Seeking Solutions for Unbearable Pain
Hello everyone, I’m a 25-year-old transgender man, standing at approximately 164 cm and weighing around 88 kg. As a person of Caucasian descent, I've been dealing with relentless physical discomfort. My diagnosis is fibromyalgia, and while I have been prescribed cannabinoids, they don’t seem to provide much relief. The intensity of the pain has reached a point where it's debilitating and prevents me from engaging in daily activities. Occasionally, cannabis offers some respite, but it's not always accessible to me. Additionally, I smoke cigarettes and am on various medications for other health issues, including citalopram, olanzapine, and bisoprolol for heart health, along with another medication named rizmoic. I’m in desperate need of advice – how can I better manage this persistent pain?
Answers (1)
8/29/2025, 11:43:21 AM
OpenHealth AI
It sounds like you are experiencing significant and persistent pain due to fibromyalgia, and I understand how debilitating this can be. There are various strategies to consider for managing your pain more effectively, especially since current treatments have not provided the relief you need.
Key Points:
- Explore Multimodal Pain Management: Combining different approaches may provide better relief.
- Lifestyle Adjustments: Small changes can have a substantial impact on your overall well-being.
- Mind-Body Techniques: Consider incorporating these into your routine for additional support.
Explanation:
Fibromyalgia can cause widespread pain and fatigue, and each person's experience can differ. While cannabinoids may help, they are not universally effective, and it's important to explore other options. Given that you are also taking other medications (citalopram, olanzapine, bisoprolol, and rizmoic), it’s crucial to consider how they interact with pain relief options.
Next Steps:
-
Mindfulness and Relaxation Techniques: Start incorporating practices like mindfulness meditation or deep-breathing exercises into your daily routine. These can help reduce stress and, in turn, may alleviate some pain. Even short sessions of 5-10 minutes daily can be beneficial.
-
Gentle Exercise: While it can be painful to exercise, engaging in low-impact activities such as walking, swimming, or yoga can improve muscle strength and reduce pain over time. Try to start slowly and gradually increase duration and intensity as tolerated.
-
Dietary Considerations: Some individuals with fibromyalgia find relief by following an anti-inflammatory diet. Consider including more whole foods—like fruits, vegetables, and whole grains—while limiting processed foods and sugars. Staying hydrated also plays a crucial role in overall health.
-
Physical Therapy: If not already arranged, consider asking someone knowledgeable for a referral to a physical therapist who specializes in chronic pain. They can provide tailored exercises and techniques specific to your needs.
-
Explore Support Groups: Connecting with others experiencing similar challenges can provide emotional support and additional coping strategies. Look online or in your community for local or virtual support groups focused on fibromyalgia.
-
Keep a Pain Diary: Documenting triggers, pain levels, and what helps can give you insights into your pain patterns and inform any discussions with care providers down the line.
Given the complexities of managing chronic pain, consider establishing a comprehensive plan that aligns with your lifestyle and medication regimen. If you discover certain strategies that seem effective or if you need more specific resources, feel free to reach out for guidance!
Related Questions
Chronic Hypersomnia Since Adolescence: A Seeking Path for Answers
I am a 30-year-old white male, standing 5 feet 11 inches tall and weighing 160 pounds, residing in the United States. **Current Medications:** - Adderall XR 40 mg - Sunosi 150 mg - Lisinopril 40 mg - Atenolol 25 mg - Tolvaptan 60 mg **Medical Background:** - Autosomal Dominant Polycystic Kidney Disease (ADPKD) at stage 2 (eGFR 67) - Obstructive Sleep Apnea (utilizing CPAP machine since July 2024) - Complex Post-Traumatic Stress Disorder (CPTSD) **Symptoms Experienced:** - Persistent and overwhelming sleepiness—more than just fatigue—accompanied by a heavy feeling in my face and chest; I struggle to keep my eyes open and often feel as if I am burdened. - I sleep for 10 to 14 hours every night, supplemented by involuntary naps lasting 1 to 2 hours multiple times throughout the day. - None of my sleep feels restorative, leading to a groggy, hangover-like state upon waking. - Cognitive challenges including a lack of focus, forgetfulness, and trouble retrieving words, which have grown more pronounced over the last four years. - Activities as simple as showering or cooking now feel like moving through molasses. - I experience low physical endurance and lengthy recovery times, even though I previously maintained a regular exercise routine. My late father exhibited similar symptoms with the addition of seizures he associated with alcoholism, although he was never assessed medically. I, on the other hand, do not have any alcohol or addiction issues. **Specialist Consultations:** - **Sleep Specialist:** A Multiple Sleep Latency Test (MSLT) ruled out narcolepsy with no Sleep Onset REM Periods (SOREMs) and a 12-minute latency. I comply with CPAP therapy for an average of eight hours each night, but there has been no alleviation of my symptoms. Testing revealed no periodic limb movement disorders, alpha-delta intrusions, or unexplained nighttime arousals. - **Nephrologist:** Symptoms are considered unlikely to stem from my current stage of ADPKD. Tests show I’m not anemic, with standard iron levels. - **Rheumatologist:** An ANA titer of 1:320 with a speckled and nucleolar pattern appears elevated; however, all specific autoimmune tests returned negative. Monitoring was suggested without a clear diagnosis provided. - **Psychiatrist:** It was determined that my symptoms do not seem to be connected to mental health issues. My therapist has also validated in a letter that my condition is unrelated to psychological factors. - **Miscellaneous Findings:** An arachnoid cyst was detected in my brain. My white blood cell count is borderline low and my red blood cell count alternates between normal and low realms. Testosterone levels are within the normal range, though morning cortisol is slightly elevated. Normetanephrine is elevated at 2.15 nmol/L, while metanephrine remains normal at 0.27 nmol/L. Both Vitamin D and B12 levels are adequate. Tests for STIs returned negative results. **Current Situation:** I am currently on disability, unable to work even in part-time capacities and can no longer engage in exercise, finding myself nearly confined to my home. I feel as though I am being sent from one specialist to another without gaining clarity on my condition. What avenues should I explore next? Which type of medical professional might offer further insight? I'm beginning to doubt my own experiences, pondering if I am merely being lazy or overly sensitive.
Chronic Foot Pain: Seeking Insights on Possible Causes
I'm reaching out to gather thoughts on a perplexing issue I'm facing. Since my first pregnancy back in 2020, I've been dealing with intense foot pain that appears unpredictably. It all started when I was about seven months along while working long shifts in a busy kitchen, four days a week, for eight hours each day. At the time, I dismissed the discomfort as something typical for pregnancy, but it fortunately subsided about six months after giving birth to my first child. Fast forward to late 2024, when I became pregnant with my second child. By now, I had transitioned to being a stay-at-home mother, with none of the rigorous demands of my previous job. However, around three months into this new pregnancy, the foot pain reemerged and has persisted ever since. My youngest is turning two this month, which helps frame this timeline. The pain has oscillated between being severe and manageable, but the previous six months have marked a significant decline into debilitating territory. When I am at rest, I feel sharp pains in my metatarsals that radiate up to my knees. To alleviate some discomfort, I’ve been altering my walking style to shift weight more onto my heels instead of the balls of my feet. However, this adjustment has introduced a new level of discomfort in my heels. Ironically, the only relief I find is while walking. Nonetheless, excessive walking—even something as simple as taking my oldest to school for a brief ten-minute journey—leaves me nearly immobilized the following day. Currently, I’m on a regimen of 50 mg of APO-Diclofenac DR, taken twice daily, yet I’ve found no relief. Previously, I also tried 500 mg of naproxen twice a day without any positive outcomes. I've experimented with various footwear, but none have alleviated the pain. My primary care physician has arranged for bilateral x-rays and blood tests to check for conditions like gout and markers for osteoarthritis and rheumatoid arthritis, among other things. So far, all tests have returned normal. There have been occasions where I’ve had to keep my oldest child at home from school simply because I’m unable to walk even a short distance, such as the fifty steps from my bedroom to the kitchen. Standing causes distress, and even elevating my feet while resting feels unbearable. Additionally, any gentle touch to my feet triggers intense pain that shoots up my shins. The only feedback I’ve received from my doctor so far is that it likely stems from inflammation, along with a recommendation to expedite weight loss. I had a chiropractor assess my condition, and they noted that I am hypermobile, but I’m unsure how significant that could be to my situation. If you have any questions for clarification, I’d be more than willing to respond. I’m enduring considerable pain and would greatly appreciate any suggestions on possible avenues for finding relief.
Managing Pain with Lidocaine Patches and Heating Pads
Hello everyone! I need to share something quite personal: I have been diagnosed with cancer. I realize that’s a heavy way to start, but it’s important context. Currently, I am using a lidocaine patch as a method for pain relief. However, I’ve found that my heating pad provides more comfort than the patch does. Is it advisable to remove the patch and switch to the heating pad instead? Should I clean my back prior to using the pad, even though it’s not a day I usually shower? Also, once I take off the patch, how long should I wait before applying the heating pad again? I appreciate any advice you have! For reference, I’m approximately 5 feet 5 inches tall and weigh around 250 pounds.
Sudden Stabbing Throat Pain
As a 19-year-old female, I find myself dealing with a sudden, intense pain localized on the right side of my throat, adjacent to my windpipe and beneath my chin. These episodes are unpredictable; they strike without warning, persist for just a fleeting moment, and then vanish completely. This situation is genuinely concerning for me. I'm at a loss for how to alleviate this discomfort. Has anyone encountered a similar issue or have any insight into what could be causing this?
Understanding Limited Finger Mobility and Associated Discomfort
I’ve noticed that my right hand struggles with having individual finger movement. To illustrate this challenge, I recently recorded a brief video showcasing my hand's limitations. Additionally, I’ve been dealing with persistent neck and shoulder pain for several years now. Despite consulting multiple healthcare professionals, I’ve yet to receive any conclusive answers regarding my condition. I’m currently attending physical therapy, but even my therapist seems puzzled by the situation. An MRI of my neck returned results indicating only mild issues, and the same goes for my shoulder, with nothing alarming detected. I would be immensely grateful for any insights or suggestions, particularly since the discomfort has forced me to halt my weightlifting training.