I had a fall
 

Fell ass over teakettle. Broke my sacrum, tore my xyphoid process and got a concussion. Any of you ever took such a tumble? It sucks to get old. Any pain relieving secrets you know about? Sacrum kills me when I sit or lay, xyphoid kills me when I swallow food. Most stabbing pain EVER. I would rather not take anything illegal. Meds are not doing the trick. :banghead:

Very sorry to hear that. I can't offer much info on pain meds but I hope you find something that helps.

Sorry brother. did they have to immobilize you?

Anything I can do let me know.

I had no idea you could tear a xyphoid process. Sounds absolutely horrible.

Actually happened at your fairgrounds. That gravel is hard! All I remember is pulling on a handle so hard I pulled it completely out and falling then my daughter waking me up asking if I need an ambulance. I’m doing ok, still able to teach shop class for two more days until schools out. Just hoping someone on here knows some killer pain killer secret. The Tylenol 10million they gave me does not like my stomach.

Thank you for making me feel better about my broken vertebrae pinching a nerve feel better in 2009.

Ouch. i took Lortabs like candy and hydrocodone that i got addicted too but I really liked it.

Morphine may help if doctors let you but see what the doctor can get you that's your best bet.

I assume you're going need surgery that sounds complicated.

As soon as school is out they are sending me to a specialist to do surgery on my xyphoid, you can not imagine that pain. A different specialist for my sacrum. I hope they can help both with just steroid shots. Hoping for the best expecting the worst.
I am worried about painkiller addiction, I already drink enough beer to bankrupt a brewery!

These are Opioids your doctor can prescribe to you. Just have to be on the safes side and not abuse them they come in pill form.

Codeine
Fentanyl (Actiq, Abstral, Duragesic, Fentora)
Hydrocodone (Hysingla, Zohydro ER)
Hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
Hydromorphone (Dilaudid, Exalgo)
Meperidine (Demerol)
Methadone (Dolophine, Methadose)
Morphine (Kadian, MS Contin, Morphabond)
Oliceridine (Olynvik)
Oxycodone (Oxaydo, OxyContin)
Oxycodone and acetaminophen (Percocet, Roxicet)
Oxycodone and naloxone


Yeah it was Codeine i got addicted too but worked better than Lortabs but then they cut me off of Codeine that sucked.

Man I'm sorry bud. Take the shit with food, alternate with ibuprofen. That's the best I know. I'm no pharma dude.

Sorry to hear that, Brother. Prayers for a quick and full recovery

If it is legal where you are try some FECO. It is the only thing that has helped with my nerve pain other than morphine at the ER. I tried hydrocodone, oxycodone, tramadol and gabapentin. None of that took away any pain. Got some FECO and pain got low enough to sleep.

What are you taking now?

Non pharmaceutical techniques include: mindfulness, meditation, distraction, ice, heat.

OTC meds
Don’t forget topical Meds like diclofenac, icy hot, etc.
NSAIDS like aleve, ibuprofen
Tylenol
THC

After that you have the different prescription meds.

Prescription NSAIDS (don’t combine with otc NSAIDs)
Opiates (tramadol, hydrocodone,oxycodone, etc)
Steroids
Muscle Relaxers
Others like gabapentin, lyrica, cymbalta

There really isn’t much else.

Watch them run
Watch them fall
Watch them try to catch a ball
Olympics
Special Olympics

You literally busted your ass. Damn man...

Try not to fart...

Try going fishing. It relieves all pain.

Never heard of FECO. I did go buy some cbd gummies. Eating them 1/2 at a time. Not sure yet if it helps, seems to be better. Is FECO legal in Kansas?

Great idea, I have a 12 year old son that is bustin up to go fishin.

Rub some ‘tussin on it.

I forgot about “tussin” is that still otc? ROFL

I mean, just go ahead and put a bullet in my head if I ever had to seriously consider that.

Very sorry to hear, Wizard. Best of luck on a speedy recovery. Hope you find the pain relief you need.

Same thing right now with the back. Ice Pack and Heat pad along with pain meds (They suck). That's about all I got.

I dunno what to say.

I shattered my ankle and for 48 hrs, with an ace bandage, ice with Tylenol 3, I put the pain in a box in my head. Then put it in the back of my mind. Not saying it worked, but helped.

It took a lot of energy to keep it at bay. After surgery, they put me on Hydro, which didn't dent it much. Then oxi which did a bit. I went back to my box.

After a month, I came out the other side. I have an addictive personality and sure didn't want to get hooked on oxi. I quickly quit the oxi and went back to my box.

Pain is mental. Not easy, but an idea.

Join your local CrossFit gym and do the most ridiculous scaled down version of everything. Do it through dull pain but not sharp. Keep showing up and don’t get hurt.

God's speed to feeling better.
Falls are no joke as we get older.

I wonder if one of those ass donuts would help. I know it helped me on my tailbone which is one bone lower. I road down a rocky bluff in Weston Mo about above the Missouri River for 50 to 80 feet till I grabbed a 3-inch sapling to stop my slide. About 3o feet down the incline a felt pain then fire like a branding iron at the area of the tail bone. That was a painful climb down and walk back to the truck sitting and driving back to the office was even worse.

That took forever to heal it seemed Just Tylenol and an ass ring Naproxim Sodium was still by prescription then I believe.

Good luck

My wife fell down a flight of stairs. She swore by that "ring". You can't cast it. It took months to get better.

This used to work years ago:

Pick yourself up.

Dust yourself off.

Start all over again. (I think "dust yourself off" might have been slang for something)

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Taking opioids for more than 3 consecutive days is just asking for huuuuge trouble. I've had 10 major sports-related surgeries, and I bail on the pain meds after 3 days no matter what. Weed helped in my case, or at least helped me mentally block out the pain. Good luck, hope you heal fast!

Weed

Weed is fine depending on your blood pressure
In my condition, 1 hit of good shit and I pass out and wind up in the er. Even edibles will drop my blood pressure even more the next day
It’s a bitch, but that’s how I have to roll
I have a stash that would make your eyes bleed
sec

Had no idea sec was a stoner

I’m a respectable ****er
Same job 39 years
Climbed 300’ towers
Raised my family
Never kicked my dog
So I got high
Who gives a rats ass?
sec

Just kiddin ya buddy

It’s all cool
At least my asshole ain’t broke
Respect to op
sec

I've had 2 freak falls. One broke my c2 vertebrae into 2 separate pieces and the other one broke my right femur (I'm currently coming up on 4 months on crutches for it).

I did break my pelvis in 3 places 25 years ago, but since I wasn't going anywhere due to a shattered right knee anyway, I just laid there for a couple months until it healed up.

Can't give you any advice on the pain, except that its real and to manage it the best you can without coming away with a monkey on your back.

Being hurt and/or laid it up blows. Its more psychological management for me. Not feeling down or defeated and such.

Anyway, hope you can find some comfort and feel better soon.

Depending on your age, you may look into getting a bone density scan or at least get your vitamin D levels checked just for maintenance moving forward.

Weed and beer will cure what ails you

Real FECO is not available legally in KS. It contains THC.

I have seen hemp based FECO, just CBD and terpenes, which would be legal in KS but I have no idea how well or if it works like the real stuff does.

First, sorry, that really sucks.

Providers are altering prescribing patterns to lessen total opioid dispensation due to the recent crisis. As such, many are using a multi-modal approach to pain. This means using drugs that have different mechanisms of action in order to lessen reliance on opioids.


If you already drink a fair amount, you should be wary of using both ibuprofen and Tylenol in large quantities due to the increased risk of a GI bleed and liver damage, respectively. I would be honest with your provider about how much you drink and give them and your pharmacist a comprehensive list of every medication (and supplement) you take.

Tylenol: Four grams is technically the maximum, but you probably shouldn't go over three grams per day (1000mg every 8 hours, for example). Tylenol+codeine formulations (Tylenol #3, #2, etc) really should not be used anymore for control of pain. They effect different people in wildly different ways due to genetic differences in codeine metabolism (it is converted to morphine). This can also be affected by other medications you take.

Ibuprofen: 2400mg is the daily Rx maximum (800mg every eight hours or 600mg every six hours), but you increase the risk of GI bleeds and renal damage when taking the ceiling dose for more than a few days at a time. There is also cardiovascular risk associated w/ NSAID use, so if you have a history of heart disease, talk to your provider about using them.

Topical lidocaine patches tend to be more helpful for nerve-related pain but are OTC and are safe to use. There are topical capsaicin creams as well, but they must be applied on a scheduled basis rather than as-needed, and their efficacy isn't great.

There are a few other options in addition to the list that SupDock mentioned, but none that would be recommended for your type of pain.

So if I am a beer drinker then can I take naproxen sodium? I knew I shouldn’t take Tylenol but didn’t know about ibuprofen, now that’s out. I go back next week and I am sure they are willing to push more pills on me but I’m trying to tough it out, I ain’t doin no opioids.
My goal is to use a otc pain killer plus cbd and patches. (On my xyphoid not on my butt!
Don’t do weed. Not legal here. So not really an option.

This is going to be several months I’m sure to heal so I am using a butt pillow too.

Naproxen is Aleve. It's an NSAID, so everything that I said about ibuprofen applies in this case. Short term use of immediate release opioids is safe, especially for the kind of pain you suffered. It doesn't make you a lesser person if you need to take them for a few days.

It is likely you may experience inconsistent effects from CBD due to the fact that most manufacturers aren't regulated and without said regulation it is difficult to discern the content of the supplement absent an independent certificate of analysis.

Thanks for the input guys. I’m moving forward with cbd and my butt pillow and trying not to lift anything. I’m bad about thinking I’m still young and full of piss and vinegar!
Seems like any pain reliever and beer are not good and I don’t do weed. We have a cbd store here that’s not sketchy and what I have tried so far is seeming to work a little better each day.
I have been able to swallow food without my xyphoid bring tears to my eyes since yesterday which is a godsend.

As always, you provide good information.

Can you tell me the difference between immediate release opioids and whatever are unsafe?

Falls are bad the older we get. My dad — 87 — took a nasty fall this week, face first down a short flight of stairs. I won’t post his knarly pic out of privacy and wtf concerns, but damn it was a nasty fall. The aftermath on the hallway wall looked like Sharon Tate vs. the Manson family. Luckily, no concussion and nothing that appears to affect his musculoskeletal system long term. He doesn’t experience pain like a normal human so no concerns about drugs. But my mantra as I age is 1) don’t fall and 2) don’t get the flu/covid. These things lead to death.

Sorry for you fall Mr. Wizard. Even more sorry for your suffering. So glad you’re here to seek advice.

Immediate release opioids are generally simply designed tablets that dissolve and release the entirety of their dose right away. The total dose is lower, so the risk of overdose is also low. Most opioid prescriptions should be IR formulations, because most people don't need round-the-clock dosing.

Examples: hydrocodone/acetaminophen (Vicodin, Lortab, Norco), oxycodone/acetaminophen (Percocet), morphine sulfate.

Extended/Controlled/Sustained release opioids are designed to deliver a higher dose over a longer period of time. There is a correlation between use of these formulations and an increased risk of overdose--sometimes intentional, sometimes not. The most infamous of these is oxycontin, which is an extended release version of oxycodone, and can be up to 80mg in a single pill, compared to 5 or 10mg of an IR formulation.

There are also abuse-deterrent formulations that are designed to be hard to crush, or that contain additives that make it difficult/unsavory to crush up and use all at once, but there isn't a ton of good literature demonstrating that they actually reduce overdose.

Finally, there are patch formulations, like fentanyl (Duragesic). These are usually safe, but require a period of time for absorption, so they are usually issued with an immediate release opioid for breakthrough pain, and must be used properly. For example, if you put a heating pad over an area where the patch is you can cause dose dumping and actually unintentionally overdose yourself.

Another thing to recognize is that there is incomplete cross-tolerance between opioids. Although you may be able to take a large dose of one opioid, if you are switching to another, practitioners may decrease your dose (in what we call morphine equivalents) by 30-50%.

I worked with a guy in landscaping a couple years ago that swore by turmeric. He bashed his ankle in a motorcycle accident. His foot looked like God was in a hurry that day and placed it on backwards.

Never tried it but it seemed to work for him.

Turmeric is an anti inflammatory. Can help with very minor inflammation issues but not going to do much for a serious injury.

Yea welcome to my world. My injuries require months to heal and there is no drug that’s not bad for me to help.
:deevee: