Hi everyone, just wanted some decent input if anyone can help. I have had chronic back/leg pain with a history of blown discs with 3 back surgeries.I have been on Narcotics since 2004 for this. I have been of Fentanyl patch 100mcg/hr every 2 days and Oxycodone IR 10 mgs every 4-6 hrs with a max of #6 per day. I was referred to a another PM from my PM for a intrathecal pain pump. The new PM talked me into trying a SCS which failed. It took awhile to get through the process of getting approval and following through with the SCS trial,in the meantime it had been several months since I had my last RF (radiofrequency). By the time I was approved and the time the trial happpened and failed it has been a year since the RF.
Anyway,what I am getting at is now my friggin back pain is outrageous and current pain meds are not working at times. My PM doctor says all clinics have to draw a line in the sand, and at a point which according to him I am at, refuse to increase the narcotic dosageany higher. Is this infact an unwritten rule/protocol within pain management,and if so does it seem reasonable that I have reached the top? I suggested an increse at least until I get the RF (radiofrequency)and then would not need as much. Is that unreasonable as well? I am now awaiting insurance approval along with 2 test shots before I can get the RF injection as well as am awaiting the IntraThecal Pain Pump test that I was origionally referred to this PM for.