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My doc won't prescribe...

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:25 AM in Chronic Pain
My doc gave me Vicodine when my back started this long descent into Hades. One pill every eight hours. At first it worked for four hours. Now, five weeks later, I take two of the suckers and get nothing. He won't change the meds.

Local background: Last year quite a few pain management clinics were busted and closed for too many drugs hitting the streets. Lots of docs in the area quit writing prescriptions for Xanex, Soma, etc...cold turkey. No scripts. Doesn't matter why you may need the medications.

So, shopping for a new doc is not likely to improve the situation. Any advice?


  • If what you say is true, you have answered your own question and there is absolutely nothing you can do. That doesn't really strike me as reasonable, though. Are you sure these are the circumstances or is this just a rumor? Have you talked to your primary? Welcome to S-H. Susan
  • The story hit all the papers here. Plus, my husband is a defense attorney, so he knew some friends who were appointed to represent defendants.
    The doctor is my primary care physician. The chiropractor won't prescribe any medications at all.
    I was hoping someone had some home remedies that have proven effective?
  • To a pain managemnt doctor?
    Have the whole medical situation reviewed and monitored? It is not right you should be in pain.

    Good Luck
  • dilaurodilauro ConnecticutPosts: 9,722
    doctors who will write out scripts for the correct reasons. There is no question there has been pressure put on doctors when it comes to prescribing narcotics. Any doctor who is comfortable with their practice and decisions and who fully understands a patients circumstance, narcotic pain medications should always be available
    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
  • If you have xrays and MRIs that prove that you have issues of pain, you should still be able to get a doc to treat your pain properly. What type of issues do you have with your back? Have you tried all of the conservative treatments? PT, inhections and such?
  • The MRI shows L5 S1 prolapse. Doc has seen the results as he is the one who ordered the test. He wants to send me to a doc with quit a rep for screwing up such things. I found my chiropractor on my own. He has tried some kind of machine that sends rounds of electricity to the area. I have no clue what it is called, bu it is done in his office.
  • dilaurodilauro ConnecticutPosts: 9,722
    to allow chiropractors work on you back once you have definite and known disc problems. Working with the spine, the discs and the spinal cord is something that only completely qualified medical professionals should be doing.
    The norm, is that chiropractors are not trained to this degree, therefor should not be allow to work on spinal patients.
    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 either ask your doc to refer you to a pain management doc OR ask for an increase in the vicoden. However, if I were you I would ask for Norco instead. Norco has 325mg of tylenol instead of the 500 or 550 in vicoden but it is hydrocodone just as norco. Either he can increase the dose or increase the strength. the highest of the norco is 10/325.
    As far as the pain management it is sometimes hard to find the one that fits you. SOME wont give an RX on the first appointment either.
    I would ask your doctor about the above things mentioned at your next appointment. I really dont know what else to say regarding this subject. SORRY if I wasn't much help
  • Chiropractors go to as much school as doctors, just more anatomy-based than presciption-based. But as with doctors, there are very good ones and very bad ones and not much in between. Research is key. A good one will know not to adjust your spine in the area of injury and will offer many passive therapies to assist in management of pain. Doctors do not like chiropractors, and chiropractors do not like doctors, simple competition for a paycheck as well as approach to treating conditons. Generally, docs help with meds, chiropractors help more naturally. Each is trained highly in what they do, but again, not all are competent and knowledgeable.

    I hope you find someone to treat your pain effectively. If you keep fighting, don't give up, and be resourceful, you will eventually get the pain relief you deserve!!!

    Much love and understanding,
  • lisa i beg to differ to differ and to differ about chiro's. my personal belief is that they are one step up from quacks. i believe this due to several factors. one is that if you go to one they will always say your back is out of allignment. manipulation does nothing to help herniated discs or sciatic pain. in fact manipulation can cause more problems. this can put udue pressure on the nerve if done wrong. also they do not prescribe meds at all. maybe muscle pain can be helped by chiros but herniated discs can not be helped. just because they go to school does not mean they are qualified to work on herniated discs or stenosis or sciatica or other back problems. in fact exercise can or cannot help. i believe severe back problems need orthopedic help. the spine area is a sensitive area and only drs who are qualified to work here should. by the way not all orthopedic drs will do backs. a lot won't because of sensitive nature of back pain. when i had surgery, i had a dr put monitors all over me to check nerve impulses on my nerves. but a chiro only manipulates backs. i am sure there are people out there who swear by them but i believe maybe the pain was due to muscle pain. i guess chiros have their place, but i would never go to one. i went to one once and he almost ruined my back with the snapping and popping that goes on. never again. also i do not believe in holostic medicine. i had a friend who went to a holostic dr for pneumonia and almost died taking roots and teas. he had to finally go to hospital to get cured by a real dr

    just my humble opinion
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • that spending time with chiro's actually hastened my demise but that is pure speculation and i am never going to go back.

    My pain never got better, only worse despite being told it was all normal. And they never knew when to quit and say "we can't help you" we quite happy to take my money. Funny that!

  • I would never trust a Chiropractor with my back, that is only MY opinion.I have had some massage from my Physical Therapist at the spine center located at my hospital, now that does help to a degree if for a very short time.I only trust her, because she has seen all my charts, was there from the beginning(is in contact w/ doctors directly) and she understands my apprehensions.Its more about releasing muscle spasms than alignment for me.I am like a piano wire tense.
  • I went to a chiro for over 6 years before I finally couldn't take the pain anymore and complained to my primary care doctor and asked if he'd give me something for the pain. Growing up, I was always under the impression that if you have a problem with your back, you go to a chiro. I didn't know any different. Long story short, my primary doc sent me to ortho who was appalled that the chiro never ordered any tests such as xrays, mri, ctscans...nothing. The PT place said the chiro was doing more harm that good to my back. I couldn't beleive (once I realized there was other options out there) that my chiro would continue to treat me up to 3x's per week without knowing exactly what was wrong. He kept telling me it couldn't be my discs and come to find out, it was. I think he made my problems worse than if I had sought out other treatment right from the beginning. From what I read, the longer you deal with the pain and back problems with out getting it corrected, the worse the nerve damage is and less chances of it being corrected. Now 5 months after surgery, I am having sever sciatic type pains in both legs, butt and all the way down to feet. Before surgery, it was only one side. I have a feeling there is some nerve damage and pray to God it can be corrected as I don't want to live like forever.
  • I looked for one since they had some special going on, because I learned I had DDD in the cervical and thoracic spine and was told nothing could be done for me. I took the films and the guy couldn't interpret them, and asked the reports instead. He put his hands on me and manipulated me around. The next day my neck was locked up and I was pissed. I swore never to go back. 2 weeks later, my lower back went out and it turned out to be herniated at L4-S1. My concern was how could he put his hands on me without knowing how to interpret an MRI? I think they shouldn't because they can hurt someone. (This is based on solely my opinion)
  • Sure didn't mean to cause a problem here. I see a surgeon tomorrow, neurologist who monitors the nerves, but I still need some ideas of pain reducing techniques or tricks to get me from here to surgery.
  • I was honest with my Doctor and said the ms contin only works for 4 hours and even then I feel pain. She increased my dose to 4X day as opposed to twice a day. The pm Dr. says just take 2 twice a day so will see if that works. But tell your Dr. how long it lasts for only and maybe they'll listen. I have my cane also, not saying use it as a prop but to show the extent of pain. My leg gives out on me so I really need one. I hope it goes well for you tomorrow. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • :) profofhumanaties, you caused no problem. :O i looked at a positive discussion with some good suggestions. =D> never feel bad about what you post in the forum!! lots of members were interested in you and your problem!! Jenny :)
  • from my experiences... background info.... I hurt my low back at work in april while lifting(properly) an 85lb stage monitor(speaker so band can hear themselves) and went through the WC ringer to finally find out that L5-S1 is budging into my spine and torn. we're prepping for surgery. last part of oct I got hit in my car when a lady backed up into me at 20mph in a parking lot. My lawyer found a Chiro to see me for neck pain and and nimbness down my left arm. Both my lawyer and I told him not to touch my lower back we know whats going on. For the first couple sessions he worked on only my neck and upper back. One day I came in right after taking lortab and soma and was kinda out of it. He tried to adjust my lower back. It didn't bug me at the the time. by the time I got home I was in so much pain that my wife drove me to the OS's office and got my A#@ chewed out for a few min by his PA. When he finally got in to see me he listened and was appalled that the chiro didn't listen and attempted to adjust something that was not asked for let alone an area that is being treated by a surgeon. Thank god he didn't do it after. long and the short of it... the chiro did help my neck and upper back boy did he ... insert explicative here ... my lower back worse then before. chiro's can help just like any other doc, but like all docs they really need to listen to their patients. I actually had a really good chat with my OS today while my wife was in the bathroom. He asked why I chose him to do the surgery. I told him one he has always been upfront and not sugar coated what is going on. two I look at docs very much like I do potential new hire techs for a shop i work at part time, if they act like they know everything because they read it out of a book and that the only way or reason for something then I don't want them to work for/on me because that shows ignorance and an unwillingness to learn. sorry for the long post hope someone finds it helpful :-)
  • My grandfather went to the chiropractor for neck pain and was told he just needed an adjustment. As the chiro was working, my Gramps told him that the pain was radiating out from his neck in to his shoulders and the chiro told him that was normal for the manipulation he was performing.

    The chiro kept working and never did realize that Gramps was actually having a heart attack. My Granny knew something was wrong the minute she saw my Gramps and dialed 911 on her cell phone right there in the waiting room.


  • How terrible! How is your grandpa doing now? I hope he's okay and I'm sorry that happened. >:D<

    Professor, you are certainly not causing any problem. This is an informative discussion and it benefits everyone. I don't deny people have had relief with a chiro. I just think that with complex problems like yours where a nerve compression might be involved that you see a specialist first. It's just that the nerves are so delicate and one slight wrong move can damage them permanently. I have permanent nerve damage in my right leg and am a veteran of 2 surgeries (last was TLIF 6 months ago) and based on what people have gone thru here I hope that you get adequate care to improve your chances of recovery. :)
  • Sorry but I will NEVER go to a Chiro. By hubby went about 5 yrs ago due to severe back pain. Chiro said you just need an adjustment. Well after 2 times going in my husband was laid up for 2 wks. Chiro said to come in and have another adjustment and the pain getting worse for that amount of time was normal! NOT!!!!! Turns out my hubby actually had a tumor in his spinal cord. Never will I see one again!
  • I am new here but I do know in the area where I live there have been similar problems, but legitimate Pain Management doctors and clinics are popping up more and more frequently as the problem of primary care docs fearful of over-prescribing narcotics balloons. It took me nearly a year of complaining to my primary care before I was finally referred to pain management. As others have said, ask your doctor for a referral to one of these specialists, maybe even tell him you are interested in epidural injections, which many of these clinics specialize in - it can be a good option for some, and if not, once you are there, you have found a doctor with the ability and typically, the willingness to treat your pain the way it needs to be treated. Oh, and be careful using the words "doctor" and "shopping" together - in my area, that is a term used for people seeking, abusing and/or misdirecting their medications in ever larger quantities. You may need to travel up to 50 miles or so to find one depending on where you live, but getting some quality of life back was definitely worth it for me. Oh, and no Chiro for me either!!! Sorry so long. Best of luck.
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