pain killers

[EldrickOnIce]

I suppose ativan is a no no too?
The oncologist prescribed it for the gf when she was going through chemo and associated #### for cancer treatments, and it was really great for her in those circumstances. I was fortunate enough to have her share it with me now and again.
It was delicious

[JonDuke]

Originally Posted by Minnie

...Trigeminal Neuralgia...

Not sure of her age, but I am super sorry to hear that a kid has this.
I was once diagnosed with TN. I did a bunch of research, and my gosh that is a horrible thing to live with. I feel for her.

My diagnosis was downgraded to cluster headaches. Excruciating pain that totally debilitates me 3 days per month, so I can somewhat relate. But, I only truly know about TN from what I've read and still can't imagine having to go through something like that.

Originally Posted by EldrickOnIce

I suppose ativan is a no no too?

Highly addictive, but agreed that it is delicious.


Good luck with your pain, OP

[OMG!WTF!]

Originally Posted by TheSutterDynasty

Go to physio.

Obviously you still need some pain control, but that's going to do nothing to resolve the underlying problem.

One of the smaller glute muscles (medius and minimus) are about where you're describing. People can often have issues with the tendon there. It's also the most common referral for hip joint pathology, which could be a number of different things.

Anti-inflammatories might be more helpful depending on the underlying pain generator.

I was wondering about that. I can't really touch or move it so wasn't sure if physio made any sense. I was thinking imagery on Thursday might be good. Then take results to physio with some better pain meds.

I'm also icing and using Voltarin for anti inflaming. It is pretty swollen. A torn butt tendon does make sense.

[TheSutterDynasty]

Originally Posted by OMG!WTF!

I was wondering about that. I can't really touch or move it so wasn't sure if physio made any sense. I was thinking imagery on Thursday might be good. Then take results to physio with some better pain meds.

I'm also icing and using Voltarin for anti inflaming. It is pretty swollen. A torn butt tendon does make sense.

Imaging isn't necessary. In general all it's going to do is maybe help with prognosis, but the majority of the time it just makes the patient worry more because there's going to be some degenerative changes/arthritis somewhere. It's obviously your decision but just be aware that imaging will show things that have been there for years and never given you pain, and things completely unrelated to your injury. I cringe at the patients I've treated for minor muscle strains that their doctor told them was arthritis and they'll need a joint replacement in a few years..

Sometimes we'll get an ultrasound for the hip if we suspect a glute tear, but that's quite rare and really just tells us it's going to take longer, it doesn't actually change treatment.

You're right in that a very acute injury is somewhat limited for treatment, but it's a key stage as if you can settle it down with some gentle exercises / activity modification / etc, you can progress to the next stage much quicker.

[OMG!WTF!]

Sincerely appreciate the advice. I'll hit the physio asap.

[Hockeyguy15]

Yeah physio is the best. Even if you are just supposed to rest it for now they will have some sort of machine or technique that will help it along.

[btimbit]

My entire life, it doesn't seem to matter how much pain I'm in, all any doctor has ever told me was to go buy advil. Root canel, back surgery, broken leg, weird throat infection where my neck swelled up and I couldn't talk or eat for 3 weeks, doesn't matter, the conversation goes the same every time.

"What can we do about the pain?"

"I can give you some advil, you'll have to stop at a store and get more"

"I tried that, it didn't even take the edge off"

"It works trust me. Bye!"

With the throat thing if my mother in law didn't have T4's I don't know how I would have gotten through last summer. Even those barely took the edge off, but at least brought it from excruciating to almost bearable.

What do I have to do to get relief? Something I'm missing here?

[Fuzz]

New doctor?

[btimbit]

Originally Posted by Fuzz

New doctor?

That's been at least a dozen different doctors. Family doctors, walk ins, emergency room, same thing every time

[OMG!WTF!]

Doctor..."these pills will make you drowsy. Don't take them when you're driving"

Pharmacist..."these could make you sleepy. Don't take them until you get home"

Reality...there's 30mg's of caffeine in each pill. I haven't slept in 30 hours. I can't wait until I feel good enough to run up and down the stairs a hundred times in a row. I know I can beat my best time. I know it!

[T@T]

Originally Posted by btimbit

That's been at least a dozen different doctors. Family doctors, walk ins, emergency room, same thing every time

No offense but you must look somewhat like a junkie or something,

It only happened twice but I got the exact opposite treatment. But there is a sign a sign at my doctors office that states "we don't prescribe narcotics to walk-ins" though. Not sure how long it's been on the wall.

[Jets4Life]

Whatever you do, do not mix alcohol with T3's. I was taking T3's for a couple of months when I herniated my disc in my back. Went out and got drunk one night, and woke up in great agony. You can do damage to your organs too.

[EldrickOnIce]

You should never take Tylenol after drinking. Terrible for the liver. TBH, I am not sure it would be approved if it was submitted today, due to safety considerations

[OMG!WTF!]

Originally Posted by Jets4Life

Whatever you do, do not mix alcohol with T3's. I was taking T3's for a couple of months when I herniated my disc in my back. Went out and got drunk one night, and woke up in great agony. You can do damage to your organs too.

Wow. Scary business. Good advice.

Interesting contrast in treatments today. I went back to my family doctor. Imaging scheduled for some time in mid July. Might "need" a cortisone shot depending on the results. Until then move as little as possible. Take ibuprofen. No more or stronger pain meds which is fine. See you in six weeks.

I also went to a chiropractor. They're reasonably sure what it is. Imaging scheduled for tomorrow just to confirm. A couple different treatments started today. Prescribed movements and exercise immediately. No cortisone ever. Ice. Heat. Move. Come back Friday with imaging results.

We'll see.

[Fuzz]

I'd take the advice of a family doctor over a chiropractor any day. Though if he is doing imaging, have a copy sent to your family doctor.

[OMG!WTF!]

Originally Posted by Fuzz

I'd take the advice of a family doctor over a chiropractor any day. Though if he is doing imaging, have a copy sent to your family doctor.

Yeah I'm torn on this. I mistrust chiropractors but I also know traditional medicine has its limitations especially with what is likely a sports related injury. A really good doctor is better than anything. But my doc isn't that. The chiropractor I see specializes in this sort of thing and is very likely a really good chiropractor. It's all about finding the right person. Canada takes more chiropractors to the Olympics than doctors. So I'll see what works best i suppose. But again good advice. I'll definitely send the imaging on to my doc too.

[TheSutterDynasty]

Originally Posted by OMG!WTF!

Yeah I'm torn on this. I mistrust chiropractors but I also know traditional medicine has its limitations especially with what is likely a sports related injury. A really good doctor is better than anything. But my doc isn't that. The chiropractor I see specializes in this sort of thing and is very likely a really good chiropractor. It's all about finding the right person. Canada takes more chiropractors to the Olympics than doctors. So I'll see what works best i suppose. But again good advice. I'll definitely send the imaging on to my doc too.

You see 10 people you'll hear 10 different things.

You've been resting it and not moving very much. How much has that helped? Remembering the biggest changes happen early on, at what rate will this get better?

Cortisone is just an anti-inflammatory. It will not address the cause of the inflammation. There's some research for intra articular injections in the hip but only if thats actually the cause of your pain. Repeat injections are also a no no depending on your age, and since this is something acute there's no reason you have to even think about that right now.

Some chiros I've heard of order imaging and proceed to point out how bad you have it and you have to see them 3x a week for a year, etc. Hopefully you found a good one.

Good luck!

[Fuzz]

Fair enough. Thinking on my comment, I had a family doctor who was a total disaster. I had torn meniscus in my knee, and he said "that's just you getting old". I think I was 23. So he gave me some exercises and told me to suck it up. He later misdiagnosed a few other people close to me to near disastrous consequences. But I have a major distrust for chiropractors, so I can see the dilemma, if you aren't 100% comfortable with your doctor's assessment.

[TheSutterDynasty]

Originally Posted by Fuzz

Fair enough. Thinking on my comment, I had a family doctor who was a total disaster. I had torn meniscus in my knee, and he said "that's just you getting old". I think I was 23. So he gave me some exercises and told me to suck it up. He later misdiagnosed a few other people close to me to near disastrous consequences. But I have a major distrust for chiropractors, so I can see the dilemma, if you aren't 100% comfortable with your doctor's assessment.

Some are good, some are bad.

Unfortunately they don't receive a ton of musculoskeletal education in school. These days it's much better, but many GPs have been practicing for 20 years.

It's not their job to treat anyway. Medication is not treatment for musculoskeletal problems, only an adjunct. A lot of GPs over prescribe imaging, and when the inevitable "arthritis" or "tear" shows up, scare the hell out of their patient and the patient ends up thinking they're stuck with it until they need surgery in x number of years.

[annasuave]

Originally Posted by btimbit

My entire life, it doesn't seem to matter how much pain I'm in, all any doctor has ever told me was to go buy advil. Root canel, back surgery, broken leg, weird throat infection where my neck swelled up and I couldn't talk or eat for 3 weeks, doesn't matter, the conversation goes the same every time.

"What can we do about the pain?"

"I can give you some advil, you'll have to stop at a store and get more"

"I tried that, it didn't even take the edge off"

"It works trust me. Bye!"

With the throat thing if my mother in law didn't have T4's I don't know how I would have gotten through last summer. Even those barely took the edge off, but at least brought it from excruciating to almost bearable.

What do I have to do to get relief? Something I'm missing here?

Sorry to hear you're suffering. I'm the complete opposite. Got Percocet after surgery. Didn't do much for the pain, just made me foggy and scared that I was going to stop breathing. Took 1 Advil gel cap - and sweet, sweet relief.

I guess it just proves that not everyone responds the same way to pain meds. I hope you find a doc and a solution that works for you.