"Lyrica", user anecdotes and knowledgable info for first time user would be appreciated . . .

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quincy
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Due to debillitating foot pain that had me bedridden I asked my PCP for an Rx for Lyrica. He complied and also informed me that it is basically a 2nd generation of the Neurontin/Gabapentin type drug. As neither of those drugs helped me when I was Rx'ed them 3 years earlier, I had slim hopes.

In addition to taking the Lyrica 75mg caps, 1/d, I saw a highly recommended podiatrist. He asked me a few questions, palpitated my feet, and gave me his diagnosis . . . fallen/weak arches. He wrapped my feet and sent me out to buy some orthotics (firm arch supports) and have my feet X-rayed. Six days later, wearing the supports and rewrapping when necessary (and taking the Lyrica as directed), my feet are now fine . . . the X-rays were clear and clean.

Since I resorted to additional therapy besides the Lyrica, I have no way to tell if it was an effective part of my "cure" or, like I feel about it's older cousins, Neurontin/Gabapentin, is it just another ineffective (at least for my metabolism) anticonvulsant? I would like to hear from anyone that has used Lyrica and their opinions on it's efficacy.

                                                    Thx . . . Q

celticgreenman
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Neurogenic pain

In my case, neither the Lyrica nor the Neurontin did much for me. But, my pain in mechanical, rather than neurogenic.

quincy, in regards to your feet, where you having mechanical type pain, or the neurogenic pain?

Neurogenic pain tends to be burning in nature, possibly associated with numbness and tingling. It can be fairly diffuse as in the neuropathy associated with diabetes or in a dermatomal pattern, such as when a nerve root is being compressed. It also can be made worse with jist light touch (causalgia).

Mechanical pain can be the acute or chronic type. Acute is the pain we feel after an injury. Sharp, intense pain when stress is applied to the damaged part.

Chronic can be sharp at times also, but is usually more of a dull ache. But, it is usually made worse with firm pressure over the specific part, use of the muscles, or on range of motion of a joint.

So, you should probably be able to determine if most of your pain was neurogenic or mechanical. If you think it was neurogenic, then maybe the Lyrica is helping. If it is mostly mechanical, then the orthotics, taping, wrapping, etc are probably producing more of the relief.

In treatment of pes planus (flat feet or fallen arches), the cause has to be determined; is it from the bones and ligaments or is it dynamic from dysfunction of the posterior tibialis tendon? Because the treatment is very different. But, anyways...

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Hope your feet feel better. It is really difficult to enjoy life if you can'te get around. Good luck.

cgm

Pain-n-TnLady
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Hey Quincy,

Good to "see " you- As you know, my CP is in my feet.  Very long story but I now have completely flat feet and very poor circulation. Mucho Pain!!  I never had any success with the Lyrica AT ALL. For me, even with my tolerance levels-it still knocked me out. I gave it a fair shake and tried for approx.10 days, but with very minimal pain relief and the sedating properties of the med- I just said no thanks.  I really hope your foot pain continues to improve as I would wish for no one to EVER have to deal with that. No one ever thinks about their feet until they hurt ,then that's all they CAN think about because we sure stand and walk around A LOT!

quincy
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Thx folks . . .

cgm, I believe you hit the nail in my foot, so to blaspheme. I'd give my pain a 99% chance of being mechanical as the wraps and orthotics have relieved it by 90% now. My sweet PnT Lady, have you tried seeing a podiatrist? Perhaps your pain is mechanical too and some orthotics, i.e. firm arch supports from Polyprop, Phase 4, or Birkenstock may help you. Like Celtic said, "It is really dificult to enjoy life if you can't get around."

                                                          Thx . . . Q

PS: Celtic, I'll be talking to my podiatrist today and will ask about the PT tendon . . . fortunately, he's not the sort of doc that gets upset with attempts at self-analysis. lol