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.

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

Pain Management Dr or Rheumatologist. Please Help w Dillema

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:30 AM in Lower Back Pain
After getting an Epidural Injection last week, 2 MRI's and Ongoing Low Back Pain for 7months. My MRI reports Confirm Degeneration of my Facet Joints. The Pain Dr. (who referred the Epidural Injection) said you have Degenerative Arthritis of your Facet Joints. I'm 31 yrs old and want to be in the best Care for my Future Treatment.
Today I sent the Rheumatologist an Email. Please Note I only seen her once before.
I said Hello I that I wanted to update her on my Condition, (Thinking she would be the Dr. I would see for ongoing Treatment) I explained after 7months I was still in Pain & getting Progressively worse. I advised I just got an Epidural and will continue on a good Physical Therapy Program, but if my Pain dosn't improve in a couple of months I would like to see her for a Follow Up appt.
She emailed me back stating "I'm sorry your still in Pain & you should continue with Physical Therapy to try to lose some Weight but I really don't think theres anything more I can do for you, so I don't think a follow up appt would be necessary. You are now in the care of the Pain Mgmt (Spine)Dr. I also think you will improve your Condition with Diet an Exercise and it's better if you don't Rely on Pain Medicine."
I feel really really Confused and a bit insulted. First of all I within these 7months I have been trying to lose weight bcs I know that puts pressure on my back. (I lost 15lbs so far). I just thought she could help me with my Arthritis of my Facet Joints. I have Good Insurance and with a Well Known Commercial Hospital.
Previously before seeing her I asked my Primary Dr. to Refer me to a Rheumatologist for my Condition. When I seen the Rheumatologist it was more like an interview to see if she would accept me as a New Patient. She asked me Questions and listened to me,*she put me on Relafin (NSAID) for the Inflammation & would folow up in 3weeks with me. She Phoned me & advised me to continue with Physical Therapy. That was That!
It was the Neurologist who Refered me to the Pain Mgmt Dr.(so called Spine Specialist) for the Epidural Injection.
When I seen the Spine Specialist she was more like the Pain Dr. to me, She said your here because the Neurologist Referred you, She asked abt my Symptoms & also said "it sounds like your muscles are acting up & I should start a good Physical Therapy Program. We also agreed to do an Epidural (She sent me to a Dr. who did the Epidural)
OK Ok here is my Question..
Which Dr. is Better and more Helpful for my Condition: Arthritis of my Facet Joints??
The Rheumatologist says theres nothing more she can do for me??


  • dilaurodilauro ConnecticutPosts: 9,839
    and from everything I have experienced, you want to be seeing a spinal specialist, a Neurosurgeon, a Neurologist or a good Pain Management doctor. Personally, I found that the pain management doctor was the one to coordinate all the things for you. You can sort of lean back and let them pull things together. But thats not to say, you dont have a role in it.
    A Rheumatologist would be addressing something that is related to your blood (and of course more), but they are not looking at the neurological pieces. I went to a Rhumatalogist, just to rule out certain problems (ie Lyme, Rheumatoid Arthritics, etc)

    Get to the bottom of whats going on so that you can focus in on the right treatments
    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
  • That Makes Sense. I thought they Treat all Types of Arthritis. Thanks for All your Input!
  • A rheumatologist doesn't treat wear and tear arthritis. This is what mine said to me long ago when my neck was acting up due to DDD and disc bulges. I was seeing her for my autoimmune problem, and at the time thought that she would be of help. I do agree the Relafin is helpful for the pain and inflammation of your facet arthritis. I didn't know I had that until I had a fusion and my surgeon had to clear out a bunch of debris from it. Anyway, my PM doctor is like my primary care physician and he referred me to me NS to see what could be done for me. Anyway, I agree with Ron and Paul that your first stop should be with a spine specialist. I really hope you get the answers and help you need.
This discussion has been closed.
Sign In or Register to comment.