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

What to expect from Pain Management DR?

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:33 AM in Lower Back Pain
After exhausting all efforts to relieve severe LBP I have been referred to a PMD. I have been going through a lot in the past months. Back in March I was hospitalized for 12 days wt my legs paralyzed an severe pain. All neuros in the hospital couldn't figure out what was causing the paralysis. Did regain feeling in my legs but still dealing wt unbearable pain in legs an low back. So my DR says next option is Pain Management. I do not like the thought of taking stronger narcs but can not continue to live this way.. What can I except from pain management DR? Can he help provide me with much need relief?


  • pain management doesnt mean more drugs. A good pm will look at your whole situation and set up a plan that he thinks will work for you. he has every painkilling tool in his bag. he can choose from physical therapy, biofeedback, accupuncture, spinal stimulator, injections, aquatherapy and of course meds.
    i'm not suited for strong meds so pm dr recommended physical; therapy. when that didnt work he recommended injections. finally he suggested pain pump but i got more opinions and chose the stimulator. keep an open mind and hope for the best.....pete
  • i've recently been to the neurosurgeon to discuss surgery for same situation. he referred me to pain management clinic. most wouldn't accept me b/c i didn't have insurance. thought this was strange and sure enough i found out why. the 18th office that i called finally accepted me. this guy said he couldn't find anything wrong with me even though i could clearly see the areas on conflict in my x-rays and mri results. he said that they didn't prescribe medication at PM. this really, really upset me and i told him to get bent. then he tried to sign me up for surgery as i was leaving. i am literally going insane from the pain and i don't know what to do either. gathering peer advice from online to take to a primary care physician to demand some action. i'll let you know if i get any answers. god speed.
  • dont expect miracles..i was treated like a junkie and as if my condition did not exist ..i even had a row with the so called consultant and walked out .i told my doctor {he was disgusted and apologized and sent me to some one Elle's} the doctor that i rowed with is not working there anymore and the week that i was told i had no pain and i was a junkie that Friday my back went again and i ended up in the operation rooms having a 6 hour operation on my back! so much for professional opinions!!,the person that my doctor sent me to the second time was a different person altogether she was very kind and very helpful i have had the epidurals/facet joint injections all the electrical gizmo's back classes the works but nothing works and i have been discharged from the pain center as nothing works my primary carer now is my doctor and he keep track on my CDs and reviews me ever 6/8 weeks .
  • i was just rereading your post and noticed the paralysis situation. one of my drs told me years ago "youre lucky youre not paralyzed". a year ago i woke up and i was paralyzed. my legs couldnt move. had no feeling. i said to myself ah boy this is it!!! but i got them moving. so i guess i know just a little about what you went through.
    and now youre in severe pain and nothing has worked. you and i are in the same boat. i hope the pm dr can help a bit. there are good ones and bad ones. you have to keep your eyes on them. i went to about 4 of them before i found one that i liked. one dr seemed very good but the more i analyzed his knowledge i wasnt so sure.
    where your life has been so affected by this damned pain you might want to look into the spinal stimulator. its not that big a surgery and it's helped about 70% of the recipients. i'm getting one this september.
    keep your eyes open....get opinions...and hope for the best...
  • THANKS to all who responded to my questions an concerns..I have an appt July 29 wt the PM doctor.Hoping for some answers an relief..My primary has all confidence in this PMD & thinks I will have a good experience..I trust his judgement. So we'll see how it goes..I am over the neuros who could care less.After they do surgery they're done wt u..if your not better then your someone else's problem. From those past experiences I will not be made to feel as tho I'm crazy anymore..These new Docs better be ready to hear me out. I will be posting soon wt news from my appt..
  • Good luck on your appt and let us know how it goes. I would suggest you keep a pain diary from now until your appt. Make sure it's someone you connect with because as others had mentioned there are some that are good and some that are bad. Unfortunately a lot of these docs do see junkies that are just drug seeking which is a shame for people like us who are innocent and just seeking pain releif. Becuase of these junkies, it's harder for us in chronic pain so the more info you have to give them, the better and they will take you more seriously.

    I've been thru 2 pain mgmt docs. One doc only did injections and finally said he there wasn't anything more that could be done with me. I wouldn't accept this and went back to my primary doc and insisted that he refer me to another specialist. I was sent to a neuro surgeon who referred me to another pain clinic. This lady isn't very personalable but she listens to me and doesn't treat me like a junkie.

    From my experience and what I've heard from others on SH, most pain clinics make you sign a contract agreeing you will take your meds as prescribed, won't share etc. My doc can do random drug tests or pill counts at any time without prior notice. she does a pill count each month when I get my new prescriptions for the month.
  • PM in reality is more about you, than them and you will need an open mind, the word cure is banded about and that would be determined by what it means to you, as with most potential patients, you will have a long and complicated history and where other things once perceived as the potential of a cure have each faltered the next step beckons. The pain centres have seen most if not all type of patients before and you will not be telling them anything new that they have not heard before, what realistic expectation do you have, many have gone into PM and post here, if you set too high an expectation you will be disappointed.

    The invasive process may now have passed and any success will be of your own making and accepting, I know some places desire your medication to be reduced and this should be done with trust, understanding and support.

    I read a lot of academic research on the success or otherwise of PM as a concept, so better informed as what to expect and to some extent provided what they expected of me, be malleable and flexible this may be the only opportunity to seek some improvement however small it will acquire momentum over time.

    Take care, deep breath and good luck, you will get out of it what you put in.

This discussion has been closed.
Sign In or Register to comment.