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Good Rheumys & PM Docs--Based on Location?

sassy411ssassy411 Posts: 199
edited 06/11/2012 - 8:49 AM in Chronic Pain
Reading so many horror stories here about bad experiences with rheumys & PM docs got me wondering if location is a factor. If you're in an area where there is not a high demand for those specialties, are the docs better or worse?

I live in an area with a high percentage of retirees, so I'm hoping that our local PMs & rheumys are good--there seem to be plenty of them, which would make sense based on the demographics.

Any thoughts?


  • I'm not sure what you mean by bad experience. If you mean that they are stingy and strict with meds that is probably because of state regs and the incidence of drug abuse.

    If you mean bad because they don't offer treatment that helps I think that is more based on specialty. The pm that I went to was an anesthesialogist. His practice was based on doing injections and blocks and RF burns. The meds were just in addition to these procedures. I wasn't a candidate for injections so he sent me back to my neurologist. This was good but there are some who will try everything they can get approval for even if it wouldn't work.

    If you are in an area with lots of these specialists then you have lots to choose from which is great. Take your time and interview a few offices. I remember doing that for a pediatrician 17 years ago...not something we do much anymore.
  • Good and bad docs, both rheums and pain management, can be found everywhere, but some PM docs may be "limited" by their state medical boards in addition to the DEA. I went to a "mecca" where the PM was clueless and barely spoke English; I'll stick with my community PM doctor. Do check for board certification, I think anesthesiologists make better PM docs. I do think Kris is lucky to find a PM that couldn't find "something" to inject (LOL) and was honest about it.
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