Hello,
My son is 22 years old and has a history of physical trauma.  Spiral fracture of his tibia and he was a pedestrian hit by a car with multiple injuries to mostly the lower half of his body.  He did recover, but not perfectly. Approximately a year ago he had extreme back pain and it was finally determined that he had herniated disc at L5 S1 and a trapped nerve.  2 epidurals made the pain worse (which was pain that traveled down the left buttock down to mid thigh). He then had a microdisectomy with a little relief for about 2 weeks and then the pain increased.  He continued with PT and finally had a repeat MRI which showed a cyst over the surgical site.  He had a second surgery to remove the cyst and scar tissue.  The nerve was extremely inflamed, red and swollen,  So he woke up in worse pain and now the pain traveled all the way down the leg to his foot.  During all of this he has been on a pretty steady coarse of oxycodone and has tried gabapentin, Lyrica, cymbalata, tramadol, ibuprofen and steroids.  Approximately one month ago he started with nausea which progressed to chills, sweating, vomiting and pain all over (like his skin hurt).  At this point he was on 120mg of oxycodone per day and 600of Lyrica and Cymbalta, and a steroid along with over the counter meds.  His symptoms progressed so that we went to the ER and he was admitted for possible gallbladder issues.  It was determined that his gallbladder was fine, he was constipated (unknown to him) and the doctors said the symptoms were due to the oxycodone.  While in the hospital he had horrible headaches which they said were migraines.  After discharge the following week he started to feel better (moving better, eating, less nausea no vomiting).  With his pain doctor he decided to start tapering off the oxy.  He went down to 90 mg per day for a week.  Yesterday suddenly, the chills and profuse sweating started and several hours later the vomiting started.  He is miserable and I am thinking this is from the oxycodone. He would like to get off the pain medicine but the dilemma is his nerve is not healed and another MRI showed 2 more cysts in the are, but they do not need to removed at this point.  He desperately wants to feel better, wants to get off the oxy but is very worried about how he will deal with the pain.  It will be difficult for us to get him to your clinic because he is unable to sit for long periods of time. Cost would also be an issue. Any information and suggestions would be greatly appreciated.   Thank you!