have much flexibility in my big toe. When I stand or walk for long periods the whole ball of my foot goes numb (but the Doctor said there is no neuroma and there is still pain trying to wear anything but athletic shoes. The doctor said that some people just don't get a lot of relief with the surgery and end up having to have the joint fused. In my case, however..there was a piece of bone broken off and was sitting on top of the joint. Removing that helped a lot of the pain I had on the top of the joint and having shoes press on the top of the joint does not hurt anymore. It just still hurts when I bend or flex the toe.

I've ordered some MBT's ($219) and hope that they will give me some relief.

Result number: 6

Message Number 254459

Different Diagnoses, Still no help with pain View Thread
Posted by JWC on 1/28/09 at 06:24

For the past 3 weeks, my left foot has been in continuous pain in degrees ranging from a slow uncomfortable throbbing to a nearly unbearable, sharp, wave-like pain where every 10 seconds or so a new 'spike' of pain would hit a peak and then drop back off. This is not the first time I've had this pain, but definitely the longest continual period. Other periods have lasted a couple of days to a week at most. This is much worse.

Also, the pain has moved. Starting from the center inside of my foot, it has moved to the top, the center outside, the center underside and back to the center inside.

I've had multiple diagnoses, with gout as the most popular but neither cortisone nor colchicine nor indomethacin help at all. I've tried ice, different footwear, staying off the foot for extended periods of time with no results. Tendinitis and what one doctor referred to as small vein syndrome were mentioned, but since what I was prescribed did no good, I'm guessing it's neither of these two. Also, X-Rays have shown nothing out of the ordinary and I've been X-rayed twice now.

One other symptom of the pain seems to be it gets worse if I lie down or sit for at least a couple of hours and then stand up again. It almost always is at a sharp, 'knife-blade' type of pain. However, while it does get a little better after this, after a couple of more hours of being awake, it just seems to be random in what degree the pain takes.

I am now using a walking cane daily just to get around. I'm 25 years old! About a week ago I got a nasty chest infection and was given a hydrocodone cough syrup. To date, that has been the only real pain reliever that has actually worked even though it wasn't even meant for pain but to control my cough.

Any advice on where to turn next? I'm getting desperate here and my entire life is starting to be profoundly affected by this. Thank you.

JWC

Result number: 7
Searching file 24

Message Number 246557

Tarsal Tunnel Recovery View Thread
Posted by Kassie42 on 5/05/08 at 10:53

Hello,

My name is Kassie and I recently had tarsal tunnel release. I am hoping to find someone else that had it or is going through it now. I had tarsal tunnel for 6 years, but was not diagnosed to recently. I suffered severe spasms to my foot as a result when active or in the wrong position which put me flat on my back literally screaming in pain. Like many others, I found doctors to not believe me when it came to how much pain I was in. It is so unbearable. My once active lifestyle became very sedentary. I have to say that rest helped provide me with relief along with orthotics. I also found modifications to exercise so I could still work out. The problem was when I had the pain it was still unbearable and if it happened at the wrong time or place I could become comprimised lying on my back screaming. Also I wanted to be active again. I found a surgeon that I have confidence in and elected to have the surgery. Now I am hoping that I didn't make a mistake. I guess I need reassurance that other people suffer the same pain after the surgery as me and that it will go away. After the first week I was put on partial weight bearing w/crutches. I did good the first couple of days, had a lot of soreness and swelling, but afterwards electrical shocks and severe spasms came. I have been very compliant needless to say. I find that elevating my foot now, brings on the spasms along with sleeping, pressure on my heel or massage. I am so distraugt over this pain. I am on hydrocodone, but I don't think this helps much. Of course my doctor went on vacation. I did go to urgent care and they said the only thing they can do is assure me. Meanwhile I am wondering should I still partake in PWB and exercises? Urgent care says yes. Has anyone else or is anyonelse going through this? It sure would help to have someone to chat with.

Kassie

Result number: 8

Message Number 244771

Re: What medication are you taking for pain relief? View Thread
Posted by Jim on 3/19/08 at 20:16

I was in severe pain from whatever is causing the pain in my feet for the last 7 years. I was taking Duragesic (SP), hydrocodone, neurotin ect.. nothing worked. No orthotics or physical therapy did anything.

I finally decided I was not going die and laid on the floor in my room for two days,went through DTs and got off all the medication. I figured out that I needed something to cushion my feet and start some small pain relief. I bought some sandals from Sharper image made of memory foam. They gave enough relief, that I was able to start walking around my house and I didn't have to crawl around. I decided to take a chance a buy a pair of silicone dynamic orthotics from Dr Kiper. I wore them off and on for about a year before I was able to get around with some normalcy. Over the last seven months, I have been able to get back to my job as a helicopter pilot in the Army, but I am no where near where I was 3 years ago. I still have pain, but it is bearable and I have a job that has helped my mind.I no longer wish a dump truck would lose control and run over my car on the way to work. I only take Advil for my headaches. Sharper Image does not sale the sandals anymore, so I went to Sports Authority and bought some addidas superstar sandals made of memoryfoam. I put the silicone orthotics under my factory inserts in my boots and I glued a metatrsal pad on top of the insert that came with my boots. It helps a lot, but I still hurt. I prayed for god to take me away, but I think he just made my mind stronger. I don't really know if the pain is less or if I just don't care as much.

The drugs made my pain worse because it took my mind and spirit away.

I wish you all luck. I don't think any doctor will cure me, but I still do research to find out what I can do for myself.

Result number: 9

Message Number 242446

Re: cheilectomy recovery timetable? View Thread
Posted by TexasAggie on 1/27/08 at 19:46

Thanks Ice. Had my surgery this past Friday morning and Saturday night was the worst pain-wise. Today Sunday is much better, although I am being pretty steady with the hydrocodone. How long was it until you could put weight on your foot? So far I am able to wiggle my other four toes and rotate my ankle without much pain. It is still really uncomfortable every time I 'de-elevate' my foot.

Result number: 10

Message Number 242387

Re: cheilectomy recovery timetable? View Thread
Posted by TexasAggie on 1/25/08 at 16:15

Great forum and thread -- I'm 38, pretty active (golf, softball, etc.)and was really concerned more about recovery than the actual surgery going into this. Had a cheilectomy and osteo-whatever (Hydrocodone makes the brain fuzzy I guess) this morning, January 25 for Stage 2 hallux rigidus on my right big toe. Pain ranges from a 2 to 5 on a 10-scale. I went ahead and took a pain pill when I got home. My doc told me you don't get a gold star for not taking the pain pills, so use them. Which I am doing. Anybody have any thoughts on if it is better to ice it at the ankle or just put it on the dressing, which is really thick? I am using frozen peas.
In the interest of keeping this thread current, I will try and update as I go. My hope is to be able to get on an airplane for my business travel by 2/11 or 2/18 at the latest. I am keeping my fingers crossed...

Result number: 11

Message Number 241402

Attention Doctors View Thread
Posted by Julie on 12/31/07 at 02:04


The following message was posted today on a 5-year-old thread on the Treatments, Symptoms, Products message board which no longer exists. Unless you automatically read from 'messages posted since last visit' you won't see it, so I'm copying it here so that you can help this poor woman.

Re: Immense Pain, Need advice on a good pain releiver for bilaterral TTS! view thread
Posted by Virginia on 12/30/07 at 20:29
I am 68 years old and have peripheral artery disease. I've had eleven surgeries on both legs (total) and that includes one amputation. I am in extreme pain but nobody can figure out why. I had a fall out of my wheelchair four years ago when I came home from the hospital from having the amputation. It tore open the whole iincision and the wound opened up about five inches across and two inches wide. It took 8 months to heal from the inside out, and being diabetic, I've been in awful pain ever since. I've had one bypsss surgery after another on my left leg that eventuated in the amputation and now my right leg is in danger too. I take 7.6 mg. of hydrocodone every 5 hours round the clock. I've been on 500 mg. for 3.5 years and just started this new dose of 7.5. But, the pain never really stope, just dulls it somewhat for only about 3 hours. I have just found out about Ultram Er and going to call myinternist as soon as the New Year is here and his office is open again. I have wonderful vascular surgeons in Dallas and my internist is there also, but neither have ever mentioned Ultram ER. I am going to the chiropractor for back pain, three veterbrae are bulging. The chiropractor mentioned Ultram ER to me last Friday, so it must have some validation. I hope you get some relief, as I certainly understand what you are going through.

Result number: 12

Message Number 241401

Attention Doctors View Thread
Posted by Julie on 12/31/07 at 02:01


The following message was posted today on a 5-year-old thread on the Treatments, Symptoms, Products message board which no longer exists. Unless you automatically read from 'messages posted since last visit' you won't see it, so I'm copying it here so that you can help this poor woman.

Re: Immense Pain, Need advice on a good pain releiver for bilaterral TTS! view thread
Posted by Virginia on 12/30/07 at 20:29
I am 68 years old and have peripheral artery disease. I've had eleven surgeries on both legs (total) and that includes one amputation. I am in extreme pain but nobody can figure out why. I had a fall out of my wheelchair four years ago when I came home from the hospital from having the amputation. It tore open the whole iincision and the wound opened up about five inches across and two inches wide. It took 8 months to heal from the inside out, and being diabetic, I've been in awful pain ever since. I've had one bypsss surgery after another on my left leg that eventuated in the amputation and now my right leg is in danger too. I take 7.6 mg. of hydrocodone every 5 hours round the clock. I've been on 500 mg. for 3.5 years and just started this new dose of 7.5. But, the pain never really stope, just dulls it somewhat for only about 3 hours. I have just found out about Ultram Er and going to call myinternist as soon as the New Year is here and his office is open again. I have wonderful vascular surgeons in Dallas and my internist is there also, but neither have ever mentioned Ultram ER. I am going to the chiropractor for back pain, three veterbrae are bulging. The chiropractor mentioned Ultram ER to me last Friday, so it must have some validation. I hope you get some relief, as I certainly understand what you are going through.

Result number: 13

Message Number 241396

Re: Immense Pain, Need advice on a good pain releiver for bilaterral TTS! View Thread
Posted by Virginia on 12/30/07 at 20:29

I am 68 years old and have peripheral artery disease. I've had eleven surgeries on both legs (total) and that includes one amputation. I am in extreme pain but nobody can figure out why. I had a fall out of my wheelchair four years ago when I came home from the hospital from having the amputation. It tore open the whole iincision and the wound opened up about five inches across and two inches wide. It took 8 months to heal from the inside out, and being diabetic, I've been in awful pain ever since. I've had one bypsss surgery after another on my left leg that eventuated in the amputation and now my right leg is in danger too. I take 7.6 mg. of hydrocodone every 5 hours round the clock. I've been on 500 mg. for 3.5 years and just started this new dose of 7.5. But, the pain never really stope, just dulls it somewhat for only about 3 hours. I have just found out about Ultram Er and going to call myinternist as soon as the New Year is here and his office is open again. I have wonderful vascular surgeons in Dallas and my internist is there also, but neither have ever mentioned Ultram ER. I am going to the chiropractor for back pain, three veterbrae are bulging. The chiropractor mentioned Ultram ER to me last Friday, so it must have some validation. I hope you get some relief, as I certainly understand what you are going through.

Result number: 14
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Message Number 223432

Re: My husband's unsuccessful surgery View Thread
Posted by jim on 2/23/07 at 07:08

Erin,

I am a pilot in the Army, so I must wear boots, but after my surgery, I have been unable to even put boots on my feet much less walk with them. I have been wearing Crocks with a memory foam insert that cost about $10.00 at Walgreens. I just threw those away 3 days ago when Dr Kiper's Orthotics arrived. They fit in any shoe, unlike many orthotics that require you to buy bigger shoes in order for them to fit. I have lived on my couch since September of 2005 and I am just now starting to get moving again. Your DPM can prescribe Metanx. It is a presciption grade B6, B12, and folic acid compound that helps heal the nerves. The liga-tend (it is a shark cartilige supplement)can be bought online at herbs-pro. They were half the price of the other stores. It was only $13.00 for a months supply. I found out about is from a guy that had tarsal Tunnel Surgery and said it really helped him recover. I take 2 Metanx a day, 3 liga-tend, and 2 Hydrocodone. I used to be on Fentanyl patches, Lyrica, and Hydrocodone just for pain. I think at the time it was necessary, but you should not take it for long. I forgot to tell you I also take a Nature's Own fish oil supplement once a day. The biggest thing he needs right now is hope.

Let me know if you have any other questions.

Jim

Result number: 15

Message Number 223406

Re: My husband's unsuccessful surgery View Thread
Posted by jim on 2/22/07 at 19:41

Erin,

I had a different type of surgery on my foot, and I was unable to put my foot flat for at least 3 months. The surgery made me worse, and I have been to every kind of doctor out there with no help. Jacksonville, FL does not have good DPMs that my insurance would let me see. I think they are all in CA,New Jersey, PA, and NY. I have helped myself over the last 3 months take my pain level from an 8 to about a five, and I believe I am getting better everyday. I have had the help of a pain management doctor that listens to all my crazy ideas and filters out the bad ideas. I am attacking the pain from all sides. I am taking Metanx for nerve and cardiovascular healing, Liga-tend for ligament and tendon healing and Hydrocodone for pain reduction. I also purchased a device called the Rebuilder that stimulates the nerves and a device called Sonic Relief ultra sound to stimulate the tissues deep in the foot. Lastly, I am using Dr Kiper's Orthtics, that have made a big difference. It has not been cheap, but I was about to lose my Job and sanity, so I bit the bullet and used my credit card. I feel like I am making more progress, but it is not easy. I spend the entire day working on my feet when I am not working. If you want more specific information, Let me know. I understand the physical and mental pain. I will try and help.

Jim

Result number: 16

Message Number 220635

For Dr Ed from Jim View Thread
Posted by jim on 1/25/07 at 07:44

Dr Ed,

You are correct; I have not had help from any medication yet. I only took the 5 day Prednisone pack, and I don't think it helped at all. I have also taken every type of NSAID available and COX 2 inhibitors, but still no help. I have never been given any imaging of my feet other than an X-Ray. The doctors say they don't think they will see anything, although, I demanded a MRI last week. I should be getting the MRI next week. I don't believe I have ever had the range of motion checked, other than the DR moving my foot up and down. I have never had a doctor use an instrument to measure the angle of the range of motion. The new DPM I just started to see hasn't even had me walk to check for pronation, or used the ink pad device to check for pressure points on the foot. I thought he was going to be the best. He has been doing Podiatry for 30 yrs and teaches at University of Florida. I am healthy below the knee. I am 5' 10", 150 lbs, Blood pressure 115, Cholesterol 122, and all blood tests have come back normal except a slightly low T3 level on the thyroid function test. I am taking Hydrocodone for pain, but it does nothing but take the edge off.

Thanks again,

jim

Result number: 17
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Message Number 207422

Viagra2007 View Thread
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Result number: 18

Message Number 203528

Re: post-op and worried... View Thread
Posted by linda m. on 7/09/06 at 22:01

Dear Dr. Goldstein: Thank you for taking the time to reply to my query and for suggesting lyrica. Since you mention you are a podiatrist, I am wondering--what is the proper name to describe the sharp, shooting pain I feel on the non-operative side of my foot? Is it "neuralgia"?

I do find relief by taking hydrocodone for the most part, but sometimes--like a bolt of lightning-- I will be startled by a zap of incredible pain.

I wish you the best with your own pain relief. Thank you.

LM

Result number: 19

Message Number 203478

post-op and worried... View Thread
Posted by linda m. on 7/09/06 at 14:43

Dear fellow tts sufferers: I am almost two-weeks post-op from tarsal tunnel relese... The good news is that the surgical site is healing well and I have little or no pain in the old spot where I used to. BUT I am having terrible spasms/shooting pain/numbness down the right side of the bottom of my foot. The pain is debilitating--I am taking hydrocodone to manage it. My doctor assures me it is due to surgical trauma and will resolve in time (as in several weeks.)

Have any of you had this experience? I should mention that I had an intense bunch of varicose veins before surgery--my doctor had to contain them with surgical staples. She said I have excessive swelling--and thus the irritation to the rest of my foot.

I appreciate your reply!
Linda M.

Result number: 20

Message Number 201911

Re: I have another question. This is all just so confusing to me! View Thread
Posted by JG on 6/23/06 at 14:21

Maria,
My TTS came on gradually. I thought I was diabetic, but it turns out I had TTS. I am one of the unlucky ones who had surgery on both feet and my toes are still numb and painful. I have good days and bad days, like most people on this board. If you try to keep a positive attitude about your TTS, it helps....but not always. Some days it just wears you down.

I tried a lot of different drugs, most of which didn't work for me. Some antidepressant drugs are also used for treating TTS pain. Everyone is different, so you just have to trail and error it for yourself. What does help me is hydrocodone (generic for vicodin). It is a narcotic so I try to limit it to the days when I am going to be walking a lot or days when I just can't take the pain.

Calla gave you excellent suggestions in an earlier post. It helps to talk out your concerns and fears with others who are suffering or who have been through the surgery, but your doctor should be your primary source of info. You can use what you learn on this board to ask him/her about your TTS.

Only you know how you feel about whether or not you want to try conservative measures or want to go ahead with surgery. Just remember there are those who have gone through the surgery and are better off than before. It's not all gloom and doom! If you do choose surgery, you can ask others on this board if they have gone to a doctor in your area.

We're all here to help each other, so post away!
Joyce

Result number: 21
Searching file 19

Message Number 198837

Re: Considering surgery View Thread
Posted by jim on 5/10/06 at 07:34

Babe,

I have been down the same road as you have. I think I have posted to you before, but I can't remember. If you do not have first step heel pain, do not ge PF surgery before a doctor rules out calcaneal nerve entrapment. It is easy for them to do. It is a simple injection into the foot near the heel. If the pain goes away , you will know if it is cancaneal nerve entrapment. If it is, you need to find a doctor that can do cryosurgery and if that does not work then you can consider surgery to release the calcaneal nerve. I think you are on all the wrong medication too. I am not a doctor, but I feel your pain. I would ask your doctor if it would be OK if you were prescribed Lyrica. It has enabled me to get the pain down enough to be able to think again. I started with 50mg twice a day and I worked up to 200mg per day. You can take up to 600mg per day if you are out of your mind with nerve pain. Also I am temporarily taking Hydrocodone one a day until I have my cryosurgery. Please go to www.footpain.org then click on Information Center and finally click on bottom of heel pain. It has good pictures that show where you are hurting. Print these out and take them to your doctor. This with help them find a proper diagnosis.

Jim

Result number: 22

Message Number 198767

Re: EPF on Thusday, pain on top of foot now View Thread
Posted by alc on 5/08/06 at 23:26

Okay, here is the report. After Dr examined the foot it was determined that now I have compression neuropathy, with a very nice, large blister, and no, I am not diabetic.
Dr said it was likely induced by tight surgical dressing. I got the "you should have called me when the pain started" lecture. Yes, I should have (4 days of pain was enough), but I thought that the surgical pain had gotten ahead of the Hydrocodone.
The dressing was changed, marcaine was injected, padding placed around sore, blister medicated and surical insicions cleaned up. Pain is now minimal.
Wow, what a difference the change made.
Thanks Dr. Z for pushing me over the edge to call my Dr. I am sure my wife will thank you for the good nights sleep tonight.

Result number: 23

Message Number 196578

Parke-Davis’ Neurontin(R) (gabapentin capsules) significantly reduced chronic neuropathic pain View Thread
Posted by Bryan W. on 3/30/06 at 18:49

The wonder drug for neuropathic pain...Like the type we with TTS get!!! Here is some info from my cyber search of the pain killer! Enjoy a better life...pain free! My Pod said if my nerve rejuvination does not end all of my pain then this would be the one he would perscribe for me! I have to say from what I read it does seem to work and the side effects for most are nil! Esp. good news that it works well in older patients with DPN..........

One study examined the effects of Neurontin on patients with diabetic peripheral neuropathy (DPN), a chronic, often painful condition that affects approximately half of the estimated 1.5 million diabetes patients in Canada. A companion study examined the use of Neurontin in patients suffering from post-herpetic neuralgia (PHN), the chronic neuropathic pain condition that can follow shingles (herpes zoster).

Results of the national, multi-centre DPN study demonstrated that patients suffering from diabetic peripheral neuropathy experienced a significant reduction in pain after treatment with the drug and that 26 percent of those patients treated with Neurontin were pain-free at the end of the trial compared to 15 percent of patients treated with placebo. This difference was statistically significant.

Findings of the national, multi-centre PHN study showed that patients suffering from the condition experienced a statistically significant reduction in average daily pain after treatment with Neurontin. Importantly, almost twice as many patients treated with Neurontin (16 percent) were pain-free versus those treated with placebo (8.8 percent) at the end of the trial. Both studies also showed that patients receiving Neurontin experienced improvement in sleep and overall quality of life.

The PHN study was a multi-centre, randomised, double-blind study conducted over a treatment period of eight weeks and involved 229 PHN patients.

"The results of this trial are particularly encouraging, given the hundreds of thousands of people suffering from this debilitating and extremely painful condition," said R. Norman Harden, M.D., director of the Centre for Pain Studies, Rehabilitation Institute of Chicago. "Further, the age distribution of patients with PHN includes a disproportionate number of older patients, which is a difficult population to treat."

PHN is a syndrome of often intractable pain following herpes zoster, a condition commonly known as shingles. It is estimated that 10 to 20 percent of Canadians will be affected by herpes zoster in their lifetime. In the majority of patients, the condition is characterised by intense pain that has been described by sufferers as burning, deep aching, tearing and electric shock-like. While the pain tends to fade over a period of time, as many as 15 percent suffer from chronic neuropathic pain that persists beyond the resolution of the herpes zoster rash. Pain that persists for three months after resolution of this rash is commonly defined as PHN. PHN may persist for years in some patients.

The DPN study was a randomised, double-blind, placebo-controlled trial conducted over a treatment period of eight weeks involving a total of 165 patients. The patients enrolled had a one to five-year history of pain associated with diabetic neuropathy.

"DPN is a neuropathic condition that is, historically, extremely difficult to treat," said Keith R. Edwards, M.D., director, Neurological Research Centre, Bennington, VT. "This study is one of the largest of its kind in this condition. In patients with DPN, gabapentin substantially reduced neuropathic pain and was well tolerated.

“Further, more significant pain reduction was observed in some patients after only two weeks of treatment. All of these findings combined are clinically important."

DPN is characterised by nerve fibre loss that can result in symptoms ranging from diminished pain and temperature perception, paresthesia (pins and needles) and neuropathic (sharp or burning) pain, to loss of light touch and muscle weakness. Other symptoms include insomnia, anxiety, depression, weight loss and a general decline in quality of life.

"In this study, Neurontin reduced pain and sleep interference associated with the condition and also exhibited positive effects on mood and quality of life," Dr. Edwards said.

Diabetes is a clinical condition that impairs the ability of the body to produce or properly respond to insulin, a hormone essential for life. Type II diabetes, also known as adult onset or non-insulin-dependent diabetes (despite the fact that many require insulin injections) usually occurs in those over 45 and overweight. Type II diabetes affects the majority of the 1.5 million Canadian diabetics and it is estimated that another 750,000 people are undiagnosed. Type I diabetes, also known as juvenile onset or insulin-dependent diabetes usually starts in children or young adults who are slim and affects about 10 per cent of people with diabetes in Canada.

The pain associated with DPN in diabetic patients is, at times, constant, severe and deep, and is frequently associated with mood and sleep disturbances as well as a decline in function. Pain in diabetic patients with DPN affects the feet and ankles most often and, to a lesser extent, the lower extremities above the knees and upper extremities.

Neurontin is indicated as adjunctive therapy in the treatment of partial seizures with and without secondary generalisation in adults (greater than 12 years old). Neurontin is contraindicated in patients who have demonstrated hypersensitivity to the drug or its ingredients.

The most common adverse events during clinical trials were somnolence (19.3 percent versus 8.7 percent with placebo); dizziness (17.1 percent versus 6.9 percent with placebo); ataxia (12.5 percent versus 5.6 percent with placebo); fatigue (11 percent versus five percent with placebo); nystagmus (8.3 percent versus four percent with placebo); and tremor (6.8 percent versus 3.2 percent with placebo).
http://www.pslgroup.com/dg/D6AC6.htm
***************************************************************************

Neurontin has been studied since 1983 and was approved by the FDA for the control of epilepsy in 1994. Parke-Davis has been successfully conducting long-term clinical trials in doses at 2400-3600mg a day.

In 1996, research for other purposes began appearing and there has been a quiet revolution of patients and doctors finding that Neurontin is helpful in illnesses other than epilepsy. Neurontin being prescribed for disorders other than epilepsy is called "off-label" use.

Neurontin has a growing multitude of medical studies showing it effective for off-label illnesses such as:

* Reflex Sympathetic Dystrophy (RSD),
* brain injury,
* essential tremors,
* sleep dysfunction,
* Interstitial Cystitis,
* refractory GU tract pain,
* agitation secondary to dementia,
* muscle cramps,
* inflammatory injuries,
* tinnitus
* phantom limb pain
* cocaine dependence
* TMJ,
* neuropathic pain,
* Shoulder-Hand Syndrome,
* hemifacial spasms,
* peripheral neuropathy,
* the pain, nystagmus, and spasticity of Multiple Sclerosis (MS),
* trigeminal neuralgia,
* prophylaxis and for acute migraines,
* for pain secondary to epidural fibrosis,
* acute and postherpetic neuralgia (Shingles),
* acute pain from Herpes Simplex,
* post-operative pain,
* myofascial pain (MPS),
* radiation myelopathy,
* cancer pain
* Restless Leg Syndrome (RLS),
* Lou Gehrig's Disease (ALS) (but not its progression),
* Periodic Leg Movement (PLM),
* chronic pain not already mentioned here,
* Bipolar Disorder,
* social phobias,
* somatiform pain with depression,
* mood disorders,
* both situational and clinical depression,

and it was concluded in one study that gabapentin (Neurontin) "represents a novel class of antihyperalgesic agents" (pain medications) and millions of us have proven that.

Dr. Seastrunk, a psychiatrist from Texas, was one of the first doctors who found Neurontin helpful in CFS and FMS and he theorized that is because there is a focal brain injury that Neurontin can minimize. Off-label research now points to the probability that Neurontin decreases Substance P activity and its mechanism may involve activation of the neuronal GABAg1,g2 receptors negatively coupled to voltage-dependent calcium channels, thereby lessening pain signals to the brain.
http://web.tampabay.rr.com/lymecfs/nfaq.htm
***************************************************************************
NOW WHAT DO THE PATIENTS THINK OF IT??????????????

Off-Label Uses: What isn't Neurontin used for? It's the late-20th century's most successful snake oil! Monotherapy Treatment for Epilepsy (used all by its lonesome). Bipolar Disorder - basically useful only if bad anxiety or substance abuse is also present, or nothing else has worked. And then usually only as an add-on med. Migraines. Neuropathic pain. Depression. PTSD. Alcoholism (one study has it working well on mild-to-moderate alcohol withdrawal, another showed it to be insignificant for acute withdrawal). Anxiety (including panic and social phobia, but Parke-Davis' data are suspect, and public speaking). Sleep Disorders. Restless Leg Syndrome/PLMS, MS, Chronic Fatigue. Menopausal Symptoms. Treating HIV/AIDS-related Neuropathy. Phantom Limb Pain. Cocaine Abuse. And probably a bunch of stuff I don't even know about. Sometimes it's quite useful in these applications, sometimes it's prescribed first just because it's an anticonvulsant with a very low side effect profile and doctors are sick and tired of people whining about how medication sensitive they are.



Neurontin's Pros and Cons:

Pros: It has a very low side effect profile. Given that what you take is what works on your brain there are few drug-drug interactions (but they are wacky). Neurontin (gabapentin) is a proven pain reliever that doesn't mess with you as much as the other anticonvulsants do, and works better for non-migraine pain better than most of the others.



Cons: It doesn't work for a lot of people, mostly because of bioavailabilty issues. Because of Parke-Davis' allegedly sleazy marketing practices you can't get samples from your doctor anymore.

Neurontin's side effects:

Typical Side Effects: The usual for anticonvulsants, albeit to a lesser degree for most people. Although at the higher dosages Mouse and I, especially Mouse, experience memory problems. The main problems with Neurontin are dizziness, cloudy thinking, fatigue and klutziness.



Not So Common Side Effects: Edema. Really goofy thinking - one person taking it calls the med, "Morontin." If being treated for bipolar disorder, don't be surprised if it results in hypomania instead of working as a mood stabilizer - as that has been reported in the clinical trials for epilepsy, in at least one of the studies on Neurontin (gabapentin) as a treatment for bipolar, and several times in the online support groups. I haven't found any studies to back this up, but my doctor tells me that at the higher dosages Neurontin (gabapentin) does start to hit the dopamine receptors. The combination of GABA and dopamine may be just the thing for depression, but can get some people really goofy, and not necessarily in a good way.

These may or may not happen to you don't, so don't be surprised one way or the other.



Freaky Rare Side Effects: Taste perversion, abnormal accommodation, libido increased, baby you are coming over to my house right now! I've got plenty of Neurontin on hand!

You aren't going to get these. I promise.




Interesting Stuff Your Doctor Probably Won't Tell You: Neurontin (gabapentin) is a prime example of the Law of Diminishing Returns in that the more you take the less you get. Seriously. It's right there in the PI sheet. "As dose is increased, bioavailability decreases. Bioavailability of gabapentin is approximately 60%, 47%, 34%, 33%, and 27% following 900, 1200, 2400, 3600, and 4800 mg/day given in 3 divided doses, respectively." You can try to squeeze out a little more absorption by taking it with food, but you buy a whopping 14% increase, on average, in the bioavailability. Sometimes every little bit helps.



Neurontin (gabapentin) is basically a neurotransmitter in a pill. Rather, it's close to the neurotransmitter GABA. GABA can't cross the blood-brain barrier. True synthesized GABA would have to be injected straight into your noggin. Sorry to make you cringe. The point is, unlike most psychiatric drugs, what you take in the capsule (or tablet or oral solution) is what more-or-less what works in your brain. Neurontin (gabapentin) doesn't need your liver to make what really does the job. That means it will play well with practically every other medication there is, right? For us crazies and spazzes, that's right. The only thing we have to be careful with is stuff like Maalox. As a lot of meds cause tummy troubles, a lot of us use OTC remedies like Maalox. Maalox interferes a bit with Neurontin (gabapentin). You just have to wait a couple hours after taking antacids to take Neurontin (gabapentin).

But people who take Neurontin (gabapentin) for pain, and that includes a lot of us crazies, as fibromyalgia is far too common in the bipolar community, Neurontin (gabapentin) has a weird drug-drug interaction with opiates. The opiates make Neurontin (gabapentin) work better, but the Neurontin (gabapentin) makes the opiates less efficient! It's weird, and since Neurontin (gabapentin) isn't really metabolized, who the hell knows what the deal is with that. This is spelled out in the PI sheet, but who reads those, right? When you take Neurontin (gabapentin) along with hydrocodone (a.k.a. Vicodin), it decreases the bioavailability of the hydrocodone by up to 22%! While the bioavailability of Neurontin (gabapentin) is increased by 14%. It's even odder when combined with morphine. As Mouse points out there's an element of timing involved, as the one article on the interaction has morphine administered two hours before the Neurontin (gabapentin). The morphine was unaffected, having pretty much been on its way towards peak plasma, but the Neurontin (gabapentin) bioavailability was increased by a whopping 44%! We have no idea if this effect carries over to the artificial opiods, like Demerol or buprenorphine.

Meanwhile taking naproxen (a.k.a. Aleve) increases Neurontin's bioavailability by 12-15%, while there is no apparent affect on naproxen's bioavailability.






Neurontin's Dosage and How to Take Neurontin: Given all the different things for which Neurontin (gabapentin) is used, I'm not about to cover all the possible dosages. I'm just going to cover the FDA-approved applications in adults and bipolar disorder. For everything else it's between you and your doctor.



For shingles start with 1 300mg dose. On day 2 take your 300mg dose two times a day. On day 3 take it three times a day. Then work your way up as required to a dosage range of 1,800 to 3,600mg a day divided over three to four doses a day.



For epilepsy Parke-Davis recommends you start right out with the therapeutic dosage of 900mg a day, divided over 3 300mg doses. What the hell? This is an add-on medication folks, how about a little titration? My advice is to follow the schedule for shingles. Give your body a chance to get used to this stuff. The effective therapeutic range is 900 to 2,400mg a day, in doses taken three to four times a day. You shouldn't let 12 hours pass between doses.



For bipolar, remember everything is off-label, experimental and, frankly, Neurontin (gabapentin) is not a first-line bipolar medication. Follow the schedule for shingles, although you may allow yourself twice as long to get used to the med - two days at each dosage. Don't expect to feel much until you get to 900mg a day. Like epilepsy, once you get up to 900mg a day, don't let more than 12 hours pass between each dose. If you don't feel anything by the time you get up to 1800mg a day, just give up. If Neurontin (gabapentin) is doing something for you, that's one thing, but if it's not doing anything at all, don't just throw more at it.



Parke-Davis is all about taking it three times a day. My experience, my doctor's and the various studies I've looked at indicate that mileage always varies. There has even been one study on taking Neurontin (gabapentin) three or four times a day. I found that taking it four times a day works better for me than three times a day.



As for how much you can take, the sky is the limit. There is no known lethal dosage for Neurontin (gabapentin). The tablets are more likely to be a choking hazard than the risk of poisoning yourself from several bottles of the stuff. However, between the diminishing returns of bioavailability and the side effects of getting all that stuff in you it's just a pointless exercise to be taking megadosages of Neurontin (gabapentin). The real harm of a lot of Neurontin, from a psychiatric standpoint, is that it gets in the way of taking the right medications. If it works for you, fine. But if Neurontin (gabapentin) isn't doing squat at the normal therapeutic range, just give up and move on.





Days to Reach a Steady State: Two days after you're taking it at least three times a day.

When you're fully saturated with the medication and less prone to peaks and valleys of effects. You still might have peaks of effect after taking many meds, but with a lot of the meds you'll have fewer valleys after this point. In theory anyway.



How Long Neurontin Takes to Work: It should start to do something for you a couple days after you reach 900mg a day. But because of the whole bioavailability issue it may not be until you're somewhere in the range of 900-1800mg a day, presuming it will do anything at all for you.



Neurontin's Half-Life & Average Time to Clear Out of Your System: 5-7 hours. It's out of your system in 2 days.

How to Stop Taking Neurontin: Your doctor should be recommending that you reduce your dosage by 100-300mg a day every two days, 5-7 hour half-life, if not more slowly than that.

Like any anticonvulsant, if you've been taking Neurontin (gabapentin) for more than a couple months and you're up to or above 900mg a day you just can't stop cold turkey if you're not at the therapeutic dosage for another anticonvulsant that you know works for you, otherwise you risk partial-complex, absence seizures or even tonic-clonic grand mals, despite your never having had a seizure disorder before! The risk is worse if you're taking a lithium variant, and/or any antidepressant, especially Wellbutrin (bupropion hydrochloride). Anyone with a history of a seizure disorder who needs to stop taking an anticonvulsant cold turkey needs to be discussing that with two neurologists and not getting your information from some stupid web site. Get off your computer and start making appointments!

If you've worked your way up to a particular dosage, it's usually best to spend this many days at the next lowest dosage before going down the next lowest dosage before that and so forth. This is the least sucky way to avoid problems when stopping any psychiatric medication. Presuming you have the option of slowly tapering off them.




Comments: Be sure to read the section on anticonvulsants if you haven't done so already.

Approved by the FDA to treat epilepsy in December 1993 Neurontin (gabapentin) is the weakest of the semi-official mood stabilizers, but it works for me! Yet I am a known freak. Neurontin's main problem is in the digestive tract, and that is allegedly going to be solved with the new and improved version, pregabalin, which might be on the market by the time you read this. As you can see from the data above, Neurontin's bioavailability tends to be an issue as you take more of it. I've seen other figures indicating even lower bioavailability of Neurontin (gabapentin). Maybe it's because Neurontin (gabapentin) pretty much bypasses your liver and gets to your brain through the L-amino acid pathways. Thus because Mouse and I are total freaks with food allergies and quite sensitive to those sorts of things, we probably get way more Neurontin (gabapentin) absorption than most people. This is just a wild-ass guess on our parts.

Neurontin (gabapentin) has helped Mouse with her restless leg syndrome, and may be providing her with some mood stabilization.

The whole question comes up, is Neurontin (gabapentin) worth a damn as a mood stabilizer? Well it certainly shouldn't be used first without some good reason, such as a comorbid chronic pain ailment or partial onset seizures. Basically the existing data show that Neurontin (gabapentin) isn't that good of a mood stabilizer. At least, not if other stuff seems to work. However, if nothing else is working, adding Neurontin to the mix can sometimes help, although apparently not if rapid cycling is involved. It has helped me. How can I tell? First I tried to see what life would be like without Neurontin (gabapentin). Boy was that a bad time. Since then I switched from 300mg four times a day to 400mg three times a day, and found it to be less effective. If I missed a dose I was more susceptible to breakthrough hypomanias or depressions. At 400mg four times a day my memory is a bit worse, but if I forget a dose (which is now more likely since my memory is worse; like, duh) I don't have a breakthrough event. The reports at Remedy Find and on the bipolar support groups follow the studies - generally useless for most people, but the one missing piece or the one drug that worked when all else failed for a small number of people.
Neurontin (gabapentin) can also be effective in treating panic/anxiety disorders. It's not as good as the benzodiazepines or the antipsychotics in that regard, but if you're not able to tolerate any medication from either of those classes, Neurontin (gabapentin) is certainly better than nothing. I've found it most helpful in dealing with my agoraphobia. It doesn't do squat for Mouse's anxiety. Like people in the one study referenced, Mouse found Neurontin (gabapentin) to aggravate her OCD.

It did start to work on my epilepsy once I got up to the 900mg a day level. Mouse told me the absence seizures were fewer (but they didn't vanish completely until Topamax (topiramate) was added to the cocktail) and the partial-complex events also decreased in frequency and severity. Again it took the addition of Topamax (topiramate) to finally deal with all of my epileptic symptoms. But Neurontin (gabapentin) is quite the helpful medication for me.

As for all the pain stuff, it has helped Mouse with her fibromyalgia, with both the pain and the quality of her sleep, but she hits a wall of side effects. Above 1,200mg a day her memory becomes too bad for her to function. At 1,200mg a day Neurontin (gabapentin) helps a lot, but it could help more were it not for the memory issues. Other people we know taking it for chronic pain have reported a mixed bag of results, some positive some where nothing happened. The people posting at Remedy Find report along similar lines, with a few noting intolerable side effects.

Additionally Neurontin (gabapentin) has been studied and used for things like agitation in dementia patients, cocaine dependency and cravings, and alcohol withdrawal.

It all comes down to being literally able to stomach this stuff. Neurontin (gabapentin) is an effective medication for some people, a worthless sugar pill for others, and an evil source of side effects for a small unfortunate few. The real problem seems to have been Parke-Davis' allegedly sleazy marketing practices, which prevented people from getting the correct medications and has led to an anti-anticonvulsant backlash. They took a good thing and oversold it, screwing it up for everyone else. Expect the backlash to be worse now that Pfizer has settled for over 400 million dollars.

Now the Pfizer has acquired Parke-Davis and Neurontin (gabapentin) is to be superseded by pregablin, who knows what things will be like? Will pregablin be used for as many off-label applications? Will it be more or even less effective in some applications? Neurontin (gabapentin) will still be on the market, but things will be different after 2003.

Like other anticonvulsants, Neurontin (gabapentin) carries the rare but possible risk for aplastic anemia. Mouse had to deal with it when trying Lamictal (lamotrigine), and we know one person who had to stop taking Tegretol (carbamazepine USP) because of it. So if you see lots of weird bruises that you can't explain, see your doctor immediately!



Manufacturers: Parke-Davis, a subsidiary of Pfizer. Also Pharmascience a manufacturer of a Canadian generic.



Sample US Cost: $124 for 100 300mg capsules.

As of 12/0819/2003. Full retail for the uninsured. Go ahead and gloat, citizens of civilized countries and all of you with full medical coverage.



Sample Canadian Cost of Neurontin: $98 for 100 300mg brand-name capsules. $67 for 100 300mg generic capsules.

As of 12/08/2003. In US dollars, for re-importation to the US. Clicking on the link with take you to Canada Pharmacy. Please mention customer # 192929 when you order. It will knock five bucks off of my next order of guess what? Canadian gabapentin!

Result number: 24

Message Number 195248

Trying to decide if I should have the surgery View Thread
Posted by Tammy B. on 3/10/06 at 01:41

I just found this message board through another link.

Today my Ortho. Surgeon told me that we've ran out of options for relief for my TTS. I'm having pain in my arch, pain on the inside of my ankle that shoots a little bit up my leg... I'm sure you're all familiar with the symptoms & pain associated with TTS.

I'm taking Neurontin & was just given Hydrocodone for pain. (The Neurontin for 1 year now)

The main concerns I have for the surgery is that I've had problems in the past with blood clots forming after surgeries. My doctor also requires at least a 24 hour hospital stay following the surgery, but I guess it depends on how well I would do afterward.

The pain is so bad right now that I'm propping my foot on a pillow and trying to relax. Just when I think it feels okay, I'll stand up and literally let out a scream from the pain sometimes.

Do you also suffer with pain in your (spelling might be wrong) Achilles tendon from your TTS?

Sorry if this seems all out of sorts but I'm glad there's a place like this to get additional information before making up my mind whether to let him do the surgery. I was really hoping he would tell me that it was an Outpatient procedure with a short recovery time, but it doesn't seem like that's the case at all.

Thanks for your responses.

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Message Number 191995

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Message Number 191994

Re: Nothing to do with PF - Have you ever had tinting applied to your windows? View Thread
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Message Number 191645

Re: Poor Clinical Outcomes View Thread
Posted by JG on 1/17/06 at 20:36

Dr. Wander,
My big toes were numb, so I had originally gone to my family doctor who said it was my weight. When all of my toes became numb, I went to a Dellon-trained podiatrist who then sent me for a NCV/EMG test. The test was positive for tarsal tunnel in both feet. By the time I had that test I was in such terrible agony I decided drugs or anything else would only mask the problem. I had surgery on both feet (12/04 and 3/05). An extra muscle belly and a varicose vein were removed from my left foot. A varicose vein was removed from my right foot.

The top of my feet and all of my toes are still numb and painful. Before the surgeries, I experienced a hot, burning pain. There is a different pain now, kind of like a pressure on my toes that hurts and never goes away.

I had another NCV test and it showed a definite improvement. The doctor also discovered a pinched nerve that wasn't seen on my pre-surgical test. I have degenerated disks at L4, L5. So far, I tried Neurontin, Cymbalta and Lyrica. I am weening myself off the Lyrica at this point, after which I am going to try Elavil. I have had 3 epidurals since 10/05. I occasionally take a hydrocodone pill if I expect to do a lot of walking.

I realize the numbness is most likely here to stay, but I have a difficult time dealing with the chronic pain. Any suggestion you can give me would be much appreciated.

To you and all of the doctors that help us on this board:
Thank you for your time.
Joyce

Result number: 28

Message Number 191152

hydrocodone dosage View Thread
Posted by hydrocodone dosage on 1/10/06 at 06:14

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Searching file 18

Message Number 188757

person that is in chronic pain View Thread
Posted by SMS on 12/02/05 at 14:28

A person that is in chronic pain that is a diabetic with foot and leg pain
severe enough to have surgery? What pain medication would you reccomend for this type of client?Before the surgery.

I had a client recently that suffered with delusions from Hydrocodone! 500 mg prn every 4 hrs They started seeing and hearing things that were not there,They stopped eating (I think) due to the pain med in other words the pain med suppressed there desire to eat/It also appeared to affect brain function , The ability to functon normally is this possible ?
500mg of hydrocodone is what was prescribed. Doctor what would be the safest pain med for a person with chronic pain in there legs and feet , That is a diabetic?at the lowest possible dose that would work well until they have surgery?)
Sincerely SMS

Result number: 30

Message Number 186490

Re: 10 days post surgery View Thread
Posted by brenda s on 11/01/05 at 21:31

Dr. G: my problem is all the meds I am allergic to: NSAIDS, Hydrocodone-Lortab-that group; Toredol, Celebrex, Vioxx, Fosamax, Spectricef, Sulfa, and others. Have posted several messages to you about Lyrica. My face is red and feels puffy. Allergic reaction or just a passing phase of the medicine? If it is still this way in the morning I will call Dr. O and let him know. I may go by his office. I have to go the Alabaster with my daughter to take her son to the dr and it's not really that far to his office. I will call before I go. Oh, please don't let this be another med I can't take. When the drs look at my list of meds I can't take they just don't know what to give me. I have osteoporsis in the lower part of my back, subject to having kidney stones bad, just a whole lot of health problems that would take a book to write about. Hey, maybe if I knew how to start a book I could make some money to help pay for the Lyrica if I can take it. From what I saw on the internet it is expensive. Dr. O gave me one weeks supply free. I may have to talk him into other free meds if I can take it. My insurance isn't very good at paying for drugs. Enough of me. I have just sat her and written several times in different places about my problems. Oh well, gives someone else something to talk about. I'm only 52 years old and totally falling apart. I have been so upbeat about this and now if this is an allergic reaction what will I take now?

Result number: 31

Message Number 185510

Re: Concerning medications... View Thread
Posted by JG on 10/23/05 at 16:53

Yes, I am. I just finished with Cymbalta. It didn't help me at all. I don't like Neurontin. I haven't tried Mirapex, but you sound like me, so I'm not sure it would work either. I did get some hydrocodone for times I have to walk a lot more than normal. I don't like to take too much of that (for obvious reasons). I just had a second epidural. Now my toes are worse since the first epidural.

I have been following Dr. Goldstein's posts regarding cryosurgery. I'm not sure it would help after my 2 tarsal tunnel surgeries, but that's another discussion. It is intriguing, though.

I am totally disgusted at this point. I guess there are still other options, like acupuncture or hypnosis. It's just getting frustrating now. I am soon reaching the desperation point.

So, no, you're not alone. Welcome to the club!
Joyce

Result number: 32
Searching file 17

Message Number 177272

Re: Soldier Needs Advice View Thread
Posted by Zane on 6/24/05 at 07:35

Sorry to hear about the pain. I'm in same situation with no clear diagnosis. Ultram helped me for a bout one year. Have you tried taking two Ultram (100mg total). Hydrocodone also works excellent for heel pain although I don't have the nerve problem like you, just heel pain for 15 years.

Also, I use anesthetic patches called Lidoderm. They are a 12 hour patch that is just the right size for feet. They hold up to walking all day but I doubt will survive jogging, etc.

I've also been using a TENS nerve stimulator that helps significantly. For non-weight bearing exercise I ride an exercise bike or bike through my neighborhood. Good luck and don't give up hope. There are cures but keep persistant with doctors.

Zane

Result number: 33

Message Number 174234

Torn ligaments View Thread
Posted by Necee on 5/04/05 at 11:55

My nephew just called me, he's in severe pain with torn ligaments in his foot. He injured his foot a few years ago, he'd had some reoccuring problems, but nothing severe, until Sunday.....he jumped out of his boat, and when he landed, his foot gave way. He couldn't walk, and suffered all that night, he went to his family Dr monday morning. That's when he was diagnosed with the torn ligaments. He said the Dr told him to stay off his feet, and that he needs to put heat on it. He gave him Hydrocodone for the pain.
With all the knowledge on this board, can some of you give suggestions on what will help him? Maybe some of you have suffered from this problem, and can give some advice on what works best.

Thanks,
Necee

Result number: 34

Message Number 171997

Re: pf hs & tt surgery all at once View Thread
Posted by Delrea K on 3/26/05 at 17:25

Hi Brian
I know all about rsd I have been told by three Drs that is what I have after the first surgery was messed up so bad.Now Two more say no It is compressed nerves heel spur returned tarsal tunnel and the pf again. That it is just worse this time because of so much scar tissue.I take 10 hydrocodone a day 6 baclafen a muscle relaxer.And sleeping meds just so I can try to sleep through the pain. and anti -depressants.I have had 4 blocks on the back and even an ablation where they burned nerves in six places.
At this point I dont think there is much more that can go wrong.Short of amputating the evil thing.I have a two year old that I adopted that my daughter decided she wasnt ready to raise. I have had him since birth .And he is at the point where I am having a hard time keeping up because of the pain .I cant even shop and when you take my ability to raise children AND shop.It is time to fight back. I am 45 to young to lay down and give up .Belive me I have done all the exercises and streches,everything I have been told to do.
Im not just looking for the positive im looking for understanding people that know how difficult all of this can be. And maybe some support while I go through the worst of it. An when we come out on the other side maybe some I can call friends.
This Dr did not give me any false hopes he said only a 75 to 80% chance of it working but to me that sounds like a miracle.
And he did say it would take six to eight months to heal.maybe even longer.
At least he is willing to help most just look at me and say I wont touch you!!.And others act like im after there silly pain meds . Like a person couldnt find better on the streets if that is all a person wanted.
Sorry to have gone on so but this is something very real and very painful. And I hope I can find friends here.
Delrea K

Result number: 35

Message Number 171888

Re: Just Had TTS Surgery View Thread
Posted by JG on 3/24/05 at 13:18

For both of my TT surgeries, I took hydrocodone around the clock for about 5 days. After the first surgery I stopped taking it the 6th day. For my second surgery (which was March 8th) I had a little more pain, so after the 5th day, I took a pill once a day for about 4 more days. Everyone is different. Your surgery really wasn't that long ago, so I can understand you still being in pain.
I was allowed to shower after both my bandages came off (approx. 10 days later). I started physical therapy near my 7th week for my 1st surgery. I was walking at that time, but not correctly. I just got my staples out today from my 2nd surgery. (They didn't tell me how bad that would hurt the 1st time, so I took a pain killer before I went this time!) I have been walking without my walker for about 5 days. Doctor says I probably won't need PT this time. My recovery time for this surgery is going alot quicker than the 1st surgery. As far as going to church, you may be pushing it there. I don't know how you are, but it hurt to hang my foot for an extended period of time. I would ask your doctor about church, since you are still in such pain. Happy Easter!

Result number: 36
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Message Number 167877

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Message Number 162577

Re: My TTS/RSD story (Long!) View Thread
Posted by Janice C on 10/30/04 at 21:33

CREESE, my sister in law who has had PF a long time sent this after I forwarded your message to her. Hope it helps. Janice C

This lady needs to know about the neat night splints my foot doctor
prescribed for my feet. I had forgotten about them since I have hardly
been able to walk lately and have been putting them on at night now to
keep my heels off the bed because I was in so much pain when I went to
bed that I couldn't go to sleep with out hydrocodone and I have been
sleeping so good now with the night splints.\

They are the most wonderful things created and easy to sleep in. The
ones I use to have were these hard plastic things that were difficult but
now they came out with these wonderful soft ones and my feet are so good
when I step out of bed until I am on them too long during a day.

They are called Healwell CUB. The writing is so small but I think it
says they are made by Florida orthopedics. Miramar FL. 33025
My insurance paid for mine because my foot doctor prescribed them. I
think they would be of big Help to you too. I can't recomend them highly
enough. You are not suppose to walk in them, it wrecks them. He also
gave me some things to wear during the day that are really great since we
have new carpeting and we don't wear shoes in the house. It is too
painful for me to walk on the kitchen floor without shoes so I wear shoes
in there but around the rest of the house I wear these things that he
gave me for day. They have these air things around the ankle and it
pushes air under an air pad that is also under the middle of the foot and
that keeps the heel off the floor when you walk by pushing air from the
ankle down into the air pocket under the foot. I love those too.They say
aircast air heel on them but I could find out from my doctor where to get
them since I go in Tuesday to him.. The phone number on there is
800-526-8785. They slip on the foot top and bottom, the heel is open so
it isn't touching a thing when you walk and are off the floor, they are
wonderful too. Well worth getting. Can you get that info to the lady in
the story right away?

Love,

Miss Molly

Result number: 38
Searching file 15

Message Number 157674

Re: tailor's bunnion View Thread
Posted by Pauline on 8/12/04 at 10:28

Bill,
I'm not a doctor, but sometimes what the doctor says and what really takes place are two different things. Here are a couple of posts from the surgery board on this site. Take some time to read the entries you'll not only learn a great deal, but will gain new respect for your feet and what they go through on a daily basis when we walk.

I'd also suggest that you find out from your doctor exactly what procedures are planned to repair your bunion. There are different repairs some more involved than others. Ask all your questions ahead of time and be comfortable with your selected doctor and his treatment. Know before you go.

For the sake of space I've only posted two. There are many more entries
and you can do a search on Pub. Med for Medical Journal Articles.
Best of luck.

Tailor's Bunionectomy and PF Release View Thread
Posted by Dee C on 7/23/04 at 13:57

It has been since May 28th, and still hurts and is swollen. Have tried all types of shoes but the bump still sticks out. Just tissue I was told; but how long does it take for the swelling to go down generally? Should I tape it or wrap it or bandaid it? Would really appreciate an opinion. Had PF release surgery on other foot same day. That still hurts too, of course, if I am on it too much. Am I being too impatient or what?


Message Number 156069


Re: bunnion surgery View Thread
Posted by Tonya on 7/18/04 at 16:51

I too have had bunion surgery and it is hell. My left foot was first and I had to keep an ice pack on my foot for at least 23 days everyday and I still have to put an ice pack on it at night even now, three months later. I have had my right foot operated on 18 days ago. I thought the doctor would make my feet match but he didn't. The scars are different and the toes are leaning in different directions. I am totally crippled. He used a screw in my left foot that was too big and I can still feel it. I think I will have to have that foot operated on again. I limp and walk on the outside of both my feet. I mostly stay in bed and eat all day. I can't go anywhere because I can't dress up and look good because I can't wear any shoes not even my boot. They gave me one size boot for my left foot and a different size (too small) for my right foot. If I had to do it again I would not do it at this time. I have kept a journal since the very beginning. As it is now, I have taken 10/20 Hydrocodone about 90 of them and tomorrow I will be going to get another refill for 40 more, but this time he made it for 7.5 a lower strength. My doctor lied to me and said that I could be back at work in three days but it's been months and I am still not able to work. I have to elevate my feet at all times because of the swelling. Both my feet at the end of the day and during the day have fever in them. If I were to do this again, which I don't think I would. I would want to see pictures and I would want to do only one foot a year. Not one right behind the other. Now I am worried that I will be permanently crippled. My mom had to take me grocery shopping in a wheelchair yesterday and I ran in to my friends and I was so embarrassed. Yes, I agree that you do need some counseling before getting this surgery done. I can't believe the Web sites that doctors promote that say this is a cake walk. Hell, you'll be lucky to walk at all. Now I know why my doctor will not look me in the eye. He lied to me to get me to let him make money off of me, and now it's done, and he can't stand looking at me with all my pain. Live and learn or read this!

Result number: 39

Message Number 155777

Re: bunnion surgery View Thread
Posted by Tonya on 7/18/04 at 16:51

I too have had bunion surgery and it is hell. My left foot was first and I had to keep an ice pack on my foot for at least 23 days everyday and I still have to put an ice pack on it at night even now, three months later. I have had my right foot operated on 18 days ago. I thought the doctor would make my feet match but he didn't. The scars are different and the toes are leaning in different directions. I am totally crippled. He used a screw in my left foot that was too big and I can still feel it. I think I will have to have that foot operated on again. I limp and walk on the outside of both my feet. I mostly stay in bed and eat all day. I can't go anywhere because I can't dress up and look good because I can't wear any shoes not even my boot. They gave me one size boot for my left foot and a different size (too small) for my right foot. If I had to do it again I would not do it at this time. I have kept a journal since the very beginning. As it is now, I have taken 10/20 Hydrocodone about 90 of them and tomorrow I will be going to get another refill for 40 more, but this time he made it for 7.5 a lower strength. My doctor lied to me and said that I could be back at work in three days but it's been months and I am still not able to work. I have to elevate my feet at all times because of the swelling. Both my feet at the end of the day and during the day have fever in them. If I were to do this again, which I don't think I would. I would want to see pictures and I would want to do only one foot a year. Not one right behind the other. Now I am worried that I will be permanently crippled. My mom had to take me grocery shopping in a wheelchair yesterday and I ran in to my friends and I was so embarrassed. Yes, I agree that you do need some counseling before getting this surgery done. I can't believe the Web sites that doctors promote that say this is a cake walk. Hell, you'll be lucky to walk at all. Now I know why my doctor will not look me in the eye. He lied to me to get me to let him make money off of me, and now it's done, and he can't stand looking at me with all my pain. Live and learn or read this!

Result number: 40

Message Number 152932

Re: suffering Plantar Fasciitis for Two Years now.. View Thread
Posted by john h on 6/14/04 at 09:31

Brian: I know you are sort of the medicine guru. Have your ever tried Hydrocodone?

Result number: 41
Searching file 14

Message Number 142958

Re: Tarsal Tunnel Syndrome Poll Numbness Always invlolved?w View Thread
Posted by Ricky J. on 1/27/04 at 12:49

I had surgery just over a year ago. At the time of my surgery I was already in the RSD state. My doctor didn't really understand how much pain I was in before the TTS surgery. About two months after surgery I called the doctor's office and told them I needed something to ease this relentless pain, that something had to be done now because I was at the end of my rope. The nurse said that they could not prescribe anymore hydrocodone to me any more. I said that it was not helping with the pain anyway. So the next day I went in for nerve blocks in the lower back, I recieved six of them in nine days to get me out of the RSD mode. This treatment saved me. The TTS pain is still with me. The Doc said it will probally be 2 years from surgery before things start getting noticably better. I was up to 2700mg of Neurontin and 100mg of elavil a day this summer, now I am down to 1800mg of neurontin and 50mg of elavil a day. I have also resulted to drinking several 120z bud light pain capsuls a day to help me deal with the pain.

Result number: 42
Searching file 13

Message Number 136760

Re: Bextra and ibuprofen combination View Thread
Posted by Dr. David S. Wander on 11/07/03 at 20:33

Sher A,

This is a COMPLETELY different question. Bextra and ibuprofen are basically the same type of drugs. Both are non steroidal anti-inflammatories and Bextra is also a new class of drugs called a COX-2 inhibitor, which means it should have less GI effects. BEXTRA and ibuprofen should NOT be taken together.
LORTAB is a narcotic (hydrocodone)mixed with acetaminophen (Tylenol). Lortab and Bextra CAN be taken together. These are 2 completely different types of drugs that do not have the same mechanism of action. Lortab and Bextra CAN be taken together, ibuprofen and Bextra shouldn't be taken together.

Result number: 43

Message Number 135503

Re: TTS Surgery Questions View Thread
Posted by Carol D on 10/25/03 at 14:33

Hi Rhonda,\
I had the surgery in June at a hospital about 3 hours from my home. I had planned to stay at a motel nearby, but felt so good that I went home. My husband drove, of course, and I rested in the back of the car with my foot elevated. I am not sure what anesthetic was used (a general). I had hydrocodone pain pills after. I felt great until the next a.m. when I had some post-surgery nausea. It passed after one bout of "hurling". Good luck. Carol D.

Result number: 44

Message Number 133520

Prescription drug abuse -- more complicated than you think View Thread
Posted by Sharon W on 10/10/03 at 17:15

Pauline,

There is actually a lot more involved in it than most people realize.

These kinds of things can actually happen to anyone, even very nice people.

For example: a nice, likeable, and and intelligent lady, is in terrible pain with PF but can't afford to stop working. In order to stay on her feet in her deteriorating medical condition, she needs larger and larger amounts of painkillers. Her doctor -- LEGALLY -- prescribes her hydrocodone ("codeine") around the clock to keep her on her feet. But, finally, she just can't take it anymore, even with the painkillers... she has reached the point where she can't even walk.

As soon as she quits working, her doctor tells her that she will have to stop taking her pain pills, then declares that she is "addicted" to codeine and "red-flags" her chart, notifying all her other doctors never to prescribe it for her again and to watch out for her showing signs of "addictive behavior," etc.

So EVEN THOUGH SHE IS STILL IN HIDEOUS PAIN, her regular doctor says her PF should "go away on its own" now that she's not on her feet so she shouldn't need anymore medicine, and because of the 'addiction' label she can't get ANY doctor to take her reports of pain seriously, or to agree to test her for nerve problems in her feet and ankles, or anything else!

FINALLY, she finds one doctor willing to do the tests, and he discovers (much to his amazement) that *GUESS WHAT??* she ALSO has a serious nerve condition!

The lady lives happily ever after in her wheelchair with her long-term chronic pain medications.

The end
.

Result number: 45
Searching file 12

Message Number 123611

Re: Had surgery !! View Thread
Posted by john K on 7/05/03 at 07:57

I was on hydrocodone (Vicodin) for a good while. I withdrew cold turkey at a VA hospital. Definite withdrawal symptoms if you go cold turkey. Also, the long term effects of narcotic use are depression and habituation. If you feel bad the narcotics will make you feel worse eventually. In some cases I know anything is better than severe pain. I am doing rehab for my shoulder surgery now. I have to take vicodin every day before PT. The effects of these drugs can be insidious. Be careful when you drive. Narcotics show up in blood tests and can be used as evidence of DUI. If you don't believe me ask your local highway patrol.

John K

Result number: 46

Message Number 123251

Re: Had surgery !! View Thread
Posted by BrianG on 6/30/03 at 19:14

Hi Carol,

Just a reminder that you have been on the hydrocodone for almost a month now. I'm not sure, but you may have some physical discomfort if you stop taking the pain meds all at once (cold turkey). When your ready, why not ask your doctor to taper you down, which should be much easier on your system. It sounds like you have a good, compassionate doc!!

Good luck,
BrianG

Result number: 47

Message Number 123146

Re: Had surgery !! View Thread
Posted by Carol D on 6/29/03 at 10:26

I had TTS (removal of a Schwanoma tumor) surgery on June 5. I had stitches removed and was given an "air cast" 11 days later. I am able to put some weight on my foot now, but still use crutches. I don't use the "air cast" much at home, after first week with it. I begin PT on Wed., but started some light massage and range of motion moves on my own. I have been more tired than I expected. I returned to job (seated) for about 4 hours each day, but do little at home. Thank heavens for a helpful husband. The pain has not been bad, but I am still taking 10 mg hydrocodone every 8 hours. I am interested in knowing what others are experiencing.

Result number: 48
Searching file 11

Message Number 119505

Prescription drugs combined with vitamins/herbs View Thread
Posted by Sharon W on 5/21/03 at 10:49

Prescription drugs may deplete, or use up, certain vitamins etc in your body. If you'd like to see a list of prescription drugs (including drugs for pain, cholesterol, high blood pressure, diabetes, etc.) and what nutrients they deplete, click on the link below (I've included a couple of excertps:

http://www.integrativephysician.org/PharmaceuticalDrugs.htm

Hydrocodone (codeine) with acetaminophen (Tylenol)- "A narcotic/analgesic used for the relief of moderate to moderately severe pain. Depletes glutathione."

"Note: Hydrocodone combined with aspirin depletes the following nutrients: folic acid, iron, potassium, sodium, Vit. C, glutathione. Oxycontin is also included here. Oxycontin is only different in that it is a timed-release drug."

"Prednisone - oral (prednisone) - A corticosteroid used to treat inflammations. Depletes calcium, folic acid, magnesium, potassium, selenium, Vit C, Vit D, zinc."

Darvocet-N (propoxyphene with acetaminophen) - "narcotic/analgesic combination prescribed for mild to moderate pain. Depletes glutathione."

--------------------------------------------------------------------------
There are also prescription drugs that should not be taken together with certain herbs or other supplements. For info on that, check out this site (a couple of examples follow):

http://www.iherb.com/di.html

"ELAVIL

Coenzyme Q10 (CoQ10) - Supplementation Possibly Helpful
St. John's Wort, SAMe (S-Adenosylmethionine), Yohimbe, and 5-HTP - Possible Dangerous Interactions
St. John's Wort - Possible Harmful Interaction"

"[Drugs in the same family include]:

amitriptyline hydrochloride (Elavil)
amoxapine (Asendin)
clomipramine hydrochloride (Anafranil)
desipramine hydrochloride (Norpramin)
doxepin hydrochloride (Sinequan)
imipramine (Tofranil)
nortriptyline hydrochloride (Aventyl, Pamelor)
protriptyline hydrochloride (Vivactil)
trimipramine maleate (Surmontil)
and others"

--------------------------------------------------------------------------


"Tramadol is a unique non-narcotic and non-anti-inflammatory analgesic medication used for the treatment of moderate pain. It has many effects in the body, including some that relate to endorphins and others that involve serotonin."

"St. John's Wort, 5-HTP (5-Hydroxytryptophan), SAMe (S-Adenosylmethionine)

Possible Dangerous Interactions

There are two case reports that possibly implicate tramadol in serotonin syndrome.1,2 This syndrome is caused by excessive levels of serotonin, which bring about various dangerous side effects.

Since St. John's wort and 5-HTP might increase serotonin levels, and SAMe (S-adenosylmethionine) has reportedly caused serotonin syndrome, combining any of them with tramadol could be risky."


--------------------------------------------------------------------------

"Corticosteroids

Alternate Names
• Glucocorticoids

Page Navigation
Calcium and Vitamin D - Helpful Interactions
Topical Herbal Treatments - Possible Helpful Interactions
DHEA (Dehydroepiandrosterone) - Possible Positive Interaction
Chromium - Supplementation Possibly Helpful
Ipriflavone - Possible Harmful Interaction"

"Corticosteroid drugs (also known as glucocorticoids) act like the naturally occurring adrenal cortisone in the body. They are strong anti-inflammatory and immune-suppressant medications used in many inflammatory and autoimmune conditions, such as arthritis, asthma, inflammatory bowel disease, and systemic lupus erythematosus. Corticosteroids are also prescribed to suppress transplant rejection."

"Drugs in this family include

betamethasone (Celestone)
cortisone acetate (Cortone Acetate)
dexamethasone (Decadron, Dexameth, Dexone, Hexadrol)
hydrocortisone (Cortef, Hydrocortone)
methylprednisolone (Medrol)
prednisolone (Delta-Cortef, Pediapred, Prelone)
prednisone (Deltasone, Liquid Pred, Meticorten, Orasone, Panasol-S, Prednicen-M, Sterapred DS)
triamcinolone (Aristocort, Atolone, Kenacort)
and others"

--------------------------------------------------------------------------

Sharon
:-?

Result number: 49

Message Number 119497

What those prescription drugs take out of you View Thread
Posted by Sharon W on 5/21/03 at 09:45

Here's some great info on which vitamins and other nutrients are depleted when you take prescription drugs. It has info on all kinds of drugs but I only quoted some of the ones that may be used to treat PF and other foot problems (excerpts below):

http://www.integrativephysician.org/PharmaceuticalDrugs.htm

Hydrocodone (Vicodin, Lortab, etc.) with Tylenol - "A narcotic/analgesic used for the relief of moderate to moderately severe pain. Depletes glutathione."

Darvocet-N (propoxyphene with Tylenol) - "narcotic/analgesic combination prescribed for mild to moderate pain. Depletes glutathione."

Tylenol-3 (acetaminophen with codeine) - "An analgesic/narcotic used for moderate pain. Depletes glutathione."

Prednisone (oral) - "A corticosteroid used to treat inflammations. Depletes calcium, folic acid, magnesium, potassium, selenium, Vit C, Vit D, zinc."

Ibuprofen (ibuprofen) - "A non-steroidal anti-inflammatory drug used for mild pain and inflammation. Depletes folic acid."

Celebrex (celicoxib) - "A non-steroidal anti-inflammmatory drug of the newer Cox-2 Selective class. Used for arthritis-type inflammation. Depletes folic acid."

Vioxx (rofecoxib) - "A non-steroidal anti-inflammatory drug (NSAID) of the Cox-2 Selective class. Used most often to treat arthritis-type inflammations. Depletes folic acid."

Naprosyn (naproxen) - "A non-steroidal anti-inflammatory (NSAID) used to
treat inflammations, and arthritis-type conditions. Depletes folic acid."

--------------------------

"Glutathione

Function and Effect - performs antioxidant activity in red blood cells and mitochondria; synthesizes fatty acids; one of a group of nutrients that supports hepatic (liver) detoxification of alcohol, cigarette smoke and large amounts of acetaminophen and aspirin; reduces free radical damage from radiation; crucial to the development and function of lymphocytes, macrophages and other types of immune cells.

Effects of depletion/deficiency - increased free radical damage; compromised immune system function; poor hepatic detoxification; hair loss.

Dosage range - RDA not established; typical dosage 500-3,000 mg daily in divided doses. There are no known side effects or toxicity.

Dietary sources - raw vegetables; fresh fruit; meat; fish; avocado; walnuts; asparagus.

Note - When purchasing this supplement, be sure it is in its reduced form. Unreduced glutathione is not active."

-----------------

"Folic Acid (folacin)

Function and Effect - Folic acid is a common vitamin deficiency. Synthesizes DNA and RNA; needed to convert homocysteine to methionine; prevents some birth defects, including cleft lip, cleft palate and spina bifida; necessary for healthy blood cells; supplementing with folic acid prevents and reverses cervical dysplasia.

Effects of depletion/deficiency - damages DNA metabolism in cells of vagina and cervix, stomach and intestines; more frequent infections; nausea; anorexia; headache; fatigue; hair loss; elevated homocysteine levels; cervical dysplasia; megaloblastic anemia; birth defects.

Dosage range - RDA 200 mcg daily; typical dosage range 200-800 mcg daily; therapeutic dosage range 5,000-10,000 mcg daily. Folic acid is not toxic, but can mask a deficiency of Vitamin B12. This can be avoided by limiting dosage to 800 mcg or less.

Dietary sources - Folic acid is readily available, and can be found in liver, eggs, brewer's yeast, cabbage, cauliflower, dark green leafy vegetables, broccoli, Brussels sprouts, beets, cantaloupe, orange juice, lima and kidney beans, wheat germ, whole grains.

Notes - Women who are pregnant and lactating need higher doses than the RDA of folic acid. Further, before choosing to become pregnant, all women should be tested for their folic acid status. As the use of oral contraceptives has increased over the years, so has the number of women diagnosed as having cervical dysplasia. Oral contraceptives severely deplete folic acid, and all women taking these drugs should supplement with folic acid. Those with a history of colon cancer and ulcerative colitis can benefit from taking folic acid supplements."

-------------------

I hope this info will be helpful to someone.

Sharon
:)

Result number: 50

Message Number 116219

Re: biting the bullet-going for the surgery-buying pain meds in Mexico. View Thread
Posted by BrianG on 4/15/03 at 16:33

Hi Rochelle,

Since you have your mind made up, I will not try to talk you out of it. Both Vicodin and Percocet (Percodan) are good meds for acute pain. Your type of operation would certainly qualify as acute pain. The standard pills have 5mg, but you can buy both with 10mg, and possibly 7.5mg. I would try for the 10mg, as it has less asprin / Tylanol than taking two 5mg tabs. Always try to eat a little something before taking your pills, it will help your stomach and intestines. I don't know how many you can bring across the border, but I'd plan on taking at least 4 a day, for a month. Can you bring 100 back? If you don't need them all, you can flush them, or save for later.

Good luck
BrianG

PS: Vicodin (hydrocodone & acetaminophen) 5/500, ES-7.5/750, HS-10/660mg

Percocet (oxycodone & acetaminophen) 2.5/325, 5/325, 7.5/500, 10/650mg

Percodan (oxycodone & asprin) 4.5/325mg

Result number: 51

Message Number 114557

PAIN MEDS, STEROIDS, SEDATIVES FOR SALE View Thread
Posted by tim on 3/25/03 at 17:59

__--== ALL PRICES ARE IN US DOLLARS ==--__

***** Section 1 - INJECTABLE STEROID ***** FINAPLIX 20ml 100mg/ml - LIMITED STOCK, DOMESTIC DELIVERY> $165
WINSTROL DEPOT 1ml 50mg/ml - ZAMBON or ITALIAN..........=> $8
WNSTROL RESFAR 1ml 100mg/ml STANAZOLOL..................=> $11
ARGOVIRIN DEPOT 2ml 25mg/ml - (Test Suspension).........=> $10
TESTEX Leo Prolongatum (Test Cypionate) 2ml 250mg.......=> $10
TESTOVIRON DEPOT 2ML 250MG (Test Enanthate+prop)........=> $10
SUSTANON (AKA DURATESTON) 1ml 250mg - ORGANON...........=> $8
TESTOVIS (Test Propionate) 1ml 100mg....................=> $12
DEPOSTERON (Test Cypionate) 2ml 100mg/ml................=> $9
PRIMOBOLAN DEPOT 1ml 100mg/ml - SCHERING................=> $10
DECA-DURABOLIN 200mg - NORMA 2ml 100mg/ml...............=> $14
DECA-DURABOLIN 50mg - ORGANON 1ml 50mg.,................=> $8
EQUIPOISE (Boldenone) 1ml/100mg ........................=> $8 **** Section 2 - ORAL STEROIDS, ANTI-ESTROGENS and others **** HEMOGENIM 10 tabs 50mg/tab. (AGAIN IN STOCK, LIMITED)...=> $15
ANADROL, (ANAPOLAN) oxymetholone 50mg/TAB 100 TABS......=> $150
ANADROL50 10 tabs 50mg/tab - SYNTHEX....................=> $12
ANAVAR 100 tabs 10mg/tab................................=> $200
ANAVAR 10 tabs 2,5mg/tab - SPA..........................=> $15
ANAVAR 100caps 10mg/capsule(PRIVATE LABORATORIE)........=> $200
WINSTROL 15 tabs 10mg/tab HUNGARY ......................=> $15
WINSTROL 100 capsules 25mg/cap..........................=> $100
SUPER-WINSTROL, stanozolol 50mg/cap 100 caps............=> $250
PRIMOBOLAN 100 capsules 25mg/cap........................=> $150
ANABOL (THAILAND D-BOL) 100 tabs 5mg/tab................=> $50
SUPER-DBOL, methandienone 50mg/TAB 100 TABS.(out stock).=> $180
RUSSIAN D-BOL 100 tabs 5mg/tab..........................=> $75
TEST SUSPENSION *sublingually* 100 tabs 20mg/tab........=> $150
METHYL-TESTOSTERONE 100 tabs 5mg/tab....................=> $60
MASTERON 50mg/CAP 100 CAPS .............................=> $250
NITROTAIN, ethylestranol 20mg/TAB 100 TABS..............=> $150
ORAL-TURINABOL 100 tabs 10mg/tab........................=> $150
METHANDRIOL 50mg/tab 100 tabs...........................=> $150
STERANABOL (Clostebol Acetate) 100 tabs 20mg/tab SUBL...=> $150
CLOMID 50mg/tab 20 tabs.................................=> $30
CYCLOFENIL 20tabs 200mg/tab.............................=> $15
FEMARA 2.5mg/tab 28 tabs................................=> $190
ARIMIDEX 1mg/tab 28 tabs (original by ZENACA)...........=> $200
NOLVADEX 10mg/tab 30 tabs ..............................=> $35
NOLVADEX 20mg/tab 30 tabs ..............................=> $65
PROVIRON 20tabs 25mg/tab................................=> $12
YOMAX (aka: Yohimbi) 60tabs 5,4mg/tab...................=> $16
VIAGRA 1 tab 100mg/tab..................................=> $10
**** Section 3 - PAIN MEDS, PAIN KILLERS, PAIN RELIEVERS **** *MSCONTIN (MORPHINE SULPHATE)fast release 30mg/tab 1 tab => $3
*MSCONTIN (MORPHINE SULPHATE)slow release 30mg/tab 1 tab => $3
*MSCONTIN (MORPHINE SULPHATE)slow release 60mg/tab 1 tab => $4
*MSCONTIN (MORPHINE SULPHATE)slow release 100mg/tab 1 tab=> $5
*OXYCONTIN ( oxycodone ) 10mg/tab 1 tab BY PURDUE....... => $5
*OXYCONTIN ( oxycodone ) 20mg/tab 1 tab BY PURDUE....... => $7
*OXYCONTIN ( oxycodone ) 40mg/tab 1 tab BY PURDUE....... => $11
*PERCODAN (5mg Oxycodone + 325mg Acetaminophen) 1 tab .. => $3
*PERCOCET (5mg Oxycodone + 325mg Aspirin) 1 tab......... => $3
ULTRAM (aka Tramadol) 10tabs 100mg/tab.................. => $30
ULTRAM (aka Tramadol) 10caps 50mg/tab................... => $15
ULTRAM 1 ampoule 100m/amp (aka Tramadol)................ => $15
CODEIN 12 tabs 7,5mg/tab................................ => $8
CODEIN 30 tabs 30mg/tab................................. => $20
CODEIN 30 tabs 60mg/tab................................. => $30
*HYDROCODONE 2mg of PURE HDYROCODONE 1 tab ............. => $1
*HYDROCODONE 10mg of PURE HYDROCODONE 1 tab ............ => $3
*VICODIN 10mg Hydrocodone + 325mg Acetaminophen 1 tab .. => $3
*TEMGESIC, buprenorphine 0,2mg/TAB 100 TABS *sublingual* => $70
*TALWIN 25mg/TAB 100 TABS............................... => $150
TYLENOL 20tabs 750mg/tab................................ => $10
**** Section 4 - TRANQUILIZERS, Sleep AID, SEDATIVES/others **** ZOLOFT 20tabs 50mg/tab (Anti-depression)............... => $30
KLONOPIN (clonazepan) 20 tabs 0.5mg/tab.................=> $5
KLONOPIN (clonazepan) 20 tabs 2mg/tab.................. => $10
PROZAC 14 tabs 20mg/tab................................ => $30
RITALIN 20 tabs 10mg/tab............................... => $15
VALIUM 20tabs 5mg/tab - ROCHE.......................... => $6
VALIUM 20tabs 10mg/tab - ROCHE. (THE "BLUE VALIUM").... => $10
VALIUM 1 ampoule 10mg/amp - ROCHE...................... => $2
ATIVAN (LORAZEPAM) 20tabs 1mg/tab...................... => $7
ATIVAN (LORAZEPAM) 20tabs 2mg/tab...................... => $10
LEXOTAM 20tabs 3mg/tab - ROCHE......................... => $5
LEXOTAM 20tabs 6mg/tab - ROCHE......................... => $10
XANAX 20tabs 0,25mg/tab - UPJOHN....................... => $6
XANAX 20tabs 0,50mg/tab - UPJONH....................... => $11
XANAX 20tabs 1mg/tab - MERCK........................... => $15
XANAX 20tabs 1mg/tab - UPJOHN.......................... => $15
XANAX 20tabs 2mg/tab - MERCK (The oval pills).......... => $25
XANAX 20tabs 2mg/tab - UPJOHN (THE FAMOUS "BARS").......=> $25
ROHYPNOL 20tabs 1mg/tab- ROCHE (GREEN "GERMANY" version)=> $12
AMBIEM 10 tabs 10mg/tab................................ => $12
PHENOBARBITAL 60mg/TAB 100 TABS........................ => $150
****** SECTION 5 - BRAIN STIMULANT ****** PIRACETAN 30 tabs 800mg/tab............................ => $12
HYDERGYNE 28 tabs 4,5mg/tab............................ => $50
****** SECTION 6 - DIURETICS ****** LASIX 20 tabs 40mg/tab..................................=> $10
ALDACTONE 20 tabs 25mg/tab..............................=> $10
ALDACTONE 16 tabs 100mg/tab.............................=> $20


****** SECTION 7 - APPETITE STIMULANT ****** PERIATIN (Aka: Periactin) 50 tabs 4mg/tab................=> $12
REMERON 20 tabs 45mg/tab.................................=> $85
***** SECTION 8 - FAT LOSS, TYROID MEDS, OTHERS ***** PHENTERMINE 25mg/tab 20 tabs.............................=> $20
TRIACANA 100tabs 0,350mg/Tab (Tiratricol)................=> $10
CYTOMEL, T3 25mcg/TAB50 TABS.............................=> $10
CYTOMEL, T3 50mcg/TAB50 TABS.............................=> $15
L-TYROXINE, T425mcg/tab 20 tabs..........................=> $10
L-TYROXINE, T4100mcg/tab 30 tabs.........................=> $20
TYROPLUX, MIX of 45mcg T3+ 180mcg T4/tab 50 tabs.........=> $20
SALBUTAMOL 20tabs 2mg/tab................................=> $5
SALBUTAMOL 20tabs 4mg/tab................................=> $8
CLENBUTEROL 20mcg/TAB 10 TAB...........................=> $6
Super-Clenbuterol100 tabs 0.2mg clenbuterol + 5mg ketotifen ...=> $120
REDUX 40mg/TAB 100 TABS..................................=> $150
PHEN-FEN15mg/30mg 100 TAB................................=> $150
MERIDIA 15mg/TAB100 TABS.................................=> $150
******** SECTION 9 - BALDNESS TREATMENT ******** PROSCAR (Finasteride) 15tabs 5mg/tab.....................=> $35
PROPECIA (finasteride) 30 tabs 1mg/tab...................=> $30
***** SECTION 10 - ORAL INSULIN ***** GLUCOPHAGE 30 tabs 850mg/tab........................... => $12
****** SECTION 11 - KIDNEY/LIVER PROTECTORS *****

SILIMALON (Aka: Sylimarin ) 20tabs...................... => $20
XANTINON 20tabs......................................... => $5
ARTICHOKE 100tabs....................................... => $12
METIOCOLIN 40tabs....................................... => $12
ORNITARGIN 20tabs....................................... => $5
***** SECTION 12 - Muscle Relaxers ***** SOMA, (Carisoprodol) 300mg/tab 20 tabs............ => $20
NAXEN 20 tabs 250mg/tab........................... => $10
NAXEN 20 tabs 500mg/tab........................... => $15
DORFLEX 192tabs................................... => $35
DORILAX 12 tabs................................... => $10
MIOFLEX 16tabs.................................... => $7
TANDROR 10tabs 200mg (Fenoprofeno)................ => $12


>

Result number: 52

Message Number 110865

Re: Endoscopic Plantar Fasciotomy surgery View Thread
Posted by Dr. David S. Wander on 2/26/03 at 13:34

Brian,

I think you may be a little "tough" on the doctor. I'm sure that the doctor's goal is not to keep her in pain, since only treating the pain would be the wrong approach. Vicodin and Percocet are not the same drugs and do not contain codeine. Vicodin contains a codeine derivative called hydrocodone and Percocet contains oxycodone. These are each different, and differ from codeine. These are all narcotics and Vicodin and Percocet are available in several strengths in addition to the 5 mg you mention.

Result number: 53
Searching file 10

Message Number 107557

Re: hydrocodone View Thread
Posted by BrianG on 1/31/03 at 21:38

Don't do it, it's CRAP !!!!!!!

Result number: 54

Message Number 107553

hydrocodone View Thread
Posted by hydrocodone on 1/31/03 at 21:32

i have narcotic pain relievers for sale.
Hydrocodone 5/500 - .75 per pill
Lortab(hydro) 10/500 - .80 per pill
Oxycodone - .90 per pill
skelaxin 400mg - .40 per pill
morphine 15mg - $10 per pill

email me if interested

hydrocodone@anywhereusa.com

Result number: 55

Message Number 106683

Re: surgery scheduled after 3 visits View Thread
Posted by BrianG on 1/24/03 at 17:49

Vicodin is not a bad pain med for acute type pain. Unfortunatly your now beginning to look at chronic pain. Both the Vicodin and Neurontin have side effects. One may work better for you, than the other. Don't forget to take the Vicodin with food, it will be easier on your stomach and liver. Neurontin can give you dry mouth, weight gain, bluriness of the eyes, etc. Neurontin will sometimes work better for "nerve type" pain, than the codeine meds.

Quite a few people take a coctail of meds, to better treat all the symptoms. A pain med, something to relax (sleep) and an anti-inflamatory (Vioxx, etc). Now your looking at three meds, but with a much better chance of working. Something to speak to your doctor about, while you are waiting on your surgical decision.

Good luck
BrianG

PS: You may not be aware, but Vicoin comes in three strengths. There is the normal 5-500, which is 5 grams hydrocodone and 500 grams of acetaminophen. Next is ES, which is 7.5-750 and lastly HP, 10-660. The last is probably the best if you need an increase, as it has less tylanol.

Result number: 56
Searching file 9

Message Number 94372

Re: To Missy from June : frusterated View Thread
Posted by June on 9/03/02 at 15:43

Missy,
You certianly are right, I have gotten some good information here, from the others, and I truley appreciate it all.You said it bothers you that the dr doesn't have time to explain the TTS surgery to me. Well, again, I want to stress he is doing 'wonderful' things, yet is very busy, but......trying to see him, or even talk to him is more like trying to break into Fort Knox. I don't need anymore problems, and I fear I am about to start with anxiety attacks . His nurse just called me, and said he makes appts for a week after testing, but he's going out of town, and can not see me, til next week. I am really stressing to the point, I feel. like bricks are of my chest, and I am suffocationg. My goodness, I am so sick of this game, and I don't want to play anymore!! I have been BEGGING the neuro for months to 'do' something, and it took forever for him to hear me, now that the appointments have been made, and I have followed through, it is 'hurry up and wait' I told the nurse I havent worked for weeks, and she said, "can't you just go there, and sit?????" I had the urge to ask her if she could go to HER job, and just SIT. I feel like most of the world is going insane, then again maybe it's just me, and I am already there! Has ANYONE ever gotten so upset,and frusterated??????? It's like facing a brick wall, or 'many' brick walls. When I called the secretary this am to see if the tests were in,.. they were.. now all of a sudden, they are not!? The dr said he would prescribe Darvocet...that would work well, after I have already tried Duragesic patch, Morphine, that did absolutely nothing, and Oxycontin,Hydrocodone etc. Finally he said tomorrow I could pick up a script for Percoset.I find it strange that none of them suggested ice, heat, peas?,elevation, or even a cane? I'm sorry to create a scene here about my problem, I am just do desperate to have answers, and feel well again My business is just as important to me, as anyone elses profession, and it is killing me to sit on this chair while it goes down the toilet. Sorry Missy, I didn't even answer your post, I will have to do that later. It was wonderful explanation of how things went for you.You have all been so enlightening with your experiences. Thank you, June

Result number: 57

Message Number 91093

Immense Pain! Thanks for Your help, I printed your reponses and took them to my GP. View Thread
Posted by Ricky J. on 7/31/02 at 07:08

I called my general practicianer yesterday and ask if he could get me in to see him asap. He just had a cancellation and I went to see him. I printed out the reponses that ya'll wrote back to me and the recommedation for treatment. He thought they were good. He said that he had never had a case of TTS. He set me up on Neurontin, Elavil, and Tylenoly 3 with codine. I had to practically beg for pain relief medicene at my Orthepaedic center. I took the Neurontin and the Elavil yesterday about 2 pm, inwhich by 4 pm I was practically knocked out. I slept for 13 hours, only to be waken by the pain every five hours or so. Had to fall back on a hydrocodone to relief some pain.
How long does this medicene take before it starts releiving some pain and depression? Thanks again for your help!

Result number: 58

Message Number 90969

Re: Immense Pain, Need advice on a good pain releiver for bilaterral TTS! View Thread
Posted by KathyB on 7/30/02 at 08:15

I am on Neurontin and Topamax and they are working great for me. I can acutally walk without pain for 30 - 45 minuets. I also use Hydrocodone 7.5 for flare ups.

Result number: 59

Message Number 90935

Re: Immense Pain, Need advice on a good pain releiver for bilaterral TTS! View Thread
Posted by Sharon W on 7/29/02 at 19:08

Ricky,

You're right, Darvocet is wimpy and almost worthless for any kind of real pain. For me it doesn't do any more than a couple of extra-strength Tylenol, and since it's more ADDICTIVE than Tylenol, it makes no sense at all to take it.

Hydrocodone 7.5 is much more effective, for pain relief, but it's really not a good medication to take long-term. Next time you see your Dr., try asking about Ultram, and Neurontin. Both of them are effective for nerve pain, and they are SAFER for long-term use.

Sharon

Result number: 60

Message Number 90907

Immense Pain, Need advice on a good pain releiver for bilaterral TTS! View Thread
Posted by Ricky J. on 7/29/02 at 13:30

I have been scheduled to see a doctor on August 13th to determine what treatment I need to fix this. The trouble I am having is getting a good pain releiver prescibe for me until I can get some serious help. My ortheopedic doctor prescribe Darveset for me the other day and I took him the prescribtion and told him this stuff was worthless for the pain that I am in. I told him to give my pills to someone who could use them. I said that If he didn't give me anything stronger than that I was going to check myself into the hospital. He then wrote me a prescription for Hydrocodone 7.5, but only give me 30 pills for 21 days. This painreliever works pretty good up to 4 hrs per pill, it takes the sharp edge off the pain, but I still have alot of pain. I have to take 3 to 4 pills a day to even stay somewhat out of immense pain, at most I can make the prescription last 10 days. Does anyone know of anything better or last longer that I can suggest to my doctor to take? I am 37, atheltic, male that thought he had a high tolerance to pain but living with this since February has taken its toll on me. Since April I have had an MRI, Myelogram, CAT scan, two lumbar epidurals, Shock Torcher Treatment (EMG), and the Stab neetles in both legs for an hour to record my never impulses and screams. (You know the dentist from Little Shop of Horrors),.. that was my doctor. The doctors first thought it was in my back, but later determined TTS. They told me the soonest they could get someone to see me was in October, I told them I would kill myself by then. My wife managed to help me get an appointment on August 13th with the same doctor.

Result number: 61
Searching file 8

Message Number 82707

Re: anyone heard of ultram medication View Thread
Posted by Ed Davis, DPM on 5/06/02 at 18:27

Lisa:

Sharon's information is rather complete concerning Ultram (tramadol). It is probably less addicitve than codeine or vicodin (hydrocodone) and may cause less drowsiness. Synthetic narcotics or narcotic analogues, while designed to have advantages occasionally have unusual reactions with specific patients.
The manufacturer, Orth-McNeil, has more recently introduced Ultracet which is Ultam plus acetominophen. It has a reduced tramadol dose and seems to work better for musculoskeletal pain.
Ed

Result number: 62
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Message Number 56925

Re: Dr Z View Thread
Posted by tony o on 8/16/01 at hrmin

poor tammy. your in for a true bout in hell. pain? you havent any idea what the pain is gonna be like in a few more months. i have had everything possible done and still suffer. the drs. won`t give any pain meds. because they say im exagerating. after 13 months of excrutiating pain i have come to a conclusion. no boby knows what were going through. except maybe us. i had the decopression done on 11/29/2000 and its worst than before the operation. i am loosing my will , my hope and my strength because of tts. and no one listens. i have tried so hard to do without pain medicines and find that the only thing that did help back 6 months ago were narcotics.since i live alone this is very hard. you won`t be able to do much except lay down and soak your ankle in epsom salts. i have a tens unit thats a joke. i have tried lidocain patches, bupivicaine, naprosyn, ultram, darvocet, topomax, vioxx, lorazapam,celexa, hydrocodone, effexor, cephalexim, tylenol w/ codene, celebrex, mexiletine,nuerontin, hydroxyzine pam,ibprophen, serzone, lortab 10, and many others. all of this provided very little to no relief for me. either im going nuts or ive got the worst case of tts of all time.nothing seems to work. the constant agony and suffering with defeat me in the end if i don`t get any relief. i fear i don`t have much time left. ive lost just about everything ive worked my entire life for and can`t even collect disability cuz the docs say im not. where does any one go from here . ive been to orthopedic surgeons, neurosugeons, physciatric counseling, drug tests, mri`s, bone scans, emg`s and 4 months of PT after the sursery. oh i forgot. i took a funtional capacity test last month and couldn`t even finish it. 1/2 way through i was so intense i just gave up. does this all sound good to you? your in for a real hell. the only thing that did work was epideral and was hospitalized for two days. ive had a total of 78 hours that were pain free.........in 13 months. prayer doesent even help this. get ready for the ride of your life kid. hope you got the strength for it.. i thought i did.. and im a tough guy.
any docs out there got any advice????im at the end.

Result number: 63

Message Number 51121

why use anti-depressents and heart medicine to treat tts. View Thread
Posted by tony o. on 6/20/01 at hrmin

for 10 months i have suffered excrutiating pain in my left knee and foot. TTS was diagnosed and i had a decompression operation. 12 weeks of PT and all of a sudden, it returned with a vengence. the operation was on 11/28/2000, the accident was on 8/4/2000. here it is 7 months after the operation and my neurologist has perscribed me the following drugs and treatments. naprosyn,ultram,darvocet,lortab,topomax,vioxx,lorazepam,celexa,hydrocodone,vicoprophen, effexor,tylenol/codiene,celebrex,lanocaine patches,neurontin,mexiletine, tens unit, bupivicaine, and ......many others i can't seem to remember. none has had any or little effect on me. i had to take a physcological examination and a drug screen because i asked for some stronger medcine to relive my pain. of coarse i passed. i am not a druggy, no an alcoholic nor have even been. but i do play in a blues band and have very long hair and ride a harley. i'm not a biker either! i had a eporderal on 6/12/2001. still not much relief. i have lost everything or am about to including my fiance' because she said she could no longer see me suffering.
my question is...why won't they give people strong meds to relieve there pain. why are they treating me with anti-depressents and heart meds. i am a happy, lover of life and always (most of the time) have a smile and a good attitude. i no longer can stand for more than a few minutes or do anything. i feel i have lost the battle when they say theres nothing more they can do. what next?

Result number: 64
Searching file 4

Message Number 48651

It's called Accomodated View Thread
Posted by BrianG on 5/23/01 at 11:35

Hi Laurie,

Just one more quick thing about the Vicodan. It's a good med for short term pain, as you found out. Like all pain meds, you'll gradually develop a tolerance and need a little more to give you the same pain relief. This is not necessary a bad thing. The bad thing is what is mixed with the pain med. It is probably asprin or acetimenephin, both of which can cause internal problems if taken at too high a dose for too long. Not to worry though, you are not any where near that amount.

Yes, you will have some discomfert if you stop the Vicodan without tapering. It'll probably be like the flu for about a week. If you gradually taper off, like I mentioned, you'll have no discomfert. Do a little reading on the Ultram, use a seach engine, if your going to take it. I personally wouldn't take it, but it's up to you and your doc.

If your pain continues, and you decide to stay on a pain med, your better off to take something that won't harm your stomach. One such med is Hydrocodone. You'll still have to deal with accomidation (needing more) and some constipation, but I personally think it's better than the relentless pain. I just couldn't deal with the pain, year after year. I hope all your decisions are easy ones. Just try to stay informed, and hopefully I'll be around if you have any questions. Good luck.

BCG

Result number: 65

Message Number 43972

Oops! I stand corrected. View Thread
Posted by Brenda G. on 4/08/01 at 11:15

Thanks you, Wendyn. I guess it's too early in the morning and I don't have on my white smock. But you are entirely correct. Ketorolac is Toradol, it is a much stronger analgesic, they believe centrally active and is compared to relief of Tylenol with Codiene #3, but it is non-narcotic. It will give more pain relief than Orudis, but say not as much as hydrocodone (Vicodin, Lortab). Orudis is ketoprofen. Thank you again! Brenda

Result number: 66

Message Number 40887

Re: TTS surgery - Full Report View Thread
Posted by Mor S on 3/09/01 at 11:27

As of yesterday, the stomach problems were diagnosed as Gastritis.
The first pain killer I was given (Hydrocodone) is notorious for arousing this.

No feet structural issues were diagnosed.

Mor

Result number: 67

Message Number 40743

TTS surgery - Full Report View Thread
Posted by Mor S on 3/07/01 at 17:27

Background
----------
32 years old male, usually healthy.
Suffers from TTS in both legs for apx. 11 years, gradually worsen.
Reason unknown. May be associated with a military service where significant weight and pressure were applied to the feet.

Conservative treatment
----------------------
For 6 years - wide shows with full size custom designed inserts.
Wouldn't hear about those injections. I'm not a temporary solutions fan.

Diagnosis
---------
First diagnosis: six years ago by a well known podiatric.
EMG was not decisive. Diagnosis relied solely on clinical exam and my tale.
The Dr. suggested TTS and discussed the various options. Have decided not to do surgery yet.
Second Diagnosis: Two months ago by Dr. Clanton from the University of Texas Ortho & Reumatology phisycians center in Houston, TX (713-704-6100).
Dr. Clanton is an experienced podiatric and holds a director position in the institution.
EMG was not decisive here too.
It was explained to me that although the EMG results could not support the TTS diagnosis it suggests that the entrapped nurve did not suffer functional damage.
Diagnosis here relied solely on clinical exam and my tale, as well.

With this information and Dr. Clanton's recommendation I have decided to go for a surgery on one foot (left).

Surgery
-------
The surgery took place on Feb. 7, by Dr. Clanton assisted by one of his assisting Drs.
As far as the procedure involved, as you all know, it's a breeze.
Under general anesthesia I had a nice trip for little less than an hour and was heading home after a total of 5 hours that included crutches training.
As far as medical findings, no pathological indications were found. Just wider than normal blood vessels in the tunnel.
After tearing the pressing fascia, releasing the pressure on the nurve, the foot was stitched with 9 stitches.

Healing
-------
The healing went very quick.
I was dismissed from hospital with a tight rubber-kind-of bandage that was not to be released at all and kept dry for a week.
Ordered to gradualy apply pressure on the foot from day 2 (day one being the surgery day) and lever the leg a little bit most times for few days.
I needed one pain killer (Hydrocodone) in the first night and another one in the second night after the surgery.
A week after the surgery (Day 8) the tight bandage and stitches were removed.
Soft protecting bandage was applied to protect the area clean. I was given some of these bandages to replace at home as necessary. Ordered to keep the foot dry for another week.
On day 3 I drove to work for a couple of hours.
On day 6 (after a weekend) returned to work full time (Office kind-a-work).
On day 9 I lost the crutches and wore my regular shows.

Today, a month after the surgery, Dr. Clanton had advised me to wait another two weeks before gradually returning to full activity (mainly squash playing).

Post surgery and side effects
-----------------------------
On the third night after the surgery I rushed to ER with strong pain in my upper stomach. The Dr. on shift immidiately associated it with the Hydrocodone I took (only two pills by then) and gave me some cocktail that relieved the pain. There was no need for alternative pain killers as I had no pain that required such a thing anymore. The Dr. prescribed Achipex to prevent Alcer.
About three days after the surgery I had a nurve pain on the upper area of the foot, originating in the toes area, mainly after lifting the toes up with their own muscles force. The pain was a sharp shock similar to the EMG shocks you all know.
After the tight bandage was first removed on day 8, the follow-up Dr. (Dr. Clanton's assistant) had associated this nurve pain with the tight bandage and prescribed some medicine to help it heal (Alavil ??).
About three or four days later I rushed back to ER as I couldn't fall asleep at night due to the pain I had in my stomach, exactly the same pain as the Hydrocodone had introduced. There goes that cocktail again. There goes away that pain again. There goes the night...
Following that I followed up with my GP some blood tests and Upper GI to see what is the problem. No findings. I had returned to that Alavil medicin. That was five days ago. This morning I woke up with the same pain again. But this time I was equipped with a cocktail I bought over the counter that killed the pain immediately (Mallox).
Meanwhile, that nurve pain have decreased and is very weak now.
Dr. Clanton says that it'll go away with time, as will the minor tingling ants I feel after a long pressure is applied to the foot.
Minor ankle bone sensitivity is felt after long pressure on the foot too. I was given some jell-like sponges to support my heels for that. I thing I'll stop using them as they present major discomfort while I walk...

TTS ?!
------
That is it. I can carefully say today, after all healing pains of all kinds have nearly gone, that the TTS pain is gone almost completely. The tinglings I have after long pressure is applied to the foot (that will probably go away with time too) are incomparable with the TTS burning I had.

Plans for the future ?
----------------------
Sure. Right foot - you're next.

Take care,

Mor.

Result number: 68
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Message Number 26623

Re: me too...Dr. Z or B....! View Thread
Posted by Dr. Biehler on 8/29/00 at 14:56

I agree with Sue R. Nerves can get caught up in a pain cycle that is sometimes very hard to breack. For long term chronic pain I like the oxicontin ms, it is time released codine, a morphine derivative, with out the acetominaphen. When a person is in pain it is very hard to get addicted. In New York there are Pain Clinics that write the medications and follow the patients. Short term pain I like Hydrocodone or tylenol #3. I think lidocain shots to break a pain cyle can also do a lot of good. Dr. BiehlerResult number: 69
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