Dental Surgery Recovery

[Spear Dane]

WHO is to blame for tramadol in Africa. So sad

https://www.google.com/amp/s/qz.com...ican-cities-in-ghana-nigeria-egypt-gabon/amp/

Damn. I must have a very strange metabolism. I've tried 300 mg at a time and NOTHING.

 

[Kirk Freeman]

Found of a video describing my procedure: https://www.youtube.com/watch?v=MY6EVADIBcE

 

[Trigger Time]

I'll never take Tramadol again. I've eaten a ton of Hydrocodone & Oxycodone (months at a time) without issue other than maybe a little constipation but I felt like hell trying to come off of Tramadol. I don't care for pill form Dilaudid either, IV Dilaudid will have me flying dragons over the surface of Mars for a few hours though .

When tramadol was first being given out like candy about 10 years ago it was sold by doctors to patients as a non addictive and non narcotic alternative to oxy and vicodin ect. Yep I said non addictive.
It wasnt even a controlled substance like getting a vicodin script was back then. Just the regular script like they wrote you some antibiotics.
Obviously most anyone who took tramadol for long periods at high doses found out real quick it's one of the most physically addictive drugs ever invented. Your body goes through some serious withdrawals from it and you arent even supposed to stop taking it cold Turkey because it can make you have seizures.

Tramadol now of coarse is treated just the same as oxycontin but just a warning to anyone here who may read this and gets tramadol long term, be careful and take only as prescribed and take less if you dont need as much as they prescribe you.
Tramadol works differently than other drugs like oxy for different pain. Some doctors get that and will prescribe it in conjunction with other drugs. Some doctors think because it's the same class and works on the opioid receptors that it's exactly the same thing as like oxy and they wont prescribe them together. Doctors should listen to patients they trust and not just read text books sometimes.

Anyways I'm a big supporter of tramadol because it has helped people very close to me actualy have a quality of life they wouldbt have otherwise and it doesnt give the doped up feeling like most opiats. Keeps you from having to take more of like the oxy or hydrocodone types because doctors who are knowledgeable will supplement with tramadol instead of prescribing someone 12 hydrocodone a day

 

[SmileDocHill]

Im a dentist and do a lot of oral (surgery) :-) tramadol is a sucky pain med, I try to avoid it. Take 600mg ibuprofen every 6 hours whether you think you need it or not. Most of the pain is going to come from inflammation, think of the ibu's as your anti-inflammatory not your pain med. If you are able to take it easy, sit up, don't lay down. Little things (elevating) add up. Cold compress (mother nature's anti-inflammatory)
Any time a dentist hears a judge, politician, or news caster say md's and dds's shouldn't Rx as many narcotics you'll hear those docs say "there's a guy that's never had a toothache ".

 

[SmileDocHill]

When tramadol was first being given out like candy about 10 years ago it was sold by doctors to patients as a non addictive and non narcotic alternative to oxy and vicodin ect. Yep I said non addictive.
It wasnt even a controlled substance like getting a vicodin script was back then. Just the regular script like they wrote you some antibiotics.
Obviously most anyone who took tramadol for long periods at high doses found out real quick it's one of the most physically addictive drugs ever invented. Your body goes through some serious withdrawals from it and you arent even supposed to stop taking it cold Turkey because it can make you have seizures.

Tramadol now of coarse is treated just the same as oxycontin but just a warning to anyone here who may read this and gets tramadol long term, be careful and take only as prescribed and take less if you dont need as much as they prescribe you.
Tramadol works differently than other drugs like oxy for different pain. Some doctors get that and will prescribe it in conjunction with other drugs. Some doctors think because it's the same class and works on the opioid receptors that it's exactly the same thing as like oxy and they wont prescribe them together. Doctors should listen to patients they trust and not just read text books sometimes.

Anyways I'm a big supporter of tramadol because it has helped people very close to me actualy have a quality of life they wouldbt have otherwise and it doesnt give the doped up feeling like most opiats. Keeps you from having to take more of like the oxy or hydrocodone types because doctors who are knowledgeable will supplement with tramadol instead of prescribing someone 12 hydrocodone a day

You know your history well. I don't disagree with any of this. Generally speaking it has great uses. For the nerdy details of oral surgery... most of the oral surgeons I highly respect don't use it for oral surgery.
Again, not a counter argument, just more info for the thread: pain is not an on/off switch or single thing that you either have or not. There are MANY complicated processes and mechanisms that go into the biology of what can cause you to feel pain.

 

[Trigger Time]

Damn. I must have a very strange metabolism. I've tried 300 mg at a time and NOTHING.

Wow.
Or you got some fake tramadol from China. It's one of the top fakes drugs that has wound up in US pharmacies

 

[MrsGungho]

Y'all must be doing it wrong. I had all four wisdom teeth pulled at the same time, teeth pulled, root canals, an apicoectomy, implants, etc. and never had any significant pain afterwards...or maybe I'm just damn lucky with the lack of dental pain.

I save the prescribed painkillers for the occasional bad mountain bike crashes.

I had all 4 wisdom teeth cut out and that was a walk in the park compared to cutting the gums, cleaning, then stitching them back in place. Ever had a numbing shot in your top two front teeth? You feel it all the way up into your sinuses. I screamed in pain, and I delivered 2 children with NO DRUGS whatsoever. I think you, got lucky.

 

[Trigger Time]

You know your history well. I don't disagree with any of this. Generally speaking it has great uses. For the nerdy details of oral surgery... most of the oral surgeons I highly respect don't use it for oral surgery.
Again, not a counter argument, just more info for the thread: pain is not an on/off switch or single thing that you either have or not. There are MANY complicated processes and mechanisms that go into the biology of what can cause you to feel pain.

Yep for sure. Very very true statement above that pain is not an on/off thing. If someone can manage pain without meds then that's deffinately the best coarse of action.

I know nothing about dental application of pain meds, thankfully I've been lucky there The person I'm referring to wishes that one day they could stop taking all pain pills. It's not a good feeling to be dependent on something just to function with severe pain or even some drugs that just allow you to get up and move and walk (flexibility).
But for now pain meds are a big money maker.

I have a lot of respect for doctors who are hesitant to just throw pills at their patients but who also arent afraid to prescribe them if its needed.
I also have a strong detest for people who abuse the system and then cause good people who need the pills problems getting them or make them have to be treated like or looked at as criminals because they take them.
People worry about how they will be treated if they get pulled over with a gun, now imagine you have to take several different types of controlled substances several times a day and people will rob you on the street for them if they see you have bottles or the cops could possible arrest you if you dont carry your pills in original bottles ect. Just one example of daily stress having to take pills.
I truly hope they find alternatives for people with pain

 

[phylodog]

I have a lot of respect for doctors who are hesitant to just throw pills at their patients but who also arent afraid to prescribe them if its needed.
I also have a strong detest for people who abuse the system and then cause good people who need the pills problems getting them or make them have to be treated like or looked at as criminals because they take them.

This is a major frustration of mine as I've been dealing with this for months. Two shoulder surgeries and 16 months of physical therapy have left me in constant pain. Literally every activity I have enjoyed as an adult has lost it's luster as it is now painful (shooting handguns and long guns, climbing trees to hunt, drawing my bow, riding anything with handlebars, lifting weights, running, etc.) and I cannot get help. Was sent to a physical medicine and rehab specialist who wanted me to take Celebrex (in spite of it's stern warning about combining it with my blood pressure medication) and begin additional physical therapy even though the last four months of it showed no benefit other than ensuring my pain levels steadily increased until they became unbearable. I can grunt it out and get through the work day, all I need is some relief at the end of the day so I can sleep without drinking half a bottle of bourbon and taking a sleeping pill. So far no one cares because opiate crisis.

 

[IndyTom]

Alternating acetaminophen and ibuprofen (OTC, not prescription) every 3-4 hours (not going over the daily max) kept me functional when I was having some dental issues a few years back. Just make it your focus to keep taking them in a timely manner.

 

[gmcttr]

... Was sent to a physical medicine and rehab specialist who wanted me to take Celebrex...

For what little it's worth, Celebrex is my go to med when I want a really good anti-inflammatory but I've never had a situation where I needed to take it for more than 5 days.

 

[phylodog]

For what little it's worth, Celebrex is my go to med when I want a really good anti-inflammatory but I've never had a situation where I needed to take it for more than 5 days.

Unfortunately they warn of significant damage to my kidneys when taken with my blood pressure meds.

 

[Birds Away]

I think this was all just a ruse to plant a tracking device.

 

[indiucky]

Doc said ice and avoid coffee (the horror). Anyone have anything else that worked for them?

 

[Trigger Time]

Unfortunately they warn of significant damage to my kidneys when taken with my blood pressure meds.

Oh yay another thing to worry about regarding pills lol.

The pills can have bennefits but they also seem to kill you also with their side effects.
I dont know what blood pressure med you are on but I know someone who is on valsartan (blood preassure), Celebrex and gabapentin for nerve pain. Obviously pain meds are totaly a different story. I have no Idea if that's what you take for blood preassure or if it may be an option to look into. For all I know that could be what kills the kidneys. It's not like some doctors will tell you everything. Sometes they seem to focus on the quick fix instead of long term

 

[Trigger Time]

For what little it's worth, Celebrex is my go to med when I want a really good anti-inflammatory but I've never had a situation where I needed to take it for more than 5 days.

I know someone that wouldnt be able to function if it hadn't been for Celebrex. Twice a day for life probably lol

 

[phylodog]

I've had Gabapentin on two separate occasions and didn't see any noticeable improvement. Taking two Aleve seemed to knock about 10% off but that stuff isn't good to take long term either.

 

[SmileDocHill]

My brain is swimming with this thread. Just random tidbits of information, not trying to correct anyone.
--You simply cannot compare war stories from one person to the next on pain. Too many moving parts to generalize.
--In dentistry we deal 99.99% with acute pain. There is a pain source, we treat it, pain gone. Poke yourself with a knife you get acute pain. If you don't take out the knife for years you'll get pain for years...acute pain for years. Chronic pain is an entirely different animal and has little to do with how long you have the pain. Someone with chronic pain at some point started feeling the pain, so they've had chronic pain for 1 day. Totally different body systems and mechanism and therefore treatment. Acute pain situation can start chronic pain but chronic pain can be its own thing. Its like your CNS has established the pain as the new norm. This is easier to picture when you hear about amputees still having foot pain...foots gone...CNS, brain, muscles, however still generate pain.
--Genetics and past history can totally change how your CNS reacts to a new injury or procedure, it also can greatly affect how you respond to different treatments for pain, and in less frequent but not rare cases can change whether you hyper, hypo, or do not respond to certain medications regardless of why you are taking them. These are 3 separate things.

 

[rhino]

My brain is swimming with this thread. Just random tidbits of information, not trying to correct anyone.
--You simply cannot compare war stories from one person to the next on pain. Too many moving parts to generalize.
--In dentistry we deal 99.99% with acute pain. There is a pain source, we treat it, pain gone. Poke yourself with a knife you get acute pain. If you don't take out the knife for years you'll get pain for years...acute pain for years. Chronic pain is an entirely different animal and has little to do with how long you have the pain. Someone with chronic pain at some point started feeling the pain, so they've had chronic pain for 1 day. Totally different body systems and mechanism and therefore treatment. Acute pain situation can start chronic pain but chronic pain can be its own thing. Its like your CNS has established the pain as the new norm. This is easier to picture when you hear about amputees still having foot pain...foots gone...CNS, brain, muscles, however still generate pain.
--Genetics and past history can totally change how your CNS reacts to a new injury or procedure, it also can greatly affect how you respond to different treatments for pain, and in less frequent but not rare cases can change whether you hyper, hypo, or do not respond to certain medications regardless of why you are taking them. These are 3 separate things.

All wise words from experience!

Pain management is a very complicated specialty, especially for chronic pain. Human bodies are complicated and the nervous system is the most complicated of all.

 

[Trigger Time]

My brain is swimming with this thread. Just random tidbits of information, not trying to correct anyone.
--You simply cannot compare war stories from one person to the next on pain. Too many moving parts to generalize.
--In dentistry we deal 99.99% with acute pain. There is a pain source, we treat it, pain gone. Poke yourself with a knife you get acute pain. If you don't take out the knife for years you'll get pain for years...acute pain for years. Chronic pain is an entirely different animal and has little to do with how long you have the pain. Someone with chronic pain at some point started feeling the pain, so they've had chronic pain for 1 day. Totally different body systems and mechanism and therefore treatment. Acute pain situation can start chronic pain but chronic pain can be its own thing. Its like your CNS has established the pain as the new norm. This is easier to picture when you hear about amputees still having foot pain...foots gone...CNS, brain, muscles, however still generate pain.
--Genetics and past history can totally change how your CNS reacts to a new injury or procedure, it also can greatly affect how you respond to different treatments for pain, and in less frequent but not rare cases can change whether you hyper, hypo, or do not respond to certain medications regardless of why you are taking them. These are 3 separate things.

You're very right.