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How do I talk to my GP about pain management/meds?

edited 06/11/2012 - 8:45 AM in Pain Medications
My doctor is I think the word would be paranoid about pain meds. She even made me sign a contract before she gave me Vicidon for the first time. I read a few people on these forums who have had to do the same. That was the first time I ever heard of it. Well, anyway. On my last visit 2 1/2 monhs ago, I came in her office crying my eyes out. Because for one, I had not had very much sleep for 2 nights because of the painand two, the pain itself. I was completely honest with her. Told her about how I can't walk straight. Or in my yard because uneven grounds make me fall. How I can't lift my arms above shoulder level. Well, she handed me a tissue and said "I hope you don't think I am going to give you pain killers all the time your too young" I told her I did'nt want pain pills all the time just for now till the pain spike went away. She gave me 30 hydrocodone 5/500 and put me on Neurontin which interacted with me ptsd. Now I am afraid to go back to her. I have been in pain scale 7 pain for 3 days now. Just sufficing on hot baths and pillows under my hips at night. I made an appt. with her for the 9th but i am nervous to tell her about my pain. I see it like this. If i was a drug/med seeker, I would have been in long ago trying to get pills. Ever since I learned about my spine problems. But all these years I have dealt with it but in the past 2 years it has been steadily getting worse. how to I talk to her about this without her thinking the worst of me? She has a plauge hanging in her office that says "You have the right to not be in pain. If you are in pain notify Dr. So and So and we will help you" Yeah right. I'm just frustrated. Today my pain is unbearable in my lower back, hips and shoulders. It is like this most days. I just want it to be better.


  • A lot if not more PCPs won't prescribe pain meds for chronic pain but will refer you to a 'pain management' doctor instead. Have your pcp refer you to one.

    Why would you be afraid to go back to her?

    A pain contract is fairly standard also.

    Good luck
  • Yeah i kind of figured out that pcp's won't do that in the past year. I asked her once about a pain managment specailist and she acted like she did'nt here me. I have come to the conclusion that my insurance (which is gov. funded medicaid) is the reason because she runs any and all tests cause she knows my ins. will cover it. I guess she figures if I go to another doc for pain managment, i won't see her as much because other than my back and joint issues I am pretty healthy.
  • You need to be seeing a specialist. The fact that you don't have a diagnosis for what is wrong is the first problem- why hasn't she referred you out after this long? You need to advocate for yourself, be assertive and communicate clearly that you want a referral to an orthopedic specialist for diagnosis of your back problems, and a pain specialist to manage your pain.

    Most of us have issues with the curvature in our backs as we get older. Has she suggested physical therapy or any other conservative treatment options to you?
  • She put me in PT I went 3x a week for about a month for my neck. I developed severe migraines from the traction they done on my neck so my doctor did'nt want me going back. My psychiatrist taught me good meditation tools to use when the pain is bad. It helps up to a point.
  • I just feel terrible for you! It seems there is more that could be done, but until she refers you out and you at least get a diagnosis you're kind of stuck :(

  • If you can't have a clear, open, supportive communication with your PCP, perhaps it is time to find a different one. My PCP and surgeon were very conservative with my pain management with meds.

    However, my pain doctors felt more comfortable to giving me the meds that I needed. Granted they did not go overboard with them. Finally, even they said that the meds were not working, and I needed to see a surgeon. I think it is important to find doctors that you feel at ease. Feeling any level anxiety can prevent you from effectively communicating with your doctor or anyone. In return, you can't receive the best care that you deserve.
  • It doesn't sound like your getting the care you need. You should be seeing a specialist and a PM doc. PM docs are more comfortable in prescribing and they know how to combine meds to reach the best result(Just my opinion from my experience). You shouldn't have to be at a 7 that just isn't right. If your doctor will not refer you find someone else who will. I wish you luck....
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