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Six tablets of Norco 10/325 per day is the maximum dose. I am curious as to why the back has not been repaired surgically to eliminate the pain. Is there some reason you cannot have surgery?
Looking forward to hearing from you,
Goodness, I am so sorry to hear you're having all this trouble and at such a young age.
Conservative treatment for bulging and herniated disks can usually be tried for even as much as 6-12 months, although if it is going to be effective, the back is usually better much sooner than that. But when it isn't getting any better, you have reached that place of last resort, and it is time for surgery.
I would suggest a consultation with a neurosurgeon. The sciatic pain is from compression of the nerves where they exist the spinal cord in the lumbar region. The swelling from the bulging disks puts pressure on the nerves causing pain and can even result in loss of function so that the limb collapses under you. People will have numbness and tingling in their legs as well as pain. The exact area where the pain is felt depends on exactly where the nerve is being compressed as it leaves the spine.
There is a copy of a dermatome map in the following link. You can see the areas of the body that are covered by L3, L4, L5. These are the possible areas where you would have pain and numbness. http://www.apparelyzed.com/dermatome.html
There is no regulation from the DEA that tells you how many tablets you can prescribe per month of a medication for any individual patient. We do know that 6 tablets per day is the recommended maximum for 10/325 hydrocodone/acetaminophen (Norco).
Any prudent provider will know what is too much. That is why we all take pharmacology courses. The DEA does look at overall prescribing practice and why the medication is prescribed. Of all providers, pain management is given the most leeway. I don't know, but I expect that your pain management provider realizes that conservative treatment has not worked, and that just continuing narcotic pain relievers is the only thing that he is doing without your getting any better. He is trying to wean you from 6 tablets per day to fewer than that. A neurosurgeon will be able to tell you if surgery will elimiate the underlying cause of the pain so you can get along with your life pain-free.
Please let me know if you have questions.
I'm glad you are willing to discuss surgery, but if pain management isn't forthcoming on the issue, I'd still consult a neurosurgeon on my own. It isn't as risky a procedure as it used to be and most people do get relief from chronic debilitating pain.
We will only give steroid injections every 3 months for just the reasons you mentioned. You're too young and active to have to put spinal disk problems as the top priority in your life. Best to get the problem fixed and move on so you can enjoy those kids!
Thanks so much for the accept and the generous bonus.
Best of luck to you. If you have questions in the future, we are always here to help.
All the best to you and your family,