Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

Notice
All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

WHAT EXACTLY IS PAIN MANAGEMENT

AnonymousUserAAnonymousUser Posts: 49,900
edited 06/11/2012 - 8:24 AM in Chronic Pain
HELLO, I GOT A LITTLE INFO FROM A FEW POST ABOUT A CONTRACT AND SUCH. BUT IS THIS JUST FOR MEDICINE OR DO THESE DOCTORS REALLY HELP YOUR PAIN. HOW ? WHAT DO THEY DO EXACTLY? I REALLY DONT KNOW. I ALWAYS GO TO MY PRIMARY CARE AND HE REFERS ME TO ORTHOPEDICS AND PHYSICAL THERAPY AND SUCH. AND PRESCRIBES MY MEDICINES. HE DID MENTION RECENTLY THAT MAYBE I NEED PAIN MANAGEMENT. PLEASE HELP ME UNDERSTAND THIS. I THOUGHT DOING PHYSICAL THERAPY AND SUCH WAS PM.

THANKS
DAWN
advertisement

Comments

  • Pm doctors can do injections,like Esi,rhizotomys Facet nerve blocks,i have been to a pain management doctor,but only for injections and i had a Rhizotomy done last January,i have had to sign a contract for my pain medicine,that was signed in my family doctor,as he is the one who prescribes me my pain medicine...
  • Hi Dawn, pain management is a specialty area of treatment focused on relieving pain. These doctors are usually anesthesiologists or physiotherapists(MD's not PT) who have special certification in pain management. They do injections such as trigger point, facet, epidural steroid injections. Some also implant pain pumps and spinal cord stimulators. Some prescribe and manage pain medications thus requiring the patient to sign a contract to get all pain meds directly from them only. Pain specialists are more knowledgable and more comfortable prescribing meds for chronic pain than PCP's generally. Some may only practice invasive stuff like injections, some non-invasive (meds, acupuncture, adustments, etc), some do both. My PCP referred me to the NS who then referred me to PM. After 18 months of PM (partial success) back to NS for surgery. Hope this helps. >:D< Sue
  • The most effect way to manage pain is through a collective and simultaneous approach research to work more effectively that and singular method. Pain itself is an amalgam of symptoms and conditions that can develop over time and we introduce our know remedy until we are helped to provide a more balanced and effective approach.

    You are correct that what you are doing in an element of PM and much academic research had been done on the effectiveness successful or otherwise in the PM approach. Many books are available, the intention is to get you to the most effective methodology available in the shortest period of time, we should have no guilt in having used less than effective methods, most have arrived here after continuing and restrictive pain, managed in isolation and the whole facet of the impact of chronic pain on the individual and family members.

    It has a lot to offer and its takes some adaptation continuing strength of character and tenacity, asking what might seem to do more, while in pain seems none caring and that is not the case, only in the elements that we has some control do we envisage improvement and it is not the panacea of reduction of the pain or the origin itself, more how we cope as an individual and are receptive to difficult changes needed for the greatest improvement.

    Take care and keep researching.

    John
  • You had mentioned seeing a PM,so I assumed that you were somewhat familiar with what at least some[PM's]had to offer.I tried to help answer your questions about PM and posted a link in that thread so that you could see the contract.Here is your post from that thread where you discussed PM.
    dawn1068 said:
    thanks i did see a orthopedic in 2004*2005 and he did epidurals that actually made my pain worst after a few days it felt like i was being electricuted evertime i would sit down. he sent me to pain management and because of all the meds from doctor quack i mentioned seeing methadone on your records doesnt look good even though i only took them for 3-4 weeks and wanted off. first thing he said was dont expect any medicine from me.then he wanted to do a non invasive surgery i forget the name of it where they go in and inject dye in the disc and seal the leaks but then i got pregnant and never wanted to go back to him after his comment. but the upper back neck and shoulder pain started 4 months ago and i have weakness and numbness in my arm and fingers my muscle looks deformed and weak on the left side and my doctor is always trying to send me to his specialist. he wants me to go to his surgeon i said i found my own. i have an appointment with a orthopedic on the 3rd then maybe i will see his nuero/orthepedic specialist for a second opinion. im taking the medicine thing personally because i feel like its me we where all very close at my drs. office. and when i really have the worst pain of my life he went uh deal with it. be thank ful for the vicodan. but im funny about meds i still only take 2 vics tops a day because im afraid of the tylenol. and they really stopped working for me especially after he gave me something stronger. he thinks everything is in my head. i dont even think he looked at my results. or maybe he is to much of a quack to understand the mri terminology i know i dont understand it. but i never ever had to worry about pain management with meds with him before did everything he ever asked. xrays mris cat scan did physical therapy, accupunture etc. i wish i knew what his problem is im upset and taking it personally my sister says i shouldnt but she rubbed it in that he gave her pills and doesnt have any pain history on her. does pain management drs try surgery not medicine like the one i went to a few yrs ago.
    thanks dawn
    Not all PM's are the same according to what I have heard.As I mentioned,my PM treats [my] pain using conservative methods,and I signed a contract w/him.

    Conservative,IE:ESI's,pain medication,muscle relaxers.He is an anesthesiologist with special certification in pain management.
  • John, your advice was spectacular, couldn't have put it better myself. I like the quotes you have in your signature.

    Dawn, I'm sorry you're dealing with so much! I hope you find a good PM, one that will try anything conservative to get you feeling better... Things Ive done with various docs include: Pt, acupuncture, acupressure, massage, every injection on Earth!, aquatherapy, chiropractics (but not adjusting my lower back), core strengthening, ultrasound, electromuscle stimulation with hot/cold packs, stretching, and so much more I can't even think of. Don't feel bad if these things don't help you, but if you haven't tried them, their at least worth a shot. I'd say that some of these things helped temorarily and others didn't. Every person is different and what works for one might not work for the next. I hope you find what gies you some relief even if it's not a magic bullet, pain management is all about management of pain in any way possible. I do take meds, they do help, but I always wonder if the next visit they will take them away. No worries though, take it day by day, minute by minute. No sense worring about the future, the present is enough to handle. I hope you and everyone else is having an easy pain day and finding what works for you!!!

    -Lisa
  • Prescribes my meds and does my injections. I have never had to sign a contract but I do know that lots of people do sign contracts. They are specialized in managing pain whatever it takes.
  • The contracts outline the expectations of the patient...dos and don'ts.
advertisement
This discussion has been closed.
Sign In or Register to comment.