Due to a sore shoulder caused by a cumulative effect consisting of daily wear and tear over the past 20 years, my left shoulder sometimes gives me a lot of transient pain.
I even get transient aches and pains consistent with arthritis pain. It gets worse if I rest in bed.
However, a long day results in very little pain, including backache which is causal with aches in the arm - possibly due to a combination of poor posture and pinched nerves in the back.
Indeed, both wrists ache; both lower and upper arms on both sides ache; and so does the back.
However, I can sit or stand straight, and the pain is gone.
But, from time to time when I sleep on my left shoulder, it may sometimes ache; other times, no pain.
Lifting my left arm causes pain; but with the right arm, little pain.
As I said, physical activity relieves pain, possibly due to the effect of monamine oxidase on the breakdown of dopamine to adrenalin to noradrenalin to by-product of noradrenalin metabolism.
This same activity probably is why histamines break down.
At the same time, endorphin are produced to soothe any pains, and keep them at a dull ache.
Today I used a half dose of Robaxacet Extra Strength (400 mG metacarbamol, 500 mG acetaminophen) for a total dose of 200 mG methocarbamol and 250 mG acetaminophen.
My reasoning is that I don't need the sedative qualities of metacarbamol, but need the combination of acetaminophen and methocarbamol to deal with anticipated joint pain.
Given that both methocarbamol and acetaminophen have a 2 hours half-life, I know that by 4 PM, the pain may return.
At the same time I am taking a half-dose of Robaxacet, I am adding 400 mG of açai supplements for antioxidant effect, 500 mG of Eleutherococcus senticosus for adaptogenic optimization (helping to adapt to stress) and 2 G of wild salmon and fish oils, both to moderate brain function and keep my heart healthy.
As well, I've taken a dose of Vinpocetine (15 mG) to moderate cerebral function (memory and adaptation).
Hopefully this will keep my left shoulder to a dull ache, rather than the transient aches and pains outlined above.
This is still in keeping with my Less is More philosophy.
Update February 6, 2013 2351:
Roboxacet is OTC, which means it costs more than prescription for a welfare recipient using BC Pharmacare.
Since I'm on disability through the Income Assistance service, I greatly appreciate the help from all taxpayers in BC.
Currently I don't take anything mentioned above anymore. The only supplements I may take are for melatonin, calcium & magnesium and calcium, vitamins B6, D, & B-50 complex — regularly the Vitamin D and B-50 complex.
Of course, the medications I take are cyclobenzaprine (10 mg) and gabapentin (200 mg), which are the two safest medications for sleep (off-label but effective 90% of the time) and sleep architecture (promotion of deep sleep without benzodiazepine addiction risk).
YMMV
10 comments:
T: 0:30 minutes - hardly any pain, mostly dull aches which can be easily "thought away". Pain appears to occur when I extend my left arm. No pain occurs when I "try" to lift the computer desk.
In addition to the medication, I have been without rest since 4 AM, but woke up around 2 AM - for a total of 2 hours of sleep and 4 hours of bedrest.
t: 0:35 m - I can keep my left leg extended for about 18 seconds, and my right leg for 23 seconds.
Lifting both arms over my head causes more pain in the left arm.
Holding my back straight on my chair only affects the lower back.
Activity is both cathartive and positive, in that I feel pleasure in it, even if it is leg raises and walking.
Note that the pain is constant, but the aches are transient.
t: 0:40 m - reduced anxiety, but not as pronounced as when using a therapeutic dose of Reactine (cetirizine and pseudoephedrine).
However, reactine ruined my sleep Thursday night.
Knees hurt but pain is transient.
Some pain is felt when doing light wall press ups with arms.
Lifting and carrying a 3-kG load with left arm does not result in pain, just transient aching.
T: 0:45 m - dull ache in right wrist, transient. Left knee also has transient ache.
Lower back pain is light, and "pleasurable". This is indicator of methocarbamol's effect.
On a scale of 1 to 5 with 1 no ache and 5 pain, pain in lower back is 2. There is an icy-hot feeling on the right lower back.
On a scale of 1 to 5 for intoxication from methocarbamol, with 1 little effect and 5 inebriated, intoxication is 2.
t: 0:50 m - Robaxacet is having a therapeutic effect on me.
There is soreness in left breast due to earlier physical activity lifting and carrying equipment after work around 12:15 PM.
I'll wait five minutes, and take the second half of the Robaxacet tablet.
Also, I've taken a miniscule dose of goldenseal tincture and Krople zoladkowe herbal tincture consisting of Absinthe (25 mg), Valerian (25 mg), Peppermint (25 mg) and St Johns Wort (25 mg) which is usually indicated for flatulance and indigestion.
Absinthe is good for digestive system and moderating the appetite.
Valerian helps calm the nerves, and acts as a mild sedative.
Peppermint is usually indicated for the digestive system for upset stomach.
St Johns Wort is antidepressant, relieves some pain, and is a mild antibiotic.
The Polish herbal tincture was used as follows:
Five drops in 400 mL of water
The Goldenseal tincture was also 5 drops in 400 mL of water.
In addition to the herbal meds and the Robaxacet, I am also drinking water and approximately 300 mL of Nestea vitao white tea beverage containing 19 mG concentrated white tea (egcg), 60 mG ascorbic acid, 1.36 mG dl-alpha-tocopheryl acetate and 65 mG calcium lactate pentahydrate).
The only numbness I felt today was in my upper left back, which has to do with my left shoulder.
The pain in the lower right back may be due to a combination prolonged standing, mild scoliosis (congenital), and old lower back injury.
T: 1h0m since first dose; 5 m since second dose.
350 mG methocarbamol
437.5 mG acetaminophen
The mild memory problem is the only drawback to using Robaxacet.
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