5 doctors weighed in:

I have spinal stenosis with sciatic pain from foot to thigh. Now, I am having severe pain up to groin. I have been usingfentanyl patch and oxycodone with no relief. What should I do ?

5 doctors weighed in
Dr. Stuart Wasser
Addiction Medicine
2 doctors agree

In brief: See, below

If you are using oxycodone regularly (daily) than you are going into withdrawal despite a more consistent level of fentanyl provided by the patch.
That withdrawal at the end of the oxycodone dosing interval is exacerbating your pain. Another trick that is not well appreciated is the use of ultra low dose Naltrexone (0.25 mgs 1-2x daily) also the other drugs per answers given by the other docs.

In brief: See, below

If you are using oxycodone regularly (daily) than you are going into withdrawal despite a more consistent level of fentanyl provided by the patch.
That withdrawal at the end of the oxycodone dosing interval is exacerbating your pain. Another trick that is not well appreciated is the use of ultra low dose Naltrexone (0.25 mgs 1-2x daily) also the other drugs per answers given by the other docs.
Dr. Stuart Wasser
Dr. Stuart Wasser
Thank
Dr. Jeffrey Kass
Podiatry
1 doctor agrees

In brief: I am sorry

To hear your problem. I find this to be a very tough diagnosis to treat.
There are a host of medications people try for this condition i.E cymbalta, neurontonin, Lyrica (pregabalin) and the narcotics which you already mentioned. When all these meds fail and you are left with pain you may want to consult with a doc about a spinal cord stimulator and see if they feel this may help.

In brief: I am sorry

To hear your problem. I find this to be a very tough diagnosis to treat.
There are a host of medications people try for this condition i.E cymbalta, neurontonin, Lyrica (pregabalin) and the narcotics which you already mentioned. When all these meds fail and you are left with pain you may want to consult with a doc about a spinal cord stimulator and see if they feel this may help.
Dr. Jeffrey Kass
Dr. Jeffrey Kass
Thank
Dr. Thomas Heston
Family Medicine
1 doctor agrees

In brief: Surgery

Is surgery an option? Does physical therapy help? How about alternative therapies such as accupuncture or massage? This clearly is a difficult situation.
You might also benefit from a cortisone shot.

In brief: Surgery

Is surgery an option? Does physical therapy help? How about alternative therapies such as accupuncture or massage? This clearly is a difficult situation.
You might also benefit from a cortisone shot.
Dr. Thomas Heston
Dr. Thomas Heston
Thank
Get help from a real doctor now
Dr. Bennett Machanic
Board Certified, Neurology
50 years in practice
56M people helped
Continue
111,000 doctors available