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Pain Management Doctors

poolladyppoollady Posts: 154
edited 06/11/2012 - 8:25 AM in Lower Back Pain
I wanted to ask if all PM dr's do not give out pain meds? I went to one last week after trying chiro, Physical Therapy, ortho spine specialist (one that did not want to help) and now my second ortho dr. (I really like this one, and he wants to help). My current ortho dr. wants me to try Epidural Injections. I had my first on Monday and it was a real failure. I was in bed for 3 days with severe pain and the pm dr would not give me anything to help. I called my ortho dr and he gave me pain meds and it helped. The pm dr said pain meds would not help the pain. I don't understand the roll of a PM dr, could someone explain? Thanks. I have a herination in L5/S1 with Spondy and DDD. My ortho said to try another PM, I have an appointment tomorrow at 9am, if another Epidural Injection does not work, I have to schedule a discogram and look at surgery, also does every dr. require a discogram before surgery? Sorry for the length.
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Comments

  • It depends on the pm doctor,some do and some dont,my pm only gave me injections,my primary doctor gives me my pain medicine....
  • Some pain clinics are "interventional" where they do procedures to try and alleviate your pain. Other pain clinics will treat using different meds.

    Glad that your Ortho is looking out for you.

    Not all docs require a discogram before performing surgery. It's a personal style thing with how each doc diagnoses a patient's condition.

    "C"
  • I have to change to a new pm doctor next month because the one I currently have nad have had for a year can no longer help me. We tried everything he had to offer. I am now going to go to pm for meds ~X( . It does get truely sickening. I am sorry that you are having a hard time. I also had a discogram from my pm doctor. The mri and discogram show l5s1 as the problem too.
  • It's crazy how this works 8} I have been to lots of PM's and some only do injections, and RF's and others do both with meds and than PM DR"S that only give meds and do no injections or? We are all going to PM 101 don't you know :))( Ok that's a joke but not really. I went to one for shots and than he says thats all I can do for you go to this Dr. who can give you meds. WHAT don't you have a license to give meds??? Off I go to another Dr. and another one just trying to keep out of pain. Don't want to get into my story so, better go. The best thing to do when you go to a PM DR. is to ask what he does and does he give meds too.
  • dilaurodilauro ConnecticutPosts: 9,715
    Hi poollady...
    This topic comes up so often, I figured instead of repeating what I've been saying, I would just point you to the link where this is being discussed:
    http://www.spine-health.com/forum/pain-management/pro-or-no-meds
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • I would ask the ortho dr (or his office) if he knows of a good PM dr that may be able to help you. It is hard to find the right drs as it seems PM drs do different things. My PM dr prescribes meds and orders tests and does trigger point injections and some EMG/NCV. Other drs do the steroid injections and I have to go to yet another PM dr to discuss rhizotomy. :O

    I did have a discogram before surgery and it was very helpful as it said a whole lot more than any other tests I had done...hang in there and take care... :) jade
  • Thanks the the info, I found that post after I already had posted on this forum. I did not realize there was a pain treatment page. Thanks again.
  • hi all
    i had to change my pain doctor because he was a total wxxxxxr.sorry about that but he was .picture the scene .my wife {who is a nurse of 25 years} and myself went along to our local pain doctor...after waiting for 3 hours in the empty! waiting room we were directed into a hot sweaty small room .where upon a young doctor and his nurse were sat around a table.at this point you would expect the doctor to introduce himself ..but no just a stony silence then after about 5 muns i said something like well what happens now then? or something like that .he then looked at my notes and said ....why do you take pain killers? i said because i am in constant pain!..you are a drug addict he said!!.i nearly fell of the chair .after a long explanation of why i take drugs and just how much pain i am in .he said i have seen plenty of people like you ..time wasters ..and a drain on the NHS at this point my wife exploded!! then we walked out ...my point two weeks after this i was rushed in the the ER for an emergency operation on S1 {i have had one previous operation on 2 different levels and i also have thoracic outlet syndrome {artery type}so i am a genuine case..my own GP was disgusted and now he is my pain doctor i have even been interviewed by junior doctors at my home and down at my doctors surgery to help young doctors with there training.i have talked to a lot of people about this horrible event and i was surprised to find that lots of people have a rough time at these pain clinics ..my question is why?

    we go through hell on a daily basis we don't need any more aggravation just kind people and help not to be treated like a criminal.
  • :))( Wow, I now know why I had so much trouble find a pain doctor that would help with the pain I go through daily. I am not the only one. I am so glad I found this site. I gave up on PM drs and had my epi done by a neuroradiologist, I have another one schedule for Jan 14. The first one gave me a lot of relief for two weeks, but the pain is coming back, every day seems some worse. Thanks for the replies. I hope you all have a good Holiday, as painless as possible.
  • I've been fortunate to be going to the same PM office since my beginning almost nine years ago...and they do supply narcotics and do epidurals...also the PM dr will do nerve freezes/blocks and stuff like that at his surgery center
    I really don't keep my primary care doctor in the loop about any of it
  • For Poollady,

    Around her in the N.E. USA, most primary docs send you to the pain specs. for two reasons. Primarys if they are honest, dont have the training and skills to handle complex pain issues and they want to cover their butts from scrutiny for regulating agencies (DEA, Pharmacists, state boards of med.). Once they get a plan of therapy from the paind doc. they will handle all pain med needs as recommended. It is best to have all medications prescribed by one doctor anyway, so they know all that you are taking. And, it looks better to the various agencies if it is all coming from one doc. Doesnt look like doc shopping. Did you know that most states now have a prescription monitoring program whereby all meds(certainly class twos)are able to be tracked by your doctor if he asks for it?

    "G"
  • Yes, Pain meds. 101! Haa haa. Seriously, you would think that they all have a liscense to prescribe pain meds, but some have gotten into trouble with DEA or state boards of med. and have had their ability to prescribe pain meds curtailed. They wont tell you that though, or no one would want to see them. Others are always looking to foster your needs for legitimate pain relief off on some other doctor to take the risks. This viscious cycle they put you on to see so many docs. begins to look suspicious to the watchdogs i.e doctor shopping. Im sure that the phamrmacists think its odd that you might get meds from several docs, and some of them will report this as suspicous activity. Some docs have been abused by phony pain patients that they have just given up on trying to determine who is legit. Takes to much time for not so much return for them. If you have a good doc. cherish him/her!
  • Pain docs\all docs.

    By the way, before you see any new doc. or even your own again, go to your state board of med\lisc. and you can see if the doc. has any sanctions\disciplinary actions against him\her. Sometimes thay have been allowed to continue to practice but cant prescribe any controlled meds. like pain meds. for a certain length of time, or probabtion period. I could not believe how many doctors around here had been in trouble and were still practicing. Always wondered why they call it"practicing". It sure seems it sometimes!

    "G"
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