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PM Dr. has reffered me to an inpatient Pain Management Clinic

Travntina1TTravntina1 Posts: 15
edited 06/11/2012 - 8:59 AM in Chronic Pain
I have been in cronic pain since my MVA in 2007 I have had several surgeries, a SCS, injections, and lots and lots of narcotic meds. Right now I have a Fentanyl Patch 75mcg, and Percocet 10/235 I have no side effect any longer nor do I get drowsy from taking them. We are now at the point where its time to change the percocets for I have been on them for 2yrs now we are going to go with MS Contin. But, When I visited my PM doc the other day he told me its time for me to go to a Pain Management Clinic it is an inpatient Program that last 14 days (longer if they feel it is necessary) They have a team of Drs therapists psychologists, physical therapists, accupuncturists...Ect you get the picture all do an intake on you then they all sit down and come up with a treatment plan diet and exercise fit just for you and they also try different meds under their supervision to get you just the right mix that works for you. Has any one heard of this before? I am going in March.


  • The thing that concerns me about what you posted is the fact that you are already seeing a pain specialist. It seems to me that he is going the way of alot of others nowadays- "the no narcotic" pain management way. It won't hurt to try the program, I just fear that you won't be "helped" with narcotics if the program doesn't work for you. Do as much research as you can on the inpatient clinic you are being sent to. Good Luck,
  • Thank you for your response. This program is not a non narcotic approach as a matter of fact one of the things this clinic does is different trials of medication to actually help you find the right "Mix" that is right for you to actually help you get out of pain. The facility my Dr is speaking of is in Chicago Il. my only issue with this is its 3 hours from where I live so I will have to leave my family for the duration of the program I have 4 children however only 2 are at home my son who is 15 and my daughter who is 11 and majorly attached to me. I am just not sure how she is going to take to this at all and Im afraid I will not be able to give my attention fully to the program for worrying about her all the time???
  • Hello Tina,
    Many people enter PM with unrealistic expectations, a last resort where nothing else has worked. Melzack and Wall suggest that a “collective approach” as the best possible solution for managing pain. Medication alone is never the panacea of improvement that we surmise it will be, those who are on maximum dosage of everything soon realise that this is not a productive or quality of life existence.

    I went on a residential PM for one month, pm is what you can do for yourself, Sternbach RA, said it only intends to make us more “stoic” , he may have a point. The pain word was never mentioned we did positive things with emphasis on what we could do; I still have unimaginable pain every day. Pacing has been the key to success, our old life cannot be squeezed into restricted function, and I spend a disproportionate amount of time resting, so that some objects can be achieved.

    Residential PM is about cognitive behaviour management and staying positive in difficult circumstance, having daily goals and medication is only one aspect of the collective approach; volume medication is not the panacea for all our ills.

    Academic PM concludes that medication is only one tool, and as mentioned some institutions prefer a no or limited medication policy even if only initially.

    Take care. John

  • I would "take advantage" of the program if I were you. Just the chance of it helping you will most likely greatly enhance your interactions with your kids, and everybody else in your life. I'm sure you could at least talk on the phone a few times a day with them while your gone. Maybe they can even visit a couple of times. I just think you should seriuously consider it. Good Luck,
  • Hi Tina: I attended an 8-week (5day x 8hr) program a few years ago. The program was designed to take a holistic approach to managing my pain. It included physical therapists, biofeedback, dieticians, occupational therapists, etc. as well as psychotherapists & a pain mgt Dr that oversaw the program. It was a wonderful program with wonderful intentions, but my pain scores from day 1 to day 40 didn't show much improvement. But I did learn how to breathe when I was in pain; learned the difference between dependency & addiction; learned some yoga poses; met alot of people with many more issues than I.
    I would think the program you're describing is similar to this & I encourage you to attend with an open mind. Good luck managing your pain.
  • HI,
    I did a similar program, but as an outpatient, at a rehab hospital for 6 weeks, 3 days per week. I found it to be helpful, and I learned alot of little tricks from the OT's. I think the hardest thing was talking and realizing that I was no longer going to be the old me...no motorcycles, no snowmobiles, no more mall trips (to much walking). No long days working in the garden, no movies (sit too long), no car trips without a walk break now and then, and the list goes on...And you know, now that time has gone by, I'm happy with the new me...now that I don't miss the old me, but I'm ok, all things considered. My friends still like me, my hubby accepts what I can and can't do, and my dog is still my best friend.
    A day in the garden now takes 2 or 3 days to do...but mission accomplished!! I still shop, but short trips only, and I still prefer watching a movie at home instead of a theatre...so life is good!
    I hope you feel better, and learn how to make your life work,,, I think it was a good experience!
    Best wishes!
  • Back pain is ranked second to headaches as the most frequent location of pain. Four out of five adults will experience at least one bout of back pain at some time in their lives. It is almost next to common colds in the list of common diseases.

    The most common site for pain is the lower back because it bears the brunt of our weight and hence is more prone to get affected.

    Back pain is a major ergonomic issue that is becoming increasingly common owing to changing work pattern.Back ache is more prevalent between the age of 35 and 55. The most frequently cause of our back pain are:

    Back pain, especially low back pain, is often associated with functional disability as well as economic and social consequences. It is one of the most expensive diseases in the age group of 25-50 years as it leads to serious loss of productivity. It is estimated that the loss of work resulting from backache costs 30 billion dollars annually in the US. Backache ranks second to cold and cough as a cause of loss of work. Individuals with chronic back pain usually suffer from physical impairment, behavioral changes, hopelessness, de-motivation and lethargy.

    Structurally backache is a condition that usually is caused when one or more structures of the back gets affected and these includes muscles, cartilage, bones or spinal cord.

    People who are in the desk job most of the day are prone to non-accidental back injury. Our working style has changed and it is more technology dependent now. Many of us end up working on computers for as much as 15 hours per day! Prolonged periods of sitting or other sedentary activity is not good for back health and may cause muscle fatigue since the back and abdominal muscles have to work really hard to maintain the body in a single position for prolonged periods. Added to this the joints involved - knees, hips and intervetebral joints – have to remain stationary or in a bad posture for long hours. Incorrect posture and muscle fatigue are partly responsible for initiating osteoporosis at a very early age and put such people at higher risk of developing osteoarthritis.
    Our Erect Posture and flexibility of our body-The erect human posture has made our back adapt to withstand the forces of gravity over our lifetime. It also has made this region more easily vulnerable to wear and tear, strains and fractures. To keep us mobile, the flexibility of our back is important. This is determined by various factors such as joint structure, muscle elasticity and connective tissue fiber material made up of collagen, elastin and titin. Disc that are interposed between the vertebra, acts as a shock absorber and gives joints their strength, stability and flexibility but limits movement. Vertebrae and discs provide a protective tunnel that allows the spinal cord and its spinal nerves to pass through. These nerves running down the center of the vertebrae, branch off to various parts of the body. The collagen fibers help the disc withstand the tension of the erect posture and our weight. Disc protects the spine and keeps it stable during strenuous activities that puts strong force on the spine, such as jumping, running, and lifting.
    Anatomy of our Back - The back region of our body is made of interconnecting structures like bones, joints, muscles, ligaments and tendons. The spine of the back itself is made up of 24 small bones (seven cervical, twelve thoracic and five lumbar) and is the major support structure of back. These small bones are called vertebrae and they are further attached to sacrum and coccyx as we go from top to down. The sacrum attaches itself in front to the bones of the pelvis

    Back pain at workplace results either from non-accidental injury, where pain arises as a result of poor body mechanics such as slouching in chair, prolonged sitting and fatigue; or it results from accidental injury or accidents such as slipping, falling from a height and even hitting one’s head against a cabinet door. Workers undertaking physically demanding jobs such as repetitive lifting of heavy objects are at greatest risk for both non-accidental and accidental back injury.
    Back pain may be sudden and sharp or it may be dull and if persistent for more than a week it might result in tension, soreness or stiffness of back muscles. Pain may aggravate with slightest of movement or even with coughing and sneezing. It may also be accompanied with numbness and tingling in the arms or legs.

    The pain if limited to the back can be treated by simple remedies at home but if radiating to the lower abdomen, groin, leg or foot, needs medical attention.

    Back pain is a common reason for seeking disability benefit from governments and insurance companies. However as pain is subjective and difficult to quantify, the process for such claims is tedious and not everyone who makes a claim gets the necessary benefit.

    One must remember that backache is only a symptom of innumerable other causes besides spine related problems. The back pain maybe related to cardiovascular, respiratory, gastrointestinal, urological or gynecological problems. Besides injury and straining, the backache originating from the spine can also be due to tumor, infection, inflammation, metabolic disorders, degenerative disc conditions, spondylosis, and spondylitis. get breif knowledge on the same you can visit

    Link removed, solicitation not permitted
    Post Edited by Authority Member Liz
  • John:
    Which website did you plagiarize this from? Tell us something we don't all know.
  • The letters "CBT" came from this research, but then
    you would know that having read it !



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  • Frannie thank you for your post ,it was just what I needed. I'm new here and am going to a pain managemnet clinic on friday. I will put my hands up to finding it very hard to pace myself ,to let go of what the old me could do and to getting very down about how little the new me can do. Of course thats a viscious circle,I get down,i loose motivation,feel like ive lost everything i enjoy and mope. I have lost a job that I loved and had done for the last 11 years,that was a big blow ! and ofcourse all my friends there,although i do try to see them every few months. The biggest thing for me is I have always been very physical,hands on,used to walk 5- 7 miles a day in my job,come home,do jobs round the house,visit gym for an hour 3 times a week,cycle,dig the garden for hours..and now..even walking a few hundred yards to the shop hurts and i have to slow right down,almost a shuffle :), I got myself an automactic car which helps,but even still a short drive will cause my pain to rise even with a cocyc cushion. So yes this is all realtively new to me and I am not very good at pacing,I'm terrible at it :) Your post has lifted my spirits and my stronger self has told my 'woe is me'self to stop whimpering and get on and do what I can.Here's to friday and hopefully Ill finally learn the art of pacing . Thank you Frannie.
  • Welcome to spine health. Glad to have you here, but sorry for your pain that brought you.

    You might try starting a thread about yourself. What spinal issues do you have? I am thinking lumbar and or coccyx, as you mentioned the pillow. I deal with both of those issues myself.

    Wishing you all the best on Friday. Ar. You going to an inpatient or outpatient pm clinic?

    Look forward to hearing more from you

    >:D< Karen
    >:D< >:-D< : Karen
    L3-S1 herniation and bulges, stenosis, mod facet,ddd,impinged nerves,coccydinia
    discectomy/lami July 2011-unsuccessful
    adr L5-S1 Feb 2012
  • Thank you Karen,I'm going as an out patient.
    I will try and find where to start a page ..compared to many I have minor probs :)
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