Monday, December 15, 2014

Pain-free is so lovely.

The latest rhyzotomies are  a failure (it’s been seven weeks--can you freaking believe they didn't work??!!). The post-burn stabbing pain nerve freak out is still happening, although in the last ten days, I think I’ve found a way to control it.

A few weeks ago, my doctor suggested I try a med called Neurontin. It’s an anti-seizure that’s also used for nerve pain. I actually had a huge bottle of it that my last doctor prescribed, but I’d never tried it because of anecdotal reports of major weight gain.

But since the rhyzotmies, I’ve been in pretty significant pain. Prednisone didn’t help, and neither did cortisone shots in my head and neck. Zanaflex wasn’t doing much, and Percocet might as well have been Sweetarts. I was so frustrated and also freaking out as I moved into the end of the semester and finals and a massive grading load.

So I finally tried Neurontin. It worked right way. I still have to take the preventative regiment of Zanaflex and Mobic (an arthritis med I’ve taken since this all started). About once a day, a big nerve pain spike breaks through and I take a Vicodin to get it down. I’m hoping as the rhyzotomied nerves settle, I won’t have to take that anymore.

The last ten days have been amazing. I’ve been more social than I’ve been in a year. I have been in a great mood. I have felt more optimistic about pretty much everything in my life, which is a testament to how shitty pain really is.

I talked to my doctor a few days ago, and he’s happy with this med combo. He still thinks the rhyzotomies might work (hilarious). He wants me to call again in a few weeks and check in. If I’m still in pain, he’ll start test-blocking more levels, and try more rhyzotomies.

Except I think I’m done with that. I just can’t handle it. I’ve done a lot of thinking and reckoning in the last few weeks, and I finally get that this is just the way things are. I’m always going to have these headaches. There is no magic fix. I have to learn to live with chronic pain. Doctors like the ones I've had are fix-it guys, not pain management guys. So I might have to find someone new.

It's actually been a relief to come to terms with this. My life is no longer on hold. I get to lift up the pause and go back to how things used to be and figure out what still works. The last week of social activity was part of that—I just can’t isolate anymore. I have to see people. I have to go to parties. I have to maintain the very awesome friendships I’ve been lucky enough to develop over the years, because they just don’t stay alive by magic.

So I think this means meds for life. This is the hardest thing to handle. Right now I take a f%^*-ton of pills—a Mobic in the morning, five Neurontin three times a day, one Zanafex every four hours, and the aforementioned narcotic when the pain jacks up in spite of this.  I have a pillbox in my purse. I sometimes have to take a pill in the middle of class (Zanaflex is a demanding mistress—if I am 15 minutes late, the pain comes on, and it’s impossible to get rid of. So I’ve taken to setting a freaking alarm on my phone so I stay on top of it).

I never thought this would be my life, but when I think about what so many other people go through, including headache sufferers who can’t even find meds that work, I’m pretty lucky. So far the meds don’t have side effects, just some cotton mouth with the Zanaflex, but that’s it. Zanaflex is interesting, because when I first started it three years ago, it just knocked me out. An hour after I took it, I’d have to take a nap. But now I rarely feel any sedation at all, and I take many times that original dose. I’ve researched these meds a lot, and that’s how Zanaflex works.




Monday, December 1, 2014

Sucky McSuck

This pain is bad. Not all the time, but at least some part of the day. It's been nearly six weeks since the rhyzotomy, and I'm in lousy shape. I'm back to my round-the-clock Zanaflex and since I've run out of Percocet, I take Vicodin several times a day. This really sucks.

I had a decent Thanksgiving weekend, although the headache was always just around the corner, and six loud and rambunctious nieces and nephews meant I was cranky Aunt Juju, not a role I enjoy playing. I was pretty good at school this morning until around noon, and then the pain just settled in and got to excruciating points several times.

I don't think the rhyzotomy is going to work. When I don't have the stabbing pain, I have my regular old headaches. I can't fucking believe this. TWICE this year I had this stupid procedure, when meant a total of twelve weeks of intense nerve inflammation, and just regular shitty headaches the rest of the time. I am so over it. I don't deserve this. I do everything I'm supposed to do in life. I know that no one with health problems deserves them, but this just feels like punishment. I am so angry.

My new doctor said that if this doesn't work, he'll test-block more medial branch nerves and keep going. I just can't see it. Each nerve block is another day I have to get covered from school, and then if any of them work, another rhyzotomy means another six weeks of hell. But what else am I supposed to do? Three solid years of trying everything under the sun has been for naught. I really feel horrible, about all of this.

I have this med called Neurontin. My spine doc prescribed it to me, and my new doc suggested it. I've hesitated because it can cause major, rapid weight gain. Officially, this only happens in 3% of those who take it. But anecdotally, in my Facebook headache group, many people say they gained a lot of weight, like 60 pounds.

I want my life back. In some ways, it feels like it's over.

I just want someone to FIX ME. I want it to be a physical therapist, where I do a ton of hard exercises and whatever bulging discs, pinched nerves, bone spurs, whatever get pushed all back in their right places and this pain goes away. But I've been to at least five physical therapists, plus a bunch of other body work people, and nothing's helped.

Sorry I'm such a bummer. Sorry I don't have success to report.