For what it’s worth I’ll weigh in on this old thread about pain management and add what I can to the discussion about my experiences with Kratom.
In March 2015 I suffered a catastrophic breakage of my left shoulder. I broke the ball joint off the bone and into 5 pieces. It required a titanium bar and 7 long screws to put me back together and now I have to carry x-rays when I fly.
Anywho, I was on 10-325 hydros for about 4 months, and got pretty good at abusing them. Lol had I known the pain wasn’t gonna really start till a couple years down the line I woulda been stockpiling. I have permanent nerve damage and when the nerves finally started coming back to life, it made me acutely aware of the fact that my left shoulder is half metal...lol
Anywho, when the doc cut me off in late 2015 I began taking Kratom. I started with maeng da and moved to Bali red vein. Really got me through my withdrawals. I’d just keep taking higher doses till you find what works.
So for me, I started with around 3g the first time, and instantly moved up to 6-8 gram doses. I take it on an empty stomach, and I wrap about 3g of the powder in a single sheet of 1-ply toilet paper and parachute it (dip the packet in water and quickly swallow) Rinse and repeat as necessary
I’m currently up to about 10g doses to feel any meaningful effects. That’s a lot of powder to swallow, but you know, it’s the only thing that scratches that itch, and it really helps with the pain in my arm.
That being said, it’s addictive in its own right. I do get anxious when I run low. I even kicked it for about 8 months, but recently picked it back up again a few weeks ago.
It’s increased in popularity over the past couple years and it’s become pretty easy to find a reputable source. And I find that it’s also gone down in price considerably than when I first began buying it.