schopenh

schopenh

Specialist
Oct 21, 2019
385
I've been in very severe chronic pain for about 3.5 years now. But the interesting thing is that the problem I started out with that brought me to this site is no longer my biggest issue.

About 3.5 years ago (when I was 26) I injured my back and this lead to two issues: intense mechanical pain in my spine that made standing extremely difficult and sitting impossible; as well as an intense and overwhelming burst of radicular pain into both legs, front and back, with pain worse on the left side. I need to make this clear: this was orders of magnitude greater than typical lumbar radiculopathy (which can itself be very, very painful) - it had nothing to do with stenosis/herniated disc/impingement/annular tears/leaking discs/tumors etc. etc. Whatever happened was incredibly rare and had no medical explanation with current investigative procedures and wasn't even analogous to any known auto-immune disorder (or other problem) which can cause neuropathy.

The only thing of note from all the testing was a moderately diseased inter-vertebral disc; it couldn't explain the neurological pain though. Nonetheless I paid to have the disc removed and replaced with my life savings.

Before continuing, basically for an entire 10 months I was completely bed bound. I was lying on my back or side for 10 months straight. I developed very strong chest pain which stung and burn intensely at times and also it would affect my upper back. I had no idea it was caused by the lying down until later when I got back the ability to sit.

So, the disc replacement fixed the mechanical issues, I could sit and stand again without lumbar spine pain, but the disease process in my nerves that was kickstarted with the injury wasn't fixed. I had way more diagnostics, procedures etc. to try help the nerve pain but nothing did, even an iota. So I have had constant stinging and burning in my lumbar spine with pain radiating into my legs for the past 3.5 years. Eventually I got fasciculations in both legs as well and my left foot began to feel much warmer than the right and it dries up if I don't moisturize every day (classic signs of autonomic nerve damage). Had loads more tests, yet still no answers (and lots of money down the drain). I have been housebound this entire time as any activity or physical rehab, no matter how small and careful, just makes pain worse.

Overall, that nerve pain maybe went down by 50% in the entire 3.5 years since it started. It is still severe though and I cannot wear trousers as the sensation makes the pain worse.

Anyway, since I could sit again the chest pain improved a lot. But basically I still couldn''t lie on my side anymore. I would wake up with intense pain in the sternum if I did. Even if I did it for ten minutes I'd get pain. If for some reason I lay on my back in an odd position, it could also trigger it. I guess it's 'costochondritis' but I never even bothered having it diagnosed as it's insignificant compared to the nerve pain and what else is to come. Plus, surprise, surprise, there's not meaningful treatment for it anyway (there never is for anything I get landed with it seems). I'm very, very tired of going through scans and bloods etc.

Four months ago I developed extreme pain in my urogenital system. It worsens dramatically with orgasm but it is severe even without it. My need to pee is now every hour minimum, this is at night as well. While I already struggled with sleep, if I could get asleep I would usually stay as asleep for a few hours. Now I'm waking up every hour because the sensation to pee and pain gets too strong.

I figure this all came about due to abdominal area surgery and the damage and scar tissue it left (to access my lumbar spine they went through the front), months of oral corticosteroids at very high dosages, inactivity, other meds (antibiotics during surgery, antibiotics when we though the problem was a UTI - didn't test for bacteria initially due to covid, antiepileptics, antidepressants, stomach liners with the steroids, others...) and presumably some genetic factor or perhaps whatever disease has caused my nerves to not heal near my spine has moved around to my bladder.

Right now the urogenital problem is the worst issue. I am completely avoiding orgasming but after a few weeks I will end up having a nocturnal emission and it makes the pain much, much worse. I am peeing all the time and the burning and stinging pain in the area is very intense. It seems to be worsening rather than getting better. Movement badly irritates the area and I cannot twist or turn or stretch the area at all.

Sounds like it's a disease called interstitial cystitis which just has a load of nonsense treatments that don't help and is basically incurable and spontaneously resolves for some lucky individuals. My presentation seems to be very severe. I have been on a list for an ultrasound for about 3 weeks now (this is private), but I haven't heard from them. I really just don't even care because I doubt it will show anything. I'm also on a four year waiting list to see a urologist but again, I just don't even care about seeing them. I imagine they'll do a cystoscopy and a couple of procedures, offer elmiron and none of it can reasonably be expected to do anything.

So, you can see how chronic pain just causes more chronic pain. The inactivity lead to my chest problem (which is quite minor and livable with on its own). And all the meds etc. opened up a new problem that's worse (at the moment) than the problem I started out with.
I'm really, really tired of severe pain and disability. I seemingly don't have a suicidal bone in my body though because I've had everything I need to CTB since last October.

Edit: thanks to anyone who actually bothered to read all this
 
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M

MariV

Arcanist
Sep 13, 2020
487
wow...life is really a bitch.
dont worry if you stop ejaculating at some point the urge disappears. i have also chronic issues
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
wow...life is really a bitch.
dont worry if you stop ejaculating at some point the urge disappears. i have also chronic issues
Thanks for reading and your response. I have a very big sex drive, always have. As soon as the girl I'm dating visits I get an instant erection.
 
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NextSummer

NextSummer

Experienced
Mar 28, 2019
278
Hi Schoph. Have you considered going to swiss for euthanasia? You might get accepted.
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
Hi Schoph. Have you considered going to swiss for euthanasia? You might get accepted.
I have but there are a few reasons all in conjunction that make me not bother. First is that it costs about 10K euro which I don't have. Second is that they require doctor notes which I won't get. I asked three different doctors here and they all said variations of "that kind of talk will get you committed, is that what you want?". I don't really have the money to get evaluated by swiss doctors and psychiatrists. Third is that I don't want to do a flight to Switzerland, it would be very painful. Fourth is that any time I get low enough to even think about going through with suicide, I don't. So I'd hate to go through so much effort and then get there and not go through with it. Also, my family wouldn't support it, so planning such a trip would be not impossible but difficult. And from what I understand with all the evaluations etc. it takes maybe 2 years from beginning to process to the end, which I don't want to go through with. I have my SN, antiemtics, tagamet, opioids + xanax. I'm not really sure how much better nembutal would be. It's not really the method for me tbh, it's just not being able to bring myself to CTB. If I had nembutal sitting in my closet I'd probably be in the same situation.

Thanks for your comment!
How did the injury to your back happen? Lifting something heavy?
It's a bizarre story and I'll give a really short version of it. I damaged it initially from weightlifting. I went to a physio over and over again but it kept getting worse. The physio kept telling me to stay active and do lots of stretches and stuff. In retrospect I think it all made it worse and I needed to rest. But too late now. That was going on for a year. I was seeing two different doctors as well and their advice was to stay as active as possible, keep doing as much as I can and to go to physio. It's really bizarre, none would let me have time off work or rest. Sitting was getting more and more uncomfortable to the point that I had to lie on the floor in my office, nerve pain was only down the back of the left leg but it was very painful at night. Finally in March 2017 I saw a new physio. He gave me a bunch of exercises to do. I did them once and pain exploded into what's described in the story. As I said, I couldn't leave my bed (more or less) until I had operation.
 
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not4us

not4us

Experienced
Sep 21, 2019
246
@schopenh Which painkillers do you take?
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
@schopenh Which painkillers do you take?
I've tried lots of different ones:
Antidepressants: duloxetine, venlafaxine, amitriptyline, nortriptyline
Anticonvulsants: gabaptenin, pregabalin, lamotrigine
Weak opioids: tramadol, tapentadol (most used med)
Stronger opioids: onxycodone, hydrocodone, buprenorphine (patches), morphine (patches)
NSAIDS: ibuprofen, aspirin, naproxen, one of the cox-2 inhibitors
Others: huge dosages of corticosteroids, paracetamol, Oral ketamine

Besides opioids I found them all useless or made my health worse in some way. But opioids were a double edged sword. Ketamine was enjoyable for the hour I was stoned. But again, it was a double edged sword. Lost its potency quickly and had a withdrawal coming off it. Also, possibly comtributed to my bladder problem, although I believe it only causes issues at very high dosages.

At the moment I am just tapering off of tapentadol and that's it. I will stay off it for two weeks and then only take it twice a week. I react quite well to it and it can give me a few hours relief provided I haven't a tolerance.
 
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T

TooConscious

Enlightened
Sep 16, 2020
1,152
Very good point about not going for euthanasia Schopenh...
I recently watched a documentary, on youtubrshort length I think about how a lot of people get accepted actually gives them a want to try life again because they had the opportunity.
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
Just an update, I had that ultrasound and to no surprise it showed nothing!
Pain is still off the charts :))))
 
Meditation guide

Meditation guide

Always was, is, and always shall be.
Jun 22, 2020
6,089
I'm really, really tired of severe pain and disability. I seemingly don't have a suicidal bone in my body though because I've had everything I need to CTB since last October.
I am in the same situation you are in, although I haven't had surgery. I don't want to CTB either. I would love to be able to do things again like I used to.
Sorry you are going through this.
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
I am in the same situation you are in, although I haven't had surgery. I don't want to CTB either. I would love to be able to do things again like I used to.
Sorry you are going through this.
Would you feel ok to share what your issues are? Or point me to a thread where you have already discussed them?
 
Meditation guide

Meditation guide

Always was, is, and always shall be.
Jun 22, 2020
6,089
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k75

k75

L'appel du Vide
Jun 27, 2019
2,546
I'm so sorry you have had to endure all of that. The worst thing about chronic pain is that it's invisible, and it's easily dismissed if nothing shows up on the tests.

I have an entirely different set of health and pain issues, but they multiplied in the same way yours did. And still are. I'm now in a situation where doctors believe me, but my tests show nothing. Nobody can figure out the why, so there's no cure. Just some symptom management, which isn't very effective.
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
I'm not comfortable with going into details here. I'm in pain.
Sure, sorry for inquiring.

I'm so sorry you have had to endure all of that. The worst thing about chronic pain is that it's invisible, and it's easily dismissed if nothing shows up on the tests.

I have an entirely different set of health and pain issues, but they multiplied in the same way yours did. And still are. I'm now in a situation where doctors believe me, but my tests show nothing. Nobody can figure out the why, so there's no cure. Just some symptom management, which isn't very effective.
So sorry you've had to go through similar stuff. Nothing showing up on tests is maddening. You're right about the worst part being that it is invisible. I think if people could feel what I'm going through they'd be rolling out red carpets for me and giving me the nobel price haha not even kidding!
 
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k75

k75

L'appel du Vide
Jun 27, 2019
2,546
Right! People who aren't dealing with this crap really can't comprehend what it feels like. How small things can be nearly impossible. I don't really blame them, but it's beyond frustrating. How do you make someone understand that you aren't happily exercising all the time because you are made of nausea and your skin feels like you're impaled by icy burning needles wrapped in a layer of numb? I barely understand how it's possible myself.
 
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schopenh

schopenh

Specialist
Oct 21, 2019
385
Right! People who aren't dealing with this crap really can't comprehend what it feels like. How small things can be nearly impossible. I don't really blame them, but it's beyond frustrating. How do you make someone understand that you aren't happily exercising all the time because you are made of nausea and your skin feels like you're impaled by icy burning needles wrapped in a layer of numb? I barely understand how it's possible myself.
Both sounds horrendous but I can speak from experience with nausea. I had it for a week due to some meds and a week was too much. I am so sorry for what you're going through!
So right about the small things. My mam will complain I didn't put things in the dishwasher or bend down to feed the cat. I'm a very patient person for someone in a lot of pain but no matter how many times I calmly state "sorry but it just genuinely hurts too much" I just get eye rolls etc.:ohh: you learn much about people when you're in need of them!
 
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k75

k75

L'appel du Vide
Jun 27, 2019
2,546
you learn much about people when you're in need of them!
So true! I've been lucky in my personal relationships, but it's doctors who give me the most grief. Mainly my primary care. It seems to be an alien concept that things could prevent me from doing what he wants, and I don't understand why?

I've been battling the nausea for about 5 years now. It's kind of what started it all. I know what caused it, but nobody knows why it's still a problem. I have to take antiemetics daily. The only upside is I already had Metoclopramide before I even knew what SN was! Cosmic joke!
 
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yetme

yetme

Arcanist
Oct 20, 2019
486
Right now the urogenital problem is the worst issue. I am completely avoiding orgasming but after a few weeks I will end up having a nocturnal emission and it makes the pain much, much worse. I am peeing all the time and the burning and stinging pain in the area is very intense. It seems to be worsening rather than getting better. Movement badly irritates the area and I cannot twist or turn or stretch the area at all.

this sounds like bacterial infection to me. the fact that you did cultural tests doesn't mean anything as some of the bacteria needs specific tests. (intracellular bacteria, anaerobic bacteria). you could have easily gotten infected during surgery. in fact one of our community members had exactly the same case. he got infected during surgery and antibiotics didn't help, because he was infected with an antibiotic resistant hospital strain.
 
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rabbithole

rabbithole

Experienced
Oct 26, 2020
271
You might have something called arachnoiditis. Some of your symptoms, especially stinging, sound like it.
Anyway I am so sorry for all your suffering. I am also suffering with chronic pain (I have arachnoiditis) and also don't know how I'd ever cbt but feel I have to because I am suffering so much.
 
R

rvsw

Student
Jul 17, 2020
108
Same problem here. I got clearance at Pegasus. They are good people but cannot find a way to survive plane journey
this sounds like bacterial infection to me. the fact that you did cultural tests doesn't mean anything as some of the bacteria needs specific tests. (intracellular bacteria, anaerobic bacteria). you could have easily gotten infected during surgery. in fact one of our community members had exactly the same case. he got infected during surgery and antibiotics didn't help, because he was infected with an antibiotic resistant hospital strain.
Pelvic pain chronic prostatitis pelvic floor dysfunction. I have all of these. In your case may be due to stress full stop of course it can also be bacterial
 
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A

AintNoWayOut

Student
Jan 6, 2020
173
title is spot on... one thing causes the pain, then the pain causes stiffness/inactivity, which then worsens the pain and discomfort. its like an inescapable cycle. sorry to hear all that, im suffering as well.
 
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longingforfreedom

Member
Jan 18, 2021
9
I've been in very severe chronic pain for about 3.5 years now. But the interesting thing is that the problem I started out with that brought me to this site is no longer my biggest issue.

About 3.5 years ago (when I was 26) I injured my back and this lead to two issues: intense mechanical pain in my spine that made standing extremely difficult and sitting impossible; as well as an intense and overwhelming burst of radicular pain into both legs, front and back, with pain worse on the left side. I need to make this clear: this was orders of magnitude greater than typical lumbar radiculopathy (which can itself be very, very painful) - it had nothing to do with stenosis/herniated disc/impingement/annular tears/leaking discs/tumors etc. etc. Whatever happened was incredibly rare and had no medical explanation with current investigative procedures and wasn't even analogous to any known auto-immune disorder (or other problem) which can cause neuropathy.

The only thing of note from all the testing was a moderately diseased inter-vertebral disc; it couldn't explain the neurological pain though. Nonetheless I paid to have the disc removed and replaced with my life savings.

Before continuing, basically for an entire 10 months I was completely bed bound. I was lying on my back or side for 10 months straight. I developed very strong chest pain which stung and burn intensely at times and also it would affect my upper back. I had no idea it was caused by the lying down until later when I got back the ability to sit.

So, the disc replacement fixed the mechanical issues, I could sit and stand again without lumbar spine pain, but the disease process in my nerves that was kickstarted with the injury wasn't fixed. I had way more diagnostics, procedures etc. to try help the nerve pain but nothing did, even an iota. So I have had constant stinging and burning in my lumbar spine with pain radiating into my legs for the past 3.5 years. Eventually I got fasciculations in both legs as well and my left foot began to feel much warmer than the right and it dries up if I don't moisturize every day (classic signs of autonomic nerve damage). Had loads more tests, yet still no answers (and lots of money down the drain). I have been housebound this entire time as any activity or physical rehab, no matter how small and careful, just makes pain worse.

Overall, that nerve pain maybe went down by 50% in the entire 3.5 years since it started. It is still severe though and I cannot wear trousers as the sensation makes the pain worse.

Anyway, since I could sit again the chest pain improved a lot. But basically I still couldn''t lie on my side anymore. I would wake up with intense pain in the sternum if I did. Even if I did it for ten minutes I'd get pain. If for some reason I lay on my back in an odd position, it could also trigger it. I guess it's 'costochondritis' but I never even bothered having it diagnosed as it's insignificant compared to the nerve pain and what else is to come. Plus, surprise, surprise, there's not meaningful treatment for it anyway (there never is for anything I get landed with it seems). I'm very, very tired of going through scans and bloods etc.

Four months ago I developed extreme pain in my urogenital system. It worsens dramatically with orgasm but it is severe even without it. My need to pee is now every hour minimum, this is at night as well. While I already struggled with sleep, if I could get asleep I would usually stay as asleep for a few hours. Now I'm waking up every hour because the sensation to pee and pain gets too strong.

I figure this all came about due to abdominal area surgery and the damage and scar tissue it left (to access my lumbar spine they went through the front), months of oral corticosteroids at very high dosages, inactivity, other meds (antibiotics during surgery, antibiotics when we though the problem was a UTI - didn't test for bacteria initially due to covid, antiepileptics, antidepressants, stomach liners with the steroids, others...) and presumably some genetic factor or perhaps whatever disease has caused my nerves to not heal near my spine has moved around to my bladder.

Right now the urogenital problem is the worst issue. I am completely avoiding orgasming but after a few weeks I will end up having a nocturnal emission and it makes the pain much, much worse. I am peeing all the time and the burning and stinging pain in the area is very intense. It seems to be worsening rather than getting better. Movement badly irritates the area and I cannot twist or turn or stretch the area at all.

Sounds like it's a disease called interstitial cystitis which just has a load of nonsense treatments that don't help and is basically incurable and spontaneously resolves for some lucky individuals. My presentation seems to be very severe. I have been on a list for an ultrasound for about 3 weeks now (this is private), but I haven't heard from them. I really just don't even care because I doubt it will show anything. I'm also on a four year waiting list to see a urologist but again, I just don't even care about seeing them. I imagine they'll do a cystoscopy and a couple of procedures, offer elmiron and none of it can reasonably be expected to do anything.

So, you can see how chronic pain just causes more chronic pain. The inactivity lead to my chest problem (which is quite minor and livable with on its own). And all the meds etc. opened up a new problem that's worse (at the moment) than the problem I started out with.
I'm really, really tired of severe pain and disability. I seemingly don't have a suicidal bone in my body though because I've had everything I need to CTB since last October.

Edit: thanks to anyone who actually bothered to read all this
Wow! I can relate on so many levels. I've had chronic pain for over 12 years but I hit my limit last March when I developed something called pudendal neuralgia. It sounds like you might have it if it isn't IC. I attempted suicide 4 months in and again 2 months later. Almost died the 2nd time but got scared and called for help even though I wanted to die. Now I'm stuck with more nerve pain from the life saving surgery. I want to die even more now, but don't know how to ctb. Overdosing was my last chance I fear. I'm thinking about partial hanging, but dont have the rope for it. I'm under watch all the time now. I wish there was assisted or euthanasia for people with severe intractable pain.
 
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