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It is the rule rather than the exception that a FMS&MPS complex patient will save strong pain meds from surgery or injury when they REALLY need it...for an FMS&MPS complex "flare". This is a sign that your needs aren't being met. I give you the following quotes. I hope you will pass them on to your doctor. They are from "PAIN A CLINICAL MANUAL FOR NURSING PRACTICE",by McCaffrey and Beebee. ~Health professionals "often are unaware of their lack of knowledge about pain control." ~"The health teams reaction to a ptaient with chronic nonmalignant pain may present an impossible dilemma for the patient. If the patient expresses his depression, the health team may beleive the pain is psychogenic or is largely an emotional problem. If the patient tries to hide the depression by being cheerful, the health team may not beleive that pain is a significant problem." ~"Research shows that, unfortunatley, as pain contiues through the years, the patients own internal narcotics, endorphins, decrease and the patient perceives even greater pain from the same stimuli." ~"The peson with pain is the only authority about the existance and nature of that pain, since the sensation of pain can be felt only by the person who has it." ~"Having an emotional reaction to pain does not mean that pain is caused by an emotional problem." ~"Pain tolerance is the individuals unique response, varying between patients and varying in the same patient from one situation to another." ~"Respect for the patients pain tolerance is crucial for adequate pain control." ~"THERE IS NOT A SHRED OF EVIDENCE ANYWHERE TO JUSTIFY USING A PLACEBO TO DIAGNOSE MALINGERING PAIN OR PSYCHOGENIC PAIN." ~"No evidence supports fear of addiction as a reason for withholding narcotics when they are indicated for pain releife. All studies show that regardless of doses or length of time on narcotics, the incidence of addiction is less than 1%." It's normal to be depressed with chronic pain, but that doesn't mean depression is causing the pain.Maintenance with mild narcotics (Darvocet, Tylenol#3, Vicodin-Lorcet-Lortab) for nonmalignant (non-cancerous) chronic pain conditions be a humane alternative if other reasonable attempts at pain control have failed. The main problem with raised dosages of these medications is not with the narcotic components, per se, but with the asprin or acetaminophen that is often compounded with them. For medical journal documentation on the use of narcotics for non-malignant chronic pain, see "The Fibromyalgia Advocate"/ Narcotics should not be given in conjunction with benzodiazepines, as the latter antagonize opiod analgesia. |
"In the 3 months I have been with MDJunction I have developed a sense of calmness. I now friends who do not judge me because I have been a mental mess at times. It is such a good feeling to have friends I can tell my deepest thoughts and always get back to me with their support. I have never seen a therapist for long periods of time. Right or wrong, this is the best therapy possible for me. Thanks Roy for getting this up and running and making such a difference in my life. Sara" (saralaurie)
