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What to expect?

JuvaPJJuvaP Posts: 52
edited 06/11/2012 - 8:47 AM in Pain Management
Hi All,
I called my PCP & left a message requesting a referal to a PM specialist, because the Lortab that's been prescribed so far is very far from making a difference.
I'm wondering what to expect at my first visit. I've read the Meds contract on here & after reading other posts, it seems that I can't expect him/her to prescribe any meds during the first visit.
Can naybody tell me what does happen during the consult & if they don't prescribe meds during the first visit, then when do they? Do we normally have to awit 30 days to get a second appointment & actually get some help?
I have my initial consult with my surgeon on Monday.
Thank You for being here!!


  • They will hopefully take a full history, ask you what has worked and what hasn't in the past, and come up with some ideas to help you. They might write prescriptions for non-narcotic medications if they think any will help you. Maybe they will suggest other things to help with the pain- physical therapy, injections, and so on.

    My first PM appointment I actually had an epidural injection. I was perfectly happy with that, though, as I hadn't gotten to try one yet and was hopeful that it would be helpful.

    Good luck!
  • Thanks Happy,
    Did the injection help you? I've been through a series of them & they didn't help at all. I've also tried anti-inflamatories, steroids, chiropractor. The only thing that I know of that I haven't done is PT. I don't now why, but PCP has not even suggested that. Just want less pain, as I'm sure all of us do.
    Thanks bunches, Juva
  • HI Juvap, You mention that you are seeing your PCP and are headed to a surgeon. Do you have a diagnosis? I'm just wondering because usually you go to an orthopedist or neurologist for this. They then prescribe different treatments or meds depending on what they find.

    My PM doc does give narcs on the first visit if your history warrants it. First his nurse practitioner did a full history and review all of my records with me. THen he came in and did the same. We talked about different options and ruled out a few. Then we came up with a plan. For my second visit I only saw the nurse practitioner but he was in the office if I needed him.

    Hope this helps.
  • i also got meds on my first visit.
  • Hi Kris,
    I hd an MRI in May which showd a bulging disc @ L5-S1, along with DDD & a nerve root sheath cyst @ T12- L1.I didn't know this at first, my previous PCP's nurse called & told me that nothing showed up on the MRI. I picked up the results of the MRI from the hospital to see for myself. I now have another PCP. I think things ahve changed alot since then, because my pain has gotten sooo much worse. My PCP says a bulging disc is nothing & shouldn't be causing debilitating pain. He sent me to a anesthesiologist for spinal injections. He would only administer 2 of the series of 3, because I was getting worse.
    Now I'm to the point of having to take a leave from work because I can't sit or stand for more than 10 minutes at a time. PCP prescribed first Lortab 7.5 & now Lortab 10mg, but I can only take half at a time, because they make me sick (too bad, because a whole one offers some relief). PCP said that since nothing else is working, it's time to see a neurosurgeon. At first, that same PCP told me that a surgeon wouldn't even see me, because my back wasn't bad enough. Who knows.
    All I know is that I'm often writhing in pain & don't have a life anymore.
    Sorry this is so long.
    Thanks for responding.
  • Well, there are also other things they can find too. Maybe the surgeon will find something else.

    Hopefully the pain doctor will help you until then!
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