Practical Pain Management Community Advice

Cymbalta for Adhesive Arachnoiditis?

From: JLocke - 1 year 42 weeks ago

Hello all.

I just joined after finding this website, which never showed up in all the years I had searched…odd, that. Anyway, I was wondering if any are still here who have AA? It is my husband who has had it for years, after an injection that was sloppy.

With the new regulations and fear-mongering concerning opiods, he and others have been shifted over to a pain management group, wherein began the difficult process of moving him off the meds that worked for seven years to ones that don't do so well.

The process continues and the pain management group wants to "improve" his condition by moving him over to Cymbalta and Tramadol and weening him off the Exalgo with occasional Horizant (both Extended Release) thus getting all their patients off morphines. He cannot take Oxycontin because it significantly increases his blood pressure.

The pain management group, which is associated with our major hospital actually had to research AA to find out what it entails and is now researching treatments for it that do not employ opiods. When he first transferred there, they offered him some general-type pain killer that would have been like urinating on a wildfire. He told them no….and there began our most recent journey and battle to get proper pain control from the politicized medical world.

So…has anyone here had experience with Cymbalta? And were you able to discontinue your opiods?

As an aside, my husband is in otherwise good health, no surgery, and he drives a school bus, works a 400 acre farm and we raise broiler chickens for Tyson Farms…plus he is currently restoring the complete sub-floor, including joists in his parent's older rancher. This is his life and he is not looking to alter it….just regain control of his pain.

Thanks for any help and gentle hugs to you all.

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3 Responses

Is this good advice?

Hi JLocke,

First of all, thank you for posting in PracticalPainManagement's forum. We want to know what our readers have questions about, and, thanks to you, we now know one more question for which we should be finding answers.

Secondly, we are sorry to hear about what your husband has been through, but so happy that he is in good health otherwise and is actively working to control his pain and his life.

We have taken note of your message and are hoping to address your questions on our site as soon as we have the proper research and it has been reviewed. We will be in touch when we do. In the meantime, if you have any further questions or concerns, don't hesitate to post them here, or on our Facebook or Twitter. We're here to listen.

Thanks again, and all best to you and your husband.

Is this good advice?

I was just diagnosed with AA at the T6-7 level at Mayo in Rochester. I have had a fusion at that same level and they are thinking it is from that. I have been on Cymbalta for 6 months and it does seem to help some. If for no other reason than it reduces the anxiety I feel when the pain starts which I tense up against. It does make me a little sleepy so I take my 60 mg dose at bedtime which also helps me fall asleep. Its definitely worth a try.

Is this good advice?

My interest in pain management is two-fold. After working with persons experiencing chronic pain for 30+ years, I developed adhesive arachnoiditis and so joined the ranks of the true experts in this field. My condition is likely the result of four spinal surgeries and an overly aggressive immune system. As an advanced practice nurse (clinical specialist), I have seen patients with chronic pain benefit from Cymbalta in combination with pain relieving medication (usually opiates). I share your concern about how recent trends in the regulation of prescription opiates has disadvantaged many individuals with chronic pain. It is my opinion that prescribers have become concerned about being scrutinized by the DEA and have thus discontinued or significantly scaled back their use of opiates for chronic pain management. How unfortunate that the plight of suffering human beings is determined by physician fear rather than patient need. Thankfully there are a few doctors who are confident enough to take a stand on behalf of their patients. My suggestion is that you search for such a physician. The additional expense and/or inconvenience may well be worth it.