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Pain Management?

NumbskullNNumbskull Posts: 1,526
edited 06/11/2012 - 8:31 AM in Pain Management
Hi there;

I have never been to a pain management specialist, but my GP has mentioned seeing one before. I was wondering, are they all about "pushing pills" or do they provide alternate solutions or actions to pain management? I'm so tired of taking opioids and other strong meds, and hate feeling so drowsy!! Any info and advice is much appreciated!!
APROUD CANADIANveteranButNOTa doctor, my thoughts are my own


  • my experience with PM doc's is that some do push pills some push injections or both mine did both untill I got tired of sticking needles in my back because it was doing more harm than good.Good luck
  • I have seen two different PMs neither one "Pushed" pills or really pushed injections either. They made suggestions and told me what may or may not work for me. At any time I had the option of saying, "No, I don't want that" when my first PM suggested another round of injections be tried I said no and got a second opinion.

    Injections and pills work for a lot of people. No way to know for sure how any one person will react. I always ask lots of questions and get second opinions when I have doubts. That's how I ended up with my cervical SCS, a second opinion suggested it. Sounded better that more injections and pain meds.
  • actually did nerve burns and performed laser surgery on me. They both helped. So there are lots that do offer alternatives I would think it would be well worth trying. Good luck.
  • for all the info!! Makes me feel a little better about going to see one!!
    APROUD CANADIANveteranButNOTa doctor, my thoughts are my own
  • The pain Doc i see has never perscribed me one pill for pain.
    The first thing he told me was that all he could offer me was the SCS implant. I have had it all, injections, pt and nothing has helped until I had my SCS trial.Whoo Hooo it works for me....better than pills!! I ask hem to put me on the fast track for the permanent implant and he has. The hold up has been the Psych evaluation. She first said my appointment would be in JUNE!! I almost had a stroke!! I can't wait that long. I am in agony!! She then changed it to the 28th of May....still a long time to wait but I did tell her I would try to find someone else who could do it sooner because of the pain.
    Two days later she called me and now it has been moved up to the 21st!! Yippeeeeee <:P
    I ask the Doctors office how long after they recieved my report my implant would be. One week later they said. Another Yippeeeee
    If the pain Doc talks to you about a SCS implant..Jump on it!! First you have a trial just to see if the implant will help you.
    No, all pain Docs are not pill pushers. Most will drop you if they think you are just after pain meds.
    Good luck my friend. I do hope you find help.
    Sending you a hug.... >:D<
    Patsy W
  • I've seen on other posts abot SCS plants, but I have no idea what that is!!! Can you explain to me, lol??!!! It's so funny the dates that you mention, the 21st is when I go back to physio for my leg - deep tissue therapy, which hurts like hell, but gives relief after, and as I haven't been in just over a month, it's going to be like starting fresh all over again... ugghh... and the 28th is when I'm going to try to go back to work!! So, on these dates especially, I'll be thinking of you, too!!!

    Hugs and good health and well being to you!!!
    APROUD CANADIANveteranButNOTa doctor, my thoughts are my own
  • Kelly, here's a link to a basic explanation of the SCS implant -


  • The SCS (spinal cord stimulator implant) is the best thing since sliced bread.LOL It is a life saver for us "spineys".....the ones that it works for.
    It changes one sencation(pain) for another sencation(tingling). It stops pain signals fron reaching your brain. It's a device that is implanted in your spine(wires)and the wires are tunneled under the skin and attached to a battery pack, about the size of a silve dollar, that is implanted above the hip. You also have a remote controle device that controls the ammount of stimulation, whare you want the stimulation and turn it off and on.It puts you in charge of your pain!! The best way to find out more about it is to type scs in the search box at the top of this page, click "search" and it will take you to the page that everyone that has, or has had the trial for the stimulator has posted their experiances with it. Reading the comments on this site convinced me to go ahead with the trial and I am sooo happy I did. They say if the trial reduces your pain by 50% it is considered a success. Most people get more relief than that. It reduced my foot and leg pain 100%!! I am on cloud nine!!
    The stimulator is not for everyone. Some it does not help at all and some can't take the tingling, some do no like the thought of foreign objects in their body.
    As with any surgery thare are risks. They are rare the main thing to worry about is infection but you are given meds to reduce that risk.
    Hope this helps you some to understand what the SCS is and why all of us are excited about it.
    It is just one option that a pain clinic has to offer.
    Will be thinking of ya on the 21st. Good luck.
    Hope the sun is always shining on ya.
    Hugssssss... >:D<
    patsy W
  • Hi Kelly, I've been under the care of a pain clinic where they do everything from prescribing medications to performing neurostimulator/morphine pump trials. They have helped me with my chronic pain for a few years now and I can't imagine not having them around.

    First they'll go over your records and give you a thorough exam. Some will have you do a urine screen before prescribing pain pills. Then you'll sign a contract where you promise not to get pain pills from other doctors, take illicit drugs, notify other doctors that you're a pain mgt patient, and consent to random drug testing. Others may call you in for a pill count. I never had to do that, and after all this time I've gotten used to the routine although it feels weird at first.

    I'm sure you'll do well at the pain clinic and I hope they are able to get you feeling better. Take care
  • Thanks so much for all the info!!! I'm so glad that you all have found relief. I think at my next appointment, I will mention it to my GP and see if she'll refer me (I'm sure she'll be happy to not see my mug in her office so often, LOL). Sometimes I feel, (well I'm not sure how, a little embarrassed maybe?) because everyone at my medical clinic knows me by name, even the pharmacist!!! L)
    Pat, the SCS sounds like it is heaven for you!!! It's definitely something to keep in mind!!! That, and rhubarb cake!!! =))
    A great, peaceful, painfree day to all, I'm off to buy flowers for my outdoor pots!!!
    APROUD CANADIANveteranButNOTa doctor, my thoughts are my own
  • So I had my first appointment, and I feel so lucky. My mom used to work with the doctor (an anaesthesiologist, and my mom is a retired nurse), and said he was amazing. The funny thing is that he said "That's your mom? I LOVE that lady!!" So I guess I'll be getting the best treatment he can give? lol. Anyways, I was duly impressed. He took the time to review my case, did a quick exam, explained everything that was wrong, and what his course of action was. He is going to give me nerve block shots, to try to help with the muscle pain I've been having. I'm not too sure about it, I've never liked the idea of steroid shots, but these are different, so I'm willing to try at least. He said he figures I have problems with the facet joints in my neck, and said that the nerve blockers might not help, but he wanted to start at the lowest level anyways, on the off chance that it might help. He said at any rate, it might help with some of the pain, and then they'll work on the rest after giving this "a shot, pun intended". Yes, he's funny, too, lol (and I have to admit, not hard on the eyes, either, LOL). He also changed my muscle relaxant (I was taking flexiril, which really wasn't helping, except to make me drowsy, and couldn't take it during the day). So I'm on baclofen now, and it has helped so much, I couldn't believe it after taking it the first time. I hope I don't get tolerant of it, is that possible?
    Anyways, I just wanted to share my experience, I think it's one of the best moves I've made yet!! I hope that this, along with physio and my physical trainer, I will be able to get back to a semi-normal life again!!
    APROUD CANADIANveteranButNOTa doctor, my thoughts are my own
  • You have that halo thing going and everything helps, Pm is more about you than them, if you think they will have a magic solution then you are going to be disappointed most of this is about you taking responsibility rather than waiting or wishing for any alternative. For those it does work it is a revelation for those it does not, cannot see what all the fuss is about.

    I see, read and hear those innate skills that people already have and not visible to them, they are looking and we all need help identifying the right change rather than change just for the sake of it. We are all making this up as we go along, periodic disappointment is part of the momentum to a brighter future, if we can develop that half full attitude in every aspect that supports pain as the whole then we can do no more, every element has a period of dominance before over time replaced by the next one, stress anxiety confidence, perhaps in only being able to think of one issue at a time, we are only able to worry about in singularly.

    I saw PM patients blossom from within a revelation to themselves, they were emotional in that the looking for support had come from themselves, it raised them, made them feel good about who they were, pain makes us understandably sad, angry or resentful, my retuned self still has those traits, I am more selective when how and to whom I use them, even myself.

    So good luck to you, taking new medication is never easy or change and as you say a much improved existence may beckon.

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