The pain med saga and neverending rib pain

Discussion in 'Fibromyalgia Main Forum' started by ericdinbstn, Jun 12, 2008.

  1. ericdinbstn

    ericdinbstn New Member

    Hi everyone-

    Some of you might have read my post last week about my going off fentora for fear of tolerance issues and then switching back to Tramadol. Well, I went back to the doctor got back on the fentora lozenges which do help and the doc put me on oxycontin 40mg 3x day. It's providing some mild relief. Now...

    The pain in my rib cage does not seem to go away NO MATTER WHAT I TAKE. Oxycontin so far nothing. Does anyone know is there a cumulative effect or should the effects be after the basic amount of time to get into the bloodstream? If this doesn't work, I don't know what the heck to do.

    Other than heating pads, any suggestions for bad costochondritis pain (at least that's what the doc thinks it is). Any other suggestions for what this relentless rib pain could be?

    I know that's a bit convoluted, but any advice would be appreciated as always.


  2. Debra49659

    Debra49659 New Member

    Hi Eric...I was wondering whether that rib pain is...well, does it sometimes feel deep almost under that rib cage?? As well as the pain of touching the ribs themselves??

    I have that type of pain that is almost always there. I hate it and it is sooooo painful just because.

    the only thing anyone had even said to me was that with FM the ligaments are pulling and constricting (sp) because of the FM and that why I feel that pain.

    For me when the doctors that know everythink are pushing under my rib as pressing on my lower ribs I can hardly stand it. AND they keep telling me to relax so they can better feel around. Er, well it is kinda hard to relax those muscles when it feels like someone is pushing railroad spikes into the area.

  3. msbsgblue

    msbsgblue Member

    Have had this on the right side beginning back in 1995. I have had a ton of tests, no mine is not costochondritis although I have that too. Mine has grown worse and worse by the year. I keep fearing there is something in there they are missing. Maybe it is legiments and muscle, I had thought of that.

    Have been through a multitude of tests 3 times, you name it I have likely had it, some were horrible.

    I notice mine is worse when I am in more pain elsewhere and flaring my worst which seems to be most of the time now.

    Do you also stay sore around your waistline? I can barely find anything loose enough to wear.

    Mine is deep and after all this time I sometimes hurt through my back too. At times I can almost draw a cirle where I am the worst.
  4. marti_zavala

    marti_zavala Member

    Yes, It has been called costochondritis and also intercostals neuralgia. I like intercostal neuralgia better because it seems to define it better.

    Before I had insurance, this pain kept me from sitting in a chair properly. I could stand (except for my fatigue and hypotension) and laying down was the next best position. I would wear a back brace in order to keep my ribs from squishing the nerves in between. Lot less pain.

    I had no pain medication during this time. I sometimes don't know how I got through those days.

    I have been told that it was due to a shingles attack (I never had the rash but I have been told that the rash can be all internal. I did have some small dry prickly dots that were very painful so I am good with the internal shingles - my grandmothers were the exact same way and in the exact same place).

    I got in to see a spine specialist and in our conversation, he told me that since it had been over 2 years since the shingles attack, the nerves were not going to regrow and heal anymore. So he performed a bilateral, foraminal epidural root block. YAY! pain was gone.

    It is slowly coming back so I am going to have them repeated but I am holding off as long as I can. He told me it could not work at all, could work for 4 weeks or could possibly even work for 4 years - he could not predict how I would respond. The first injections lasted 2 weeks so he redid them (he said that was common). So far I am going on 3 years on the second set of injections.

    This method, while more involved, is better than individually injecting each nerve ending because each time you inject a nerve ending, it creates scar tissue and gets balled up. Plus you have to hit too many places! The root block method hits the nerve at the source so it numbs the nerve all the way around, back to front.

    I never found anything natural that would help except the back brace and changing positions often. Tramadol seemed to help a little but not much. Kinda fuzzy.

    Let me just clarify. I have chronic pancreatitits so I have pain UNDER my left ribs and radiates to my shoulder blade in my back. And I have pain UNDER my right ribs occassionally, due to my liver issues/gall bladder. But these pains are NOT THE SAME.