PAWS is a bit of a multi-headed monster, isn't it, sigh...like a dragon that roars every now and then. All you can do is hunker down and ride it out, be super gentle to yourself, stay warm, do 'nice' things if possible, or at least something that isn't taxing and wait till it passes....and it does pass, and then the dragon quietens down for a bit.
Hang in both of you...
Pete...I was taking 240mg daily for 6 years, but if I had really horrific break through pain I would *occasionally* (like 1 every 3-6 months) take 480mg for 24 hours, either that or chop off my head, that's how it felt. I told my docs, too, severe chronic pain just sucks. I actually asked to take the DHC, rather than move up to morphine / fentanyl, but was taking it with another strong pain pill (nortryptiline max strength), a strong muscle relaxant (baclofen max strength) and diazepam for break through pain! Slowly this year I've had to stop everything as I've become allergic to them one by one. Each one's been pretty grim but nothing like the DHC, that's been the worst withdrawal by far. The one 'good' thing is that the overall pain has come down. I thought the pills might be causing a paradoxical increase in the pain, but the thought of coming off everything was too much to contemplate - my doctor even suggested admitting me to hospital to manage it 'properly' but I thought 'heck no' and was then forced to do it all cold turkey. Not too bright, I guess!!
I was in a horrific work situation of major stress and overworking with no other way of staying at work other than to medicate, medicate, medicate...and now I'm having to deal with the consequences.
I'm left with very little to deal with the original pain...I'm practising being 'in touch' with my emotions to try and stop repressed emotions causing muscle spasms - it's one man's theory anyway, but it kind of sucks when you've been through all manner of things that still need dealing with.
For pain relief now it's oodles of hot packs, hot baths, trigger point massage, craniosacral therapy (a very weird complementary therapy that's essentially about deep relaxation) and doing a bit but not too much. And it sucks! I'd love some nice drugs to take the pain away but it's not an option right now so it's 'sort your life out' time instead. Fingers crossed it works eventually.
In the meantime I'm seeing how much that PAWS really is kicking my butt, ha ha hooooow.
Hang in there, both of you. Stay kind to yourselves and take it minute by minute, hour by hour, day by day etc. It will get better, and the sun will shine again. :-)