Analgesic medications are among the most-used drugs for many forms of arthritis. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs), which target both, pain and inflammation, analgesics are designed purely for pain relief. For that reason, they may be safe for people who are unable to take NSAIDs due to allergies or stomach problems, for example. They’re also an appropriate, and possibly safer, choice for people whose arthritis causes pain but not inflammation.
The most commonly used analgesic, acetaminophen, is also the most widely available. Because of its low cost, effectiveness and safety, rheumatologists recommend acetaminophen as a first-line option against osteoarthritis (OA) pain. Some people use acetaminophen in addition to an NSAID for added pain relief (but always speak to your doctor before combining any medications, even those available without a prescription).
For severe pain that isn’t eased by acetaminophen, doctors sometimes prescribe analgesics containing an opioid, such as codeine or hydrocodone. Sometimes these products also contain acetaminophen, such as oxycodone with acetaminophen (Percocet) or propoxyphene with acetaminophen (Darvocet – so if your doctor prescribes one for you, make sure you don't get a double dose of acetaminophen, which can be toxic. Longer-acting opioid analgesics are available, too. Some of these come in pill forms, such as oxycodone (OxyContin); another option is transdermal fentanyl (Duragesic), a patch that delivers opioid medication through the skin.
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Unfortunately, you can't see pain so because of that, a lot of people think that you are either putting on or it is in your head. My son-in-law told my daughter who was suffering with fibromyalgia that it was all in her head and now, he is worse with this disease than she is. He will tell you in a heartbeat that he has it because he teased his wife and told her that her pain was all in her head and that is why he has it now. Pain hurts regardless of whether you can see it or not.
I want to warn everyone that is taking nonsteroidal anti-inflammatory drugs (NSAIDs), to really be careful. I have taken NSAIDs medication since I was 23 years old when I started having joint pain. I took Indocin for over 15 years and was switched to Celebrex before a doctor checked my kidneys. When I was 67, my Rheumatologist discovered that I had lost 66% of my kidney function from taking these drugs. Have your doctor do a blood test to check your kidneys if you are taking any type of NSAID medication. I am 69 now, and I did not realize that my kidneys had been damaged. I have been taken off all NSAIDs medicines because of kidney damage.
Now, I am taking enbril shots twice a week for the AS and one 10MG methodone tab. twice a day for the pain. My pain was so bad that I couldn't walk and could hardly get out of bed. I still can't walk due to the AS but my pain level on a scale of 1 to 10 stays around a 2 now. I am thankful to the good Lord that I have found a doctor that has taken an interest in me and my problems and found out about my kidneys before I lost all usage of them. My right kidney does not function, my left one is the only one that is doing any work now for my body.
God bless everyone and I wish you all much less pain and to be healed of your disease.
suffer with siesures and high blood pressure
along with fibromyalgia. I have been on
many different combinations of drugs over
the past 35 years. The best combo of drugs
I've found to help my conditions are,
morphine, carisoprodol, piroxicam, and
100 MG 350 MG 20MG
HCTZ 25/Lisinopril 20MG. I've been taking
this combo for 5 years now and its the best
so far.
HCTZ/Lisinopril
I had seizures and stopped breathing from it. I thought it was due to something else causing some side effects before this happened and blamed it on an antidepressant. It was the tramadol/Ultram prescribed for my failed spinal fusion...I am hoping I can find funding or something for help for this surgery, I need it so bad. The pain is horrific. I am on heavy duty pain medication.
Watch out for Tramadol or Ultram as it is known, as well!!!!
Pain management is not about completely relieving your pain. It is about helping reduce your pain so that you may live a more normal life. If you take these medications hoping all your pain will go away, then you will be greatly disappointed.
My heart goes out to anyone in pain; after all the pain I have dealt with at such a young age, I would never wish anything on anyone.
To all of you still suffering, stay strong you will find relief...We are all heroes in our own right for all we deal with each and every day; and for continuing to live our lives as best we can...Best wishes to each and every one of you!
I wish I could try the other meds people have mentioned but my insurance will not pay for them.Just that the laord I can walk and get around and do things on my good days.
God bless all who are hurting with this RA .and fibrormyalgia, Hope they find help.
If you take morphine and lortab as I do, you are not a drug addict; you are medically dependent. If your doctor refuses, ask him how many brittle diabetics he takes off insulin, or how many thyroid patients he takes off levothyroid! These are drugs patients cannot live without, pain shortens life; this is well known! Pain patients, get ahold of the ACLU and demand pain laws in your state. You may then sue your doctor for your suffering!
The only problem I have with it is that I have read it can be habit forming. If I don't have it, I can get rather out of sorts, but it may be because of the pain. I am not sure.
My mom went on it and she had severe side-effects, but she takes a plethera of other meds, so it may have just interacted with something else she was taking.
If you have pain, I would highly recommend using it. It gave me my life back!
I was talking to my mom and she reminded me that i have had bad pain in my wrists basically my whole life. when i was 12 she would find me wrapping ice cold paper towels around my wrists...i didnt know what was wrong they just hurt, even if i didnt lift all day. i thought it was just growing pains.
was the doctor right does this sound like RA? if so what is my next step? please help
I'm no expert, but for me, this has helped considerably, and I am grateful to the pain clinic that originally gave me the Tramadol, the pharmacist who coached me, as well as my rheumatologist, who increased my Celebrex and added amytriptyline at night, as needed.
How often during a day do you take Tramadol? What dosage each time?
My pcp prescribed it for my arthritis pain but I haven't decided whether or not to take it. NSAIDS like Aleve give me good pain relief but he cautioned me against taking those long term.
Hello and Happy New Year to each of you !
I lead a support group for people with RSD/CRPS- which is Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome.
Over the last 7 years, I have spoken and met with hundreds of people in chronic pain. Our group was affliated with the Autoimmune Center in our town, and I met many people with all types of autoimmune problems.
From all my research and acquaintances, it is apparent to me that ALL chronic pain patients have an autoimmune problem. Our pain doesn't go away after trauma or operations- while other people's do. In speaking with all those who call me or come to our meetings- I have learned two important things which I would like to share with all of you.
1. If you have an autoimmune disease -
you MUST change your lifestyle -that is eat right and exercise as best you can. Take vitamins if you need them- check with your doctors FIRST. You will NOT feel better
until you treat your body better.
2. Get into warm water therapy. It WILL help-muscles, joints, and overall strength. Those who MOVE can lower their pain levels and CAN live a better life. Those who become too sedentary lose muscle power, joint strength and develop other problems.
PLEASE help yourselves and take charge of your lives. No doctor, no pill, knows YOUR body like YOU do. LISTEN to what it is telling you !
In the last 7 years, I have had RSD, Osteoarthritis EVERYWHERE, GOUT, and for 25 years have had a blood disorder called Cryoglobulinemia. I am doing okay- sometimes get breathing problems when my neighbors burn stuff in their wood burners, but all in all, I am doing okay. I go to a warm water- 92 degrees- pool as often as I can. They have aquatic therapists there who understand about water exercise and gentleness. We do walking, and other exercises and I also do Ai Chi -like Tai Chi- but in a pool. It is simple SLOW moves- of stretching and SLOW turning. It builds up strength and teaches you proper breathing. Please DO try this -find a pool and if you can't locate an aquatic therapist- at least get to the ymca and try an arthritis class- you WON"T be sorry !
Have a Happy and HEALTHY new year everyone !
Suzanne
I had to get off all of the arth mends and vitimins to counter act the side effects. Now I take the methotraxate 4 pills a week flexeril for the spasams from my spinal injuries, vit-D as my body does not produce enough. meloxicam, prilosec, zetia, etc. I saw a nursew on the site, maybe you can email me. I thought of suicide but my son would be all aloneand I cannot do that to him. Pot does help with the pain but would have to do it all day and that is not a good answer, Anyone have any suggestions?
8 little pills a day and i was on enbrel for 2yrs but my body got si enume to it the dr change it simponi it helps i have been on the metho for 2yrs now no hair loss yet hope
that doesnt happen i have long hair 5yrs for the ra am also on ss disability which took me
3yrs to get but i finally got it but with
(president) no increase in 2yrs stupid politicians
i still don`t know what too do right now i only have Hydrocodone 750!`s to take when the pain get`s to bad , but i have an Apmt to see my GP on monday ,all i know is it keeps moving from my neck , to all down my left side till all i want to do most off the time is cry.
I did have Migraine`s all the time (15 or 20 day`s out of 30 ) but thank`s to a Dr from haven and "topamax" that down to 1 in 30 day`s.
i have had pain shot`s in my neck twice so am down to taking some kind of med`s but what ? any help
Thank you
Thanks,wilhew
DON'T KNOW WHAT TO DO ANYMORE, GOD HELP ME BECAUSE I AM IN SO MUCH PAIN,I AM ON SSI HAVE MEDICAID AND CANT FIND A DOCTOR BECAUSE OF THAT.I AM SO TIRED PLEASE GOD HELP ME.
There is a condition called interstitial cystitis. It mimics bladder infections, but its really a bladder inflammation. The pain is the same, only a quick infection test can tell. What I have is a chronic condition that can be treated. First of all, find a dr. who recognizes the condition and is willing to give treatments. This is usually a urologist, but my newest one is an ob-gyn that specializes in uniary issues. The treatment is DMSO instilled into the bladder, and retaining it for half hour. Some drs. put other meds into the DMSO--I had a dr. that would put marcaine in to deaden the bladder for awhile. It tends to hurt more after a treatment. A really bad flare can take more than one treatment. My longest was 4 weeks of treatments. The sooner you take action, the shorter the recovery time. There is no information or studies that say auto-immune diseases are more apt to develop the condition; but it seems to affect alot of reheumatology patients. I had a new dr. once that refused to acknowledge it as a disease. I have lupus and fibromyalgia, and now osteoarthritis, so I am used to "flares". Its a real issue to deal with, and you have no clue its coming on until its there. A list of foods to avoid helps alot.
Good luck to you.
I am 64, at age 57 had 4&5 lumbar surgery, the following year left total hip replacment, and a year after a total right hip replacement
all from OA the pain I have now is not as bad a the bad I had befor the surgeries, but I now have other issues, severe narrowing of my spine, still in pain every day all day, from my spine, since the nerves are out of wack my feet stay numb, tingling, hardly any feeling,
I must move carefully, or a wrong move will set off cramping burning pain on my right side at times I get weak, wobbley and can bearly walk, I feel like Humpdy dumpty all broke up my cain helps me somewhat
I am trying to learn how to control my pain so that I can go back to enjoying my life, with-out so much pain and numbness
I pray every day for us all, thanks for this site every-one take care
Mark
Monica R, San Jose CA
I got RA after my teeth implants didn't take.
They prescribed me wrong antibiotics, got staph infection to top it off, lost lots of weight and walked like a zombie for few months. I got better, went to see a rhumatologist but I didn't get from her what I was seeking. You see I do not believe in taking drugs unless there is nothing else.
So I researched the disease on line. Lots of good information. And YES- NO PERSON IS THE SAME AND NOT ALL WORKS FOR ALL. But I go to Curves 5 times a week, I changed my diet, and I go for massages on the MIGUN bed 5 times a week. I lost weight, I got stronger, I sleep better. I also have a MIGUN mat on which I sleep everyday, so that in the morning I can get up without too much of a difficulty. I try not to take pain pills unless I have to. Michigan weather doesn't help my condition, but I hoping to move to some Dry and warm place soon. Also, Taking more vitamin D3, fish oil, and coconut oil help tremendosely . I have other ideas that may help so I'll be seeing a doctor that's willing to hear me out and give it a try.
Good luck to all of you. Do not give up trying different things and START WITH A DIET- LOTS OF FISH - NO FARM RAISED FISH EITHER. LESS RED MEAT, LESS SALT, LESS SUGAR, NO CARBONATED DRINKS ETC.
GRAZ
i cant drive because of the epilepsy...i am walking with a cane or walker depending on how bad the pain is..and i walk 25 minutes every morning now and hope to add on another 10 minutes or so in the late afternoon...
i go to bed at 9 because my husband has to (he gets up at 5 for work..long commute)..i wake up between 6-7..and do all my housework and cooking etc before 9...everything thats tiring is done..then i go for a walk til around 930..come back and have a break..and finish up laundry etc til noon..have lunch and take a 1 hour nap ..doesnt matter if i sleep..just to lie down with no stimuli for an hour helps especially the crohns...i am also diabetic(i know..what else could be wrong..well lots of things..and they arent..yet)..so am learning to address that issue too...i wish luck to allof you
i got on ssd with the crohns and epilepsy years ago...most people get turned down the first and second time...the third is a hearing..get an ss lawyer...who will prepare u for the hearing...i needed all of my medical records..and for crohns(and i bet this would be good for fibro) a "journal" of each day..what i did or didnt do and how i felt..just a sentence or two..i was totally honest..there might be a whole week when the crohns didnt act up at all..then wham...
the judge looked at some medical things..especially the scope and biopsies and he read part of my journal..because i cant drive..waiting for buses and trains made the crohns worse...i got ssd...6 weeks after the hearing...the lawyer gets either 1/4 of your "back pay"(ssd payment goes back to when u first filed)..or some other minimum amount..she was wonderful and i was well prepared..since i had worked in the private school system a long time i didnt have a lot of social security time..so all i get is 400 something a month..plus medicare...which i started using this year...the medicare alone is worth it and the 400 pays for my med co pays and my advantage plan as well...
good luck to all on here..
annie
ps feel free to email me at annieluvrose@yahoo.com...i am willing to "chat" via email with anyone who needs some support...(i am also a trained counseling psychologist)
annie
I have written all this so that maybe it can help another person who has the same problems as myself.
Does anyone know of a support group? I gotta get some help. Thank you.
Please do not feel bad for having to take pain medication. It has a bad stigmatization out there. Why, because it works better than anything else we have. Do not let it get you down. I know the pain. It is constant. I pray for relief, but it doesn't come. Occasionally, I have a brief remission, and although I have a bamboo like structure now after being a body builder, I enjoy being able to walk without pain. Then it return as quickly as it left, usually with the sternum and then the rest follows. I won't bore you with the details. Just know, you have a friend and someone that understands. No pity parties here, just some camaraderie to know we are not alone. I can not get any medication to help. I know I could probably find a doctor, but it is hard enough without insurance. I have an 11 and 7 year old. I tried playing catch with my 11 year old. I lasted about 15 minutes. After that, I told her I had to take an important phone call. I sat in the bathroom crying, not from pain, but because I could not continue playing catch. What a life. This is no way to live.
Excessive doses of acetaminophen can destroy your liver, I read a recent headline where it is know the leading cause of terminal liver disease. I also speak from personal experience. I had a liver transplant in 2004 after downing arthritic strength Tylenol like candy for several years.
I would dearly love to be able to say something positive about having this disease but to date I haven't found anything. We are all struggling to accept what has been dished out to us and maintain whatever sort of normalcy you can individually keep but it isn't easy. And saying it is doesn't make it so. I think most people that read this site are looking for a sense of not being alone in how they are feeling, the struggles they face daily, both in pain control and in finding physicians who are willing to help as much as they can and trying to make it sound less than what it is in reality doesn't help much. It actually makes you feel the same way you do every time someone watches you struggle out of a chair and then says " How are you feeling today" Kind of obvious to me. I know when you first find out you have RA or OA or Fibro or whatever, you want someone to tell you it will be OK. And it will. You'll learn to deal with it in your own way, not by laying down and giving up, but by letting yourself be supported by those that know what you are going through and maybe can help you steer clear of some of the things they have gone through by sharing their thoughts, feelings and struggles with you. RA isn't a death sentence like some are dealt and I'm thankful that I will be around to be with my family but that doesn't mean I like what is going on in my body. Maybe you will be one that finds a tremendous doctor, a new treatment or way of dealing with this that you can share with all of us. That would be great. I hope you find answers and help to deal with this diagnosis and keep right on hunting , fishing, ect. The more you keep your joints used, the less stiffness and pain you usually have. Good Luck!
i was so glad to hear i wasent the only one getting treated like a pill addict.although i will pray for you all tonight.i feel your pain. i was dignosed with ra 6 months ago and had been taking hydrocodone all this time i had to move to virgina where they frown on narcotics.and have put me on tramadol and ultram which neither work i cannot get off the couch and i cry all the time begging the lord above to take me....from this pain.the pain specialist put me on cymbalta yesterday i have been experencing major side effect my teeth cant stop chattering hands are shaking i am having severe adominal pain and my whole body aches. i dont understand why he would take me off something that was working fine for me. this state sucks!!!!!i dont want to die i dont want to cry iam not depressed just give me my hydrocodone or SOMETHING THAT WILL WORK !!! iam so tired of fighting with doctors and this pain does feel like a slow death.please pray for me.........
I have so much pain that I can't sleep at night and when I step on the foot I limp cause the pain is severe, the dr put me on ibrouphin but it's not helping does anyone have any advice on how to releive the pain.
my heart goes out to all of you. I was diagnosed with RA in 1998. The Rheumatoligist
put me on 6 methtrexate 2.5 mg a week plus Daypro anti-inflamatory 600mg 2 a day plus folic acid, not to be taken the day of or the day after I take methatrex. So I take the 6 methtrex on mon with Daypro only one a day sometimes Tylenol if I hurt more. Ideally
I would like to have methtrex by a shot but I have no health insurance. I am 64 yrs old
Still rolling. I WILL NOT TAKE NARCOTICS I AM A RECOVERING ALCOHLIC 23 YRS SOBER. I BELIEVE I SWITCHED THIS BABY ON BACK IN 98 WITH THE DEATH OF MY MOM, BROKEN RELATIONSHIP AND BANKRUPTCY. YOU CAN'T UNBREAK A LEG. I TREAT IT PHYSICALLY AS WELL AS SPIRITUALLY I HONOR ME AND I PACE MYSELF
I REFUSE TO TREAT MYSELF AS AN INVALID OR I WILL BECOME ONE. WE ARE SPIRITUAL BEINGS IN A HUMAN EXPERIENCE. CARRY ON. love to all. Barb
Today after trying enbrel which didnt help me i am on Orcenca infusion once a month Methotrexate 8 pills ix week,mobic and folic acid,percocet for pain.I take antidepressitants and i know its not getting better its just in remission but know 2 yrs later i am a branch manager of a bank and still fighting this illness.I will continue on striving to fight this with all my meds and yes you need your pain meds to help you through the day.I do know someone that is getting full disability from social security for her illness but i like to get up and go to work.Even if it tkes alittle mor time i do it for my sanity
I do know a Dr in the Chicago area that is AMAZING. He is a rheumotologist by the name of Dr. Robert Hozman. He works in Buffalo Grove, IL, Lake Forest Hospital and Skokie, IL in the building across from Rush Northshore Hospital. You can look him up on google.com. He is the best dr that i have ever seen. I have Ankylosing Spondylitis which is extremely rare and difficult to treat but he has been amazingly helpful and he is not afraid to Rx pain meds. I am 26 yrs old and he DOES believe in the pain that I have and will listen and cares. He takes all insurance except Humara Select this includes medicare and medicaid.
I wish you the best of luck.
I have spinal stenosis..entire spine...and have sclerosis in my right hip..and have a bulge n my cervical spine area. I take epidural shots there and in my lower back q 4 months.....also use Lidoderm pain patches, take Flexeril for muscle spasms,....800mg. motrin 2x daily. I work out at our ymca....walk the treadmill, use the recumbebt bike, go into the sauna and bak for 10--14 minutes these ALL HELP. IHAVE SOME WONDERFULLY GOOD DAYS...THEN SOME BAD ONES. CAN STILL DRIVE...DON'T USE A WALKER OR CANE. i TALK TO OTHER PEOPLE WHO ARE DISEASED..BUT SOCIALIZING IS GOOD MED...CAUSE YOU CAN MAKE EACH OTHER LAUGH...AND WE CELEBRATE BIRTHDAYS AS A GROUP.
Would anyone know what drugs will do the same for OA?
, nothing works, and no one really wants to hear it hurts, Pray for something.
oregon
Addicts are going to continue to get their drugs off the streets like they always have. I believe if you are dx with a "chronic illness that causes pain" you should have a choice of getting prescription meds for pain.
I BELIEVE ANOTHER REASON WE ARE NOT GIVING THE OLDER MEDS IS BECAUSE THE DR'S RECEIVE "NO" KICKBACKS OR BENEFITS FOR PRESCRIBING THEM. HAVE YOU EVER SEEN A PEN, CLOCK OR NOTEPAD THAT HAS HYDROCODEIN WRITTEN ON IT IN YOUR DR'S OFFICE? I SURE HAVE SEEN PLENTY OF LYRICA BANNERS AT MY RHEUMY'S OFFICE...AND IT SEEMS HE IS MORE THAN WILLING TO PRESCRIBE THAT TO EVERYONE!!! HMMMM????
WE HAVE TO STAND UP PEOPLE...THE GOVT AND DRUG COMPANY'S ARE SLOWLY TAKING AWAY MEDS THEY DONT WANT US TO HAVE AND GIVING US NEW ONES WITHOUT KNOWING THE LONG-TERM AFFECTS!!
TAKE TIME TO WRITE THE FDA AND YOUR LOCAL GOVT BEFORE ITS TOO LATE!
Is Methotrexate the only med you are using?
I have been on Metho for several months, very low dose (5mg once per week) which was increased about 3 weeks ago to 7.5mg per week. It doesn't seem to be helping. In fact it seems as if my pain actually increases after taking the Methotrexate. I am also on Plaquenil, 200mg twice a day with a daily Prednisone 5mg. For pain I have an gel called Voltaren as needed.
My question is; how long have you been on Methotrexate? When you take the Metho, do you notice any increase in pain for the next few days? Are you on anything else in addition to the Metho? Does your Doctor also have you on Leucovorin Calcium the day after taking the Metho to combat hair loss?
How long since you have been diagnosed with RA? I was diagnosed last Sept. Right now I am rather discouraged. Seems like it is escalating even though I am taking more drugs and higher doses.
I hope this isn't to many questions. This is my first time I have used a chat board. Comments from anyone are welcome.
You need to check with the rhemys in your area for some that are working with drug companies testing new bionics that are not out on the market yet. It's free. I take hydrocodone (not codeine so no allergy)for pain '75s' for $5 for 60 pills which is a month supply for me, 1 am and 1 pm. That's cheaper and easier on the stomach than ibuprofen. Gary mentions taking Ultramm for pain. Ultramm you take one a day but it is expensive. My dr gave me Trammadol which cost much less than Ultramm but you take 3 a day. When the pain is bad and the hydrocodone doesn't stop it, he has me stack the Trammadol on the top. I hope this helps you a little.
Marlene...as for the Lyrica, I've never heard of it being used as an antidepressant. You were on it for quite a long while, so your response must have been just your system responding to the sudden loss. It's a great med (the doc prescribed it when I had the shingles...really stopped the pain) Hope you are doing ok now.
be working i also take ibuforpen 800mg
it seems like nothing helps with the pain
I thought I understand what my friends where going through with their pain till I was in pain myself.
Till you walk a mile in someones shoes that are in Pain YOU do NOT know what they are going through.
I started Rituxan 6 months ago. I have been on methotrexate for several years and tried Remicade for 1.5 years without success. I received my first Rotuxin infusion and the process is a little different than what I experienced with the Remicade. They give you Tylenol and Benadryl by mouth before the infusion and prednisone IV then start the Rotuxin IV. They do everything they can to prevent a reaction prior to the infusion even starting. The only side effect I had was in the middle of the first infusion, I started to itch a little. They gave me more Benadryl and I was fine. You get another one 2 weeks later and I had no problems with that. I am going for the second round the end of this month. I don't read side effects any more and I'm a nurse! I found that it works better for me to trust my doctor, I know she's good so I just try what she thinks is best and go from there. I haven't had any side effects from it at all. I look at it this way, the diseases themselves ( I have RA, OA and fibromyalgia) are so bad that the side effects can't be much worse. I also look at the fact that in clinical trials, if one person in a million gets something while on the medication, they have to report it as a side effect, even if the person may have gotten it anyway without the medication. That's another reason I don't look at side effects too seriously. I've been on a lot of meds and never had a life threatening reaction to any of them. Just the way I look at things but I wanted to let you know I've had no problems with it. I think it helped a little but it takes awhile to know for sure. I hope this helps you. Good luck with your decision and I hope whatever you decide will work well for you.
ibufrofen for my RA. I have been walking with crutches since Jan. 09, I need help.
I am unemployed and I cannot arrive at an interview with crutches. South Carolina is no place to be sick.
i think he just thought i was addictied too the drug's and i was not.... so i am still tryin too find someone too take me and my insurance.... hopefully i can find someone soon i hurt all of the time and sometimes i cant do anything but lay down and put heat on it so i know what you mean they think that we are addicted but we are not i wish there were some more people too complain about that
I can drive a car now, not be afraid of road rage, my personality isn't always on edge because of the pain and I have more energy and find more enjoyment in life. Even my family likes me better.
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