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Yeah, that "skinny needle" couldn't drain the thick contents of this "loculated collection".
I've been dealing with this since 2018, have seen several doctors, including at the Mayo Clinic in Minnesota. Multiple CTs, MRIs, ultrasounds. Surgical consults.
I have a diagnosis, thank you. I need pain relief.
From Radiopedia:
Quote:
The term is deliberately employed when the more specific nature of the collection is not yet known.
You don't have a diagnosis of the collection of fluid in your abdomen, and you don't have a diagnosis of the source of your pain. If you did have the diagnosis, you wouldn't have said
Quote:
"I think the issue is a pinched nerve, so the problem is actually in my hip or abdomen."
You don't have a diagnosis of the collection of fluid in your abdomen, and you don't have a diagnosis of the source of your pain. If you did have the diagnosis, you wouldn't have said
Get a diagnosis.
When I said that, I was explaining why muscle relaxants would not help.
I've been living with this for four years, have had evaluations by several doctors who have seen the results of my tests and informed me this was the problem. You're just an argumentative stranger on the internet who thinks that--because I have simplified the explanations--no doctor has diagnosed the problem.
Get a life.
I'm not asking any of you for a diagnosis or treatment plan, I'm just asking how to talk to the doctor about pain meds.
If you can't bother to focus on that question, please don't reply.
I always tell people who suffer from a sprained ankle or painful shoulder they don't know real pain until they have severe sciatica or bad herniated disc.'
"Sciatica occurs when the sciatic nerve becomes pinched. The cause is usually a herniated disk in the spine or an overgrowth of bone, sometimes called bone spurs, form on the spinal bones..." https://www.mayoclinic.org/diseases-...%20the%20nerve.
I suffered a badly herniated disc and I'm pretty fit. For 2-3 weeks it was extremely painful to walk, sit or stand. I could not even put on my socks. Wife helped with that. That's when suicidal thoughts came when the pain was so bad I could not put on my socks or attempt to tie my own shoes. Yet, I endured the pain and did what they asked.
I am not a doctor nor am I giving you medical advice but I read and heard painkillers, steroid injections, or even back surgery may not be beneficial in the long run. I've read many studies, from celebrities, pro athletes, and regular people that these "may" cause a new problem. Back surgery success is not even 70%, more like 50%.
I also learned from spinal doctors and chiro's that once nerves in your spine (which control organs throughout your body) are affected some of those organs may not function at 100% again.
Pain is usually associated with inflammation or too much sugary foods. Eat less inflammatory foods.
When I said that, I was explaining why muscle relaxants would not help.
I've been living with this for four years, have had evaluations by several doctors who have seen the results of my tests and informed me this was the problem. You're just an argumentative stranger on the internet who thinks that--because I have simplified the explanations--no doctor has diagnosed the problem.
Get a life.
I'm not asking any of you for a diagnosis or treatment plan, I'm just asking how to talk to the doctor about pain meds.
If you can't bother to focus on that question, please don't reply.
I did focus on that question. You just don't like the answer.
To talk to the doctor about pain meds, first get a diagnosis.
A pinched sciatic nerve caused by a pocket of fluid in my abdomen has given me stabbing pains all down my leg for the last month. The fluid pocket was evaluated a couple of years ago, and pronounced too risky for surgery, which seems to be the only therapy available.
What is the cause of the "pocket of fluid", exactly where is it, and why was surgery felt to be too risky?
At what point does the potential benefit of surgery in relieving your pain outweigh those risks? What if the pain doctor suggests you reconsider surgery?
The sciatic nerve does not course through the abdomen, so I am having difficulty visualizing exactly what the pathology is.
What is the cause of the "pocket of fluid", exactly where is it, and why was surgery felt to be too risky?
At what point does the potential benefit of surgery in relieving your pain outweigh those risks? What if the pain doctor suggests you reconsider surgery?
The sciatic nerve does not course through the abdomen, so I am having difficulty visualizing exactly what the pathology is.
That's not relevant to this discussion because I'm just asking for suggestions about talking to the doctor about pain meds.
A pinched sciatic nerve caused by a pocket of fluid in my abdomen has given me stabbing pains all down my leg for the last month. The fluid pocket was evaluated a couple of years ago, and pronounced too risky for surgery, which seems to be the only therapy available.
Stretches, TENS machine, tylenol (I can't take ibuprofen), some pain killers my dentist prescribed when I had a root canal last year, heating pads, hot baths, rosemary oil; nothing makes a difference.
The pain ranges from "Oh, this isn't so bad" to "What are my options for suicide?" I've only left the house 3 times in the last month. I actually fantasize about a huge needle jabbing into my leg to relieve the pain. Maybe I'm a bit of a drama queen.
I have a doctor's appointment on Monday, and am hoping for at least pain meds (though I'll try any other options he may have). How do I negotiate strong meds?
I know it's tough to get opioids these days, is there something else that might help?
Ironically, I've discarded loads of post-surgery pain killers over the years. I don't really like the way they make me feel, but it would be better than pain.
I feel ya. I had a similar issue from Nov. - March. Pinched nerve in L4/L5 sending constant pain down my left leg......lost nearly all mobility and the pain was the last thing on my mind before falling asleep, and what woke me up every morning after not nearly enough sleep.
I had the steroid shot at the impinged nerve. It helped ALOT. If you problem is similar and this is an option you haven't tried, I would consider it.
I feel ya. I had a similar issue from Nov. - March. Pinched nerve in L4/L5 sending constant pain down my left leg......lost nearly all mobility and the pain was the last thing on my mind before falling asleep, and what woke me up every morning after not nearly enough sleep.
I had the steroid shot at the impinged nerve. It helped ALOT. If you problem is similar and this is an option you haven't tried, I would consider it.
That's not relevant to this discussion because I'm just asking for suggestions about talking to the doctor about pain meds.
Depending what state you're in, you may need a specialist like a pain management doctor who will control what meds you get.
Go to google your zip code with pain management, you should get a list of pain management doctors in your area.
You can call them to try to get an appointment but you may need your GP or spine doctor to give you a referral plus they want your records with diagnosis, along with any xrays, CT's and MRI's faxed or dropped off, then someone from their office will go over what you sent over to see if they're interested in taking your case. They will call you in a week or two to tell you yes, they will see you or no they will not. If they say no, ask for a specific reason so you can possibly fix it before contacting another doctor.
It's pretty hard to get into pain management where I am. I have friends that go. Their pain management doctors have cut their narcotic medications way down, such as they used to take 15mg oxycodone four times a day, they're now taking 10mg oxycodone twice a day.
In addition to the narcotic they're prescribed something that is not narcotic such as generic lyrica or neurontin, muscle relaxers and pills for depression in addition to doing injections.
You will have to sign a pain management contract where you agree to be called in at any time to get your narcotic medication counted plus random urine screens to make sure you're not taking anything besides what they're prescribing you. You may even get a urine screen at every appointment, at least until you've been a patient for a while.
If you need dental surgery or some other surgery by any other doctor, usually you are not allowed to take a pain medication prescribed by any doctor that is not with your pain management group. Instead you have to coordinate your pain management doctor to be the one that prescribes all narcotic pain meds you will need.
If you have surgery where they give narcotic pain medications, you'll need to give your pain management the operative report so they have it on file that you were given this.
I know two people who were kicked out of pain management after testing positive for a medication that was given during surgery. They were called in for a urine screen a few days after having surgery. The pain management doctor claimed the meds they were given during surgery should have been gone from their systems.
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