Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

New assault on opioids reported by WSJ

The Wall Street Journal reports today that a group of pain specialists have filed a petition with the FDA to limit the use of extended release opiods pain meds to 100mg a day for a maximum of 90 days of round the clock use. It goes further in asking that all opiods be marketed for only severe pain, not just moderate. It claims that "there is very little evidence that with most patients a high dosage of opioids improve function and one's quality of life." This was signed by 3 dozen "leading pain-addiction experts and prominent health officials." plus politicians.
Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.


  • couldnt find the article anywhere, could you post a link to it?
  • wsj pain medication petition
    A workable link should appear at or near the top. Cut and paste of the link does not seam to work.
    I read via my wsj subscription app
    Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.
  • Wow... that is really messed up. This better not become policy.
  • As I understand it, the petition seems to place time limits on the use of opiates for chronic pain patients. What do the petitioners propose for those of us who rely on such medications merely to get through the day? It would be good to see a viable alternative first. Or am I just missing something obvious here?
    Disability retirement
  • I was at my ortho doc today and after years of going to various doctors looking for answers he finally showed me some interesting stuff. Prior to approx 10 years ago Pain Management plces did not exsist per se. Now that they do it is BIG BUISNESS and many are getting rich on us as basically leagal drug dalers that have ue locked in for year and years, every 30 days we have to come back for our fix. Well as you porbally know the DEA is cracking down on them mainly in FL but all over including here in MD. As a result I was cut off 3 times now in 3 years. Yes it was bad, yes I did end up in the hospital but also I was able to get my tolerance down so the med worked again without having to increase the dosage. I have been taking 10/500 vicodins for 3 years now 2- 3 a day as needed. When they no longer work I stop for 2=3 days and it is pure hell, but it's temporary. So what's the point? 1) Taking a break from the opiods helps in the long run 2) This petition helps save the PM docs butts so they can contiune making the big bucks and the DEA does not shut them down.
    Just my experience but I went through PM and it was horrible. I have not seen a single ortho or neuro doc that will ever refer another patient to any PM place. I am fairly certain that when I injured my back if I had just stayed home with ice and rest and not gone the PM route I would not be in the shape I am today ( which is not good)

    Just my 2 cents nothing more nothing less.
  • edited 07/28/2012 - 9:29 PM
    yea but this petition says nothing about having any intervals, just a 90 day maximum. So as far as we know its NO more at all after 90 days

    And yes while the Pain Clinics seem to be very abused in FL, in other states this is not the case. In CA we have no Pain Clinics like the ones in FL, there all legitament. You need a Doc order to even get a appt and my PM doctor has never prescribed me any narcotics(she leaves that to my Primary doc). So I dont think its fair we all suffer because FL cant get their shit together, I do agree some extra legislation does need to get passed for states like FL, but this would be Overkill.

    Hopefully a international organization like the WHO or the UN makes sure this never passes, its a human rights violation.
  • yes, but when I was hurt 3 1/2 years ago I was off work for about three months and then went back to work with pain and didnt take anything but over the counter for about a years and a half, my pain was getting worse and worse, finally I needed something more, I was trying to get by, and one morning I said this is stupid, and contacted workers comp, I really didn't want them in the house, my wife knows bill,,,,,
  • The entire situation is a mess. I read the DEA policy of 2006 and the prescribing guidlines for doctors.... GUESS WHAT!!!! There is NO DEFINITION of OVER PRESCRIBING. Other than a very vague sentence. So in other words the DEA can shut you down if they deam you prescribe to much, the doc can't fight it, it's like us trying to fight the IRS.
    Oh here in MD you need a doctors referal to get into one, they decide if they will acept your case, then if they do they lock you in with the "contract". PCP in this area of MD, VA, WV will not precribe any opiods without somethin to point to. In my case it took 2 trips to the ER and being admitted for 48 hours( sever muscle spasms, they could not tell if it was another heart attack or not). He prescribed 10 days worth but told me not to come back for 30 as he would not write another one

    Lastly on the DEA site they has the statistics. well guess what again, it is teenagers dieing, how are they getting it, stealing it from there grandparents and parents or some family member. It had nothing to do with legitimate users but sees them as the "middle men" in the supply chain so we get left holding the bag.
  • A situation like this doesn't come up overnight. It takes time to develop. In KY, a new law just past that the lawyers wrote without using any guidance from doctors severely limiting PM clinics. Problem is, there are laws on the books already that if they were enforced, would eliminate a lot of the pill mills. Unfortunately, the new law is so tight, a large portion of PM's are going out of business or moving to other states.

    On the surface, politicians claim a victory for driving businesses out. But what they are not considering is primary care doc's in KY 9 times out of 10 will NOT prescribe any controlled substances for pain. Their DEA licenses have been threatened if they over prescribe, but there also threatened for under prescribing as well. This is one of the primary reasons PM clinics have popped up. There is a void in healthcare and reputable clinics try to fill that void.

    It's the actual pill mills that are causing the industry to suffer. Law enforcement needs to enforce laws on the books and go after the people and docs who are diverting.

    I'm up at 5:23 am typing this because I've been up half the night with my back hurting. Most people don't want to hear about those people who have chronic issues. They feed into what the politically driven media presents to them. I work in the healthcare field and can see people who really need care versus those who are just getting a fix. Politicians need to let doctor's practice medicine. Enable law enforcement to actually prosecute the bad apples. But don't throw the baby out with the bath water! There are people who need PM in order to function.

    I'm to the point that if I have to travel to another state for pain relief, I'll just go ahead and file for disability. I'm trying to continue working but the government is making it awful darn hard to do that.

    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
Sign In or Register to comment.