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Frightened of pain management!

Brendam77BBrendam77 Posts: 5
edited 06/11/2012 - 8:51 AM in Pain Management
Why did I need a referral to pain management?
This whole thing has me shaken. My dr decided to go back to urgent care basis and stop treating regular chronic patients. I am in physical therapy, use a tens unit,have my PT assessment , which discovered scoliosis spinal stenosis,MORE than the MRI revealed, have my MRI results showing the damage from an accident over a yr ago. Perforated discs All my dr records and ive been on the same scrpt for pain and anxiety for 4 yrs. Anxiety 7 yrs. Well I got the paperwork for this pain place and it said
Dr will not be taking over ANY prescript from your pcp or referring doctor. Any being underlined. My medical records are clean, there is legitimate pain that keeps me from the life my children deserve. This feels like it could shake me up. Why would they have that in there. Does it mean I'll be left high and dry? I don't know what to make of this. I've always been timid with the dr, but now, I'm terrified. 33 f


  • No need to fear. What it normally means is that the Pain Management doc will do his own evaluation and start treating you in a manner that he/she feels would be the most helpful to you. Kind of like wiping the slate clean and rebuilding anew. Instead of slapping paint on an old house to try and stop leaks, the PM doc will determine if the house needs to be renovated or rebuilt and start with fresh eyes and fresh material.

    Welcome to Spine Health

  • It's the same here where I live the Pain Management Dr. only gives injections and my Family Dr. gives my meds. Did your Dr. say they were going to stop the meds? My Dr. just wanted the pain Dr. to give her any ideas for meds or start me on a patch which she decided not to and I continue getting meds from my Family Dr. Not saying that's what's going to happen in your case and hopefully the pain Dr. is there to get you pain relief whatever way. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • I barely can keep my family going as is with the rx (lortab) I've been on for years. I've discovered I can't really shave my own legs, my spine is literally caking over, sit on a stool with a pillow to try and do dishes. WHEN I'm not in bed with a heat pad trying for relief. The ex is also trying to fight endometriosis so I got it front and back. I cry every time I try to relive my life since the accident. As I glance at the journal I've kept since then, I'm surprised I'm still ALIVE. I tried little league last year. I CANT this year, for the pain and agonyI have an 8 and 9 yr old, there is just too much pain to try anymore and my kids suffer without ALOT. I'm not like other moms who aren't hurt ...I live with the guilt of not being able to COPE I don't know how a dr will understand that without me sounding crazy. I haven't slept through the night in 15 mos, never. I'm already doing the other steps that's supposed to go with it all I hope an injection isn't the only idea they have and pray for my kids that they don't cold turkey me into a corpse

    ~the separation of loved ones and the destruction of family is the ultimate pain and suffering of all~
    anonymously me
  • Brenda, its seems to me the Lortab may have run its course, The pain Dr may be able to suggest other meds or injections to give you better relief. He will not let you go cold turkey (without pain meds). Sometimes another dr point of view or treatment may change your life completely. I know your fear well with family issues and spine problems. Its difficult to do everyday routines. But try to look at this as getting back on track to life. You can ask him for a referral to a spine Dr who will work closely with him in getting your pain level improved.. good luck jan
  • How do I even relay any of this to the DR? I'm convinced they see their share of scammers. Cry on cue. Desperate. Truth is, I DO feel desperate! Scared, frightened, and another emotion I haven't gotten to deal with yet, Angry. I know the more dramatic and lying people do, the more they have a chance of getting what they're after. I CAN'T lie. But I don't think I'm going to be able not to cry. This whole accident has been like a death for my family infrastructure and I'm still grieving and I dont know how to fix it and I'm too frightened to go on living in pain..
  • Brenda, they have seen a lot of people and can see through scammers. Do not be afraid to voice just what you said here and feel. Its can be a hard process to go through. I changed Drs at least 5 times because I knew the pain I was going through was real and was afraid I might be seen as med seeking. Pain specialist deal with pain everyday and they know that not all test show the intensity of pain we are going through. An MRI does not scream pain you are going through. Let him know the emotional stress this is causing you. an antidressant may help was will to reduce pain and the sadness your feeling. Unless someone has gone through all this before it is hard to understand the feelings of loss you have for your family life. I cannot stress enough to tell the dr how you feel. You are fighting for your life now. Dont stop. scream until you find a Dr who understands you. I have had ongoing pain two surgerys at least 50 injections, tens units, morphine on and on. I am still taking a pain med but my life is much better now. Dont let this pain stop you from living You can do this..send me a private message if you want to talk more... =((
  • Brendam
    Pm is here to help and support, thoughts strategies and beliefs can soon become restrictions and given sufficient time to develop a change into our behaviour that is not beneficial in the longer term to managing pain. You already understand how pain is impacting on others in your family and they too need ideas and progressive ideas to cope with how these change impact on them.
    It is in the not knowing that we fear and for the most part a liaison with the patient and those who are attempting to support us, we have nothing to feel guilty for this imposed condition we did not ask or encourage this imposed change, a good PM team will offer support for all these issues.

    Change itself is difficult and we will be asked to adopt new ideas that may initially seem unfamiliar or unrelated to our concept of improvement, it may help in the long term.

    It is a common experience here for changes to be introduced that the patient does not fully understand or has not been explained adequately, write all your question and ask them when appropriate, you need to know what the plan is and how it is going to help you as an individual.

    Lack of quality sleep with chronic pain is not easy and perhaps they may have some ideas that will help that also, try not to worry working together hopefully some of the pain and your situation will improve.

    Take care John.
  • That was scary and nerve racking. No better way to say it than painted into a corner. At appt, I was talked to by nurse. Dr came in pulled stretched and subjected me to extra pain, refused to discuss a pain management plan for me . Told me to make a appt for an injection 2 thurs, it was tues with his reception and while I walked up there to do it, he turned his back on me literally and figuratively they started turning off lights for lunch. The receptionist said appt is done.
    To add insult to injury, I find out the next day that injections to be done as hospital admissions. I told my PT about it, I did NOT go. I said I Can't do a needle in the back unless someone is there with me to hold my hand. My PT told me, the kind of injection they wanted to do, that I shouldn't even be driving on my own after! Especially not 40 miles!
    I went back to Dr and asked her to keep working with me while we have another referral sent out to another pm dr. She SAYS she will refill me come Mon, bit I don't believe Anything till it happens! I guess I'm not doing very good describing my limitations and quality of life. These Drs should talk to my 9 and 10 yr old to find out just how bad this family is deteriorating because I can't do things anymore
    I have no illusions with this pm doc when he gets an opening. Running out of hope. Will be moving to my sisters to get proper medical care. Trying to hold out for summer because my kids are honor roll and I don't want to screw that up. It all depends on this next..and last pm dr. Tears behind my eyes, but I did my best not to break down. No matter what, ever since this accident ..treated badly. There's a new definition out there to what counts for pain and suffering thank you. Please keep posting. Gives me hope
  • This quack had every intention of ct ! Sorry I haven't been so detailed, but I msg from mobile few and far between I open up the big computer..
  • I am totaly convinced in this day and age that. Any PM Dr. that has worked his way up to beable to even RX the type of meds us chronic pain sufferes have. Knows! I mean he can see the pain! He can tell by your actions, thoughts,the look in your eye's, your movments and words.
    A true PM Dr. will tell you what you need.
    And thats what you want. Then it's much easier to explain.
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