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What Causes Severe Arm Pain After Increasing The Dosage Of Methadone?

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Posted on Tue, 29 Sep 2015
Question: I have RSDS or CRPS for almost 18 years now. I had after a period of time a good Neurologist and Pain Management Doctor. But was forced to changed due to Worker's Comp. Insurance. The Doctor I now see is trying to take me off Fentanyl and put me on Methadone. My pain is increasing as he increases the Methadone, but he doesn't believe me. Says it can't do that. I am extremely sensitive to medications. The pain management doctor worked for years trying to put together medications that at least gave me some relief and that I could take. I was still in a lot of pain. But slowly no matter how hard I try and push myself to keep going the Methadone seems to be making the pain worse. It's in my whole lower body and right arm. In past few weeks my right arm is flared up bad, now both arms ache, and pain. I just don't understand. Do you have a comment?
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Answered by Dr. Dr. Erion Spaho (8 hours later)
Brief Answer:
Spinal cord stimulation is a possibility.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

I guess methadone was started to treat fentanyl dependency.

If you are not dependent psychologically to fentanyl and it worked, then you should get back to it.

If dependence to fentanyl, then other possible treatment ways such spinal cord stimulation should be discussed with your Doctor.

This is a possible treatment modality that reduces in maximum use of drugs to control pain.

Hope you found the answer helpful.

Take care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4494 Questions

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What Causes Severe Arm Pain After Increasing The Dosage Of Methadone?

Brief Answer: Spinal cord stimulation is a possibility. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. I guess methadone was started to treat fentanyl dependency. If you are not dependent psychologically to fentanyl and it worked, then you should get back to it. If dependence to fentanyl, then other possible treatment ways such spinal cord stimulation should be discussed with your Doctor. This is a possible treatment modality that reduces in maximum use of drugs to control pain. Hope you found the answer helpful. Take care.