A member asked:

Hello docs, i'm 38 yo and i have undiagnosed burning pain almost everywhere. i've been on pmeds for 20 yrs n the main narcotics from methadone to oxycodone and nothing helps at all. is it time for the internal morphine pump? what should i do? thanks?

2 doctors weighed in across 2 answers
Dr. Mark Owolabi answered

Specializes in Family Medicine

More narcotics will most likely not make this better. You need to see a doctor with experience treating those with centralized pain syndrome.

Answered 6/24/2023

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Cannot endorse the chronic use of narcotics for an undiagnosed pain condition. Certainly, one possibility might be Centralized Complex Regional Pain Syndrome, but would also wonder about a Small Fiber Neuropathy or chronic Fibromyalgia. A second opinion appears in order. Find a pain specialist at a nearby medical school.

Answered 6/25/2023

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