Neurontin in pain pump trial

[Cindylou]

Yes, my pain management doctor explained this to me on Tuesday. The pain meds delivered through a pump or reservoir, if you will, are dispensed at approx. 300's degree less, as they go directly to the site, without going through your organs, your liver in particular which is susteptible to damage. I know I didn't say that mathmatically correct, but do you get my drift? It is way lower than taking them orally.

[mmglobal]

Cindylou, I understand how this works for pain meds that can be dispensed locally instead of systemically. However, my understanding of the anit-epileptics that are prescribed for nerve pain is that they change the way pain signals are routed or percieved. I would not have expected this to be a local phenomenon.

I'm emailing some pain docs to see what they say.

[Cindylou]

Oh, gotcha Mark. Sorry. I am only familiar with how morphine, etc is delivered through the pain pump locally. Let me know still what you find out. How are your knees doing? You making progress since your surgery?

Take Care!

Cindy

[Eastex]

Please find out more for us Mark. My pain doc told me a lot, but I want other opinions. He told me it was a small amount and if it didn't work the pump would be there for morphine.I have my EMG this Thursday to see if there is any signs of damage. I would also like to ask everyone to add my mother to their prayer list. She is going in for spine surgery this Wednesday. She has been in a whell chair for almost a year, and I am worried about her strength for the recovery. She is using a surgeon that I didn't like his attitude. Dr Thomas Chow was the rudest surgeon that I "interviewed" with! She wasn't willing to drive 30 miles to go to Texas Spine and Joint. She has seen that I have had to go back over there a lot and it worries her. I see where she is coming from, but I am treated so well over there. Anyway, keep the Gladden family in your prayers. It has been a tough year. My surgery, My divorce from the heartless woman that left me during my recovery, And now my mother. Mark, I have DVD's on this. But, it only explains the pump stuff. There is nothing about the neurontin. I can find out the research nurses name at Texas Spine and Joint Hospital if you want.

[dshobbies]

E,

Sounds like you and your family have been put through the ringer. I'm a little surprised that your mother chose a doctor you didn't like but it is her decision. I do wish her well and hope her surgery is very successful. Sometimes life is harder, sometimes we reap the rewards. If living in the present is too difficult, look ahead, it's got to get better.

To you and your mother, my best, Dale

[Eastex]

Thank you Dale. There are a lot of people in town who use him so that is where she basing her decision from. Most of them are her age (65) or older. Most of them also have second surgeries done by him too. I think it is one of those things that she thinks it will be easier dealing with someone local. I am sure he will notice me Wednesday!! If he even comes out to see the family

[mmglobal]

I heard back from one pain doc. I'll try to get more as the reply just generates more questions.

To paraphrase:

"clinical trials underway... so far it looks promising." He is not involved in trial.

"it has been available for years through compounding pharmacies."

I hope to learn more... stay tuned.

Mark