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PLEASE read first time seeing a pain doctor help

i want to tell you a lil bit about me i have had three surgeries on my back in the last 6 years i am 27 years old recantly my family doctor said she can not keep me out of pain i have rite now a herniated disc at L3 L4 and moderate to severe arthropathy in the lumbar spine. she is sending me to a pain managment doctor because the medicine im on is not working she gave just enough to make it to my appt on wed i take 120 7.5/325 norcos and 180 ultram hcl 50mg and 90 10mg valium and lyrica i also have severe DDD the doctors say i have the back of a old man im scared to go to pain managment i have trie PT/OT and steroid injection and 6 facet blocks with no realief i wake up every morning crying in pain its to the point where my wife has to wake me up every morning before she leaves for work to help me get dressed from the waist down i know shes getting tired of it im scared because i don"t know how to tell them that the norco makes me sick to my stomach because of the tylonol im afraid they will look down on me because of my age i cant work im trying to get social security rite now my doctors told me i have 2 options go back to work and become cripled in 5 years or try and get ssi and live somewhat of a normal life but i cant nothing helps what can they do for me. oi also have a ? about if they make me sign a pain contract does that mean they will have to start givving me my adhd im scared what will happen please someone help me tell me what will happen i am sorry about some of the spelling please dont get mad im not the best have a reading disability . dont look down on me i have posted on here before and people maid fun of me i just need to know what they will do for me PLEASE ANYTHING WILL HEL. thanks and have a great day
justin d


  • Sorry to hear that you are going through such a bad time at the moment. I know it's hard to cope when you are in so much pain and the meds make it hard to figure your way through things.

    Your family doctor is referring you to a pain specialist because she doesn't have the expertise needed to find a pain management regime that will work for you. The pain doctor will work with you until he/she can find something that will help you. It's possible that you are not on the right combination of meds at the moment. Pain specialists know so much more about how to help you.

    Lets hope that you will get the help you need and that you are able to get a little more control back into your life.
  • I can understand your fears but I have to say that going to Pain Management was a lifesaver for me! I have been in PM since 2008 and until recently when I had (and am having again) further surgery it helped me live a more normal life. I know with many of the new laws a General Practitioner can only give a certain amount of narcotics and then they have to send you. I wish you the best of luck in controlling your pain!
  • devriesj1ddevriesj1 Posts: 20
    edited 07/22/2013 - 1:05 PM
    Im just worried they will put me on something like oxycotin or dilaudid im scared because i have heard bad things about stronger medicine what are the types of medicine do they perscribe.
    justin d
  • Slow down and try to to overwhelm yourself. I've been there. You worry about the pain doc,the steroids ,the disability,then comes the fear of being looked down on,made fun of. With me I felt like my manhood was taken away. It's almost been three years since this all started and I'm almost done winning my disability case. I will always have the pain and the doctors and I will always have the support of friends and family. Just like you.have. And three years sound like a long time but in retrospect it's just a blink of an eye. But one thing at a time and one day at a time. And don't worry about people making fum of you if anything they have similar problems and should look in the mirror when they start typing away. Try to think of them as sick people and treat them with kindness as if they have cancer of the brain.
  • Just like everyone has said, don't be afraid. It could very well give you some semblance of your life back. Pain doctors are specifically trained to treat your pain. Also, don't be afraid of the medication, they are not going to give you some outrageously strong med that you can't handle. Usually they will take into consideration of what you've tried and go from there. They may try you on a long acting med but usually start at the lowest dose and adjust as needed. you may just be surprised. Let us know how your appointment goes.
  • i will let you know how it goes what kind of long acting meds do they perscribe i am up again tonight rolling around on the floor in pain i take 10mg of valium 3 times a day and 180 ultram 1 to 2 tabs every six hours and 120 norcos one every six hours i have no reliaf from anything the only thing that helps is the valium with the muscle spasims. is there a chance that there is something that can help me that they will give me that is stronger. i have severe arthropathy at L4 L5 and 2 recurring herniated discs and they said i have alot of scar tissiue from all the surgeries i have had i just want pain relieaf my family is packing up and leaving me my (wife) she says shes tired of having to help me get dressed everyday and because i have no job i can not support her or my two kids i tried working and ended up having another surgery my nurologyst said you can keep working and become crippled in 5 years or you can face the facts that you are 28 years old with the back of an 70 year lold man hes the one who first told me it was time to apply for ssdi and ssi i wanted to provide for my family but cant ii need help i can not live in pain like this
    justin d
  • I wish I could say its gonna be ok but I can't. I'm in the same boat as you and I'm only 32. I'm probably gonna end up in a wheel chair for the rest of my life. It scares me too. I might not even be able to pick up my two beautiful daughters anymore. It's a long tuff road but you'll get to the end. If you need someone to talk to and I'm on feel free to pm me. Hope everything goes well!
  • http://www.spine-health.com/forum/pain/chronic-pain/chronic-pain-treatment-step-step

    Who has been prescribing your medications currently? You might want to bring a print out of your medications from your pharmacy , along with any MRI's, xray , results of any other tests and surgical reports that you can get from your surgeries with you the PM doctor appointment, along with your current medication bottles and dosages. Yes, they may have you sign a contract, and have you submit a urine test sample. This is all normal. They may also not prescribe any medications until they get your urine test results back so don't be surprised if the first visit they don't give you new prescriptions.
    They may offer you injections, even if you have done them previously, some PM doctors want you to at least try one or two with them and they may send you again to physical therapy to help strengthen the muscles supporting your spine as well. There are lots of options available for treating your pain so don't worry.
    I'm sorry that your wife is not being supportive right now.
  • I have been with my pcp for a little over 3 years I have did it all since my last surgery everything from facet and nereve blocks and regular steroid injection also did PT nothing has helped my mri which is not in front of me says severe lumbar facet arthropathy and I have a recurring herniated disc. I do not want to sound like a druggie but the only thing I have been on is the above and I only get some realife from valium for spasams do you think they might give me a stronger pain med my life sucks it kills me when I try and fall asleep that when I wake up I will not be able todress myself its very depressing sometimes its even sad I cannot even take my wife out because ohhh justins back is hurting I cry everynight and pray for the pain to go away thank you everyone so much I couldnt of made it this far without all of you
    justin d
  • devriesj1ddevriesj1 Posts: 20
    edited 07/29/2013 - 7:02 AM
    I cannot wait for tommrow I have been out of meds since saturday night my family doctor new I was gonna run out early I feel so sick and in so much pain I dont want to get out of bed till tomrow she said make them last well you know you did not give me dnough to last im so tired and sick of being thrown around from doctor to doctor what can I do

    Post Edited for Inappropriate Language by The Spine-Health Moderator Team
    justin d
  • terror8396tterror8396 Posts: 1,832
    edited 07/30/2013 - 7:30 PM
    your dr knew you would run out early? That does not make sense and it sounds like you used more than you were supposed to use. why are you going from dr to dr? all of this sounds like you are going around to different drs to get more meds. inmo is see some major issues with your post. also only 27 and you want ssi is problematic also. i am 66 and have had 4 fusions, can't walk in constant pain and i still work. i have never tried to get ssi or retire early. how many drs have you gone to?
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • terror8396tterror8396 Posts: 1,832
    edited 07/29/2013 - 6:56 PM
    i am a special ed teacher for the past 26 years and don't make fun of people. by the way, if you see a pain dr, you will probably have to sign a pain contract which means if you dr shop or take more meds than prescribed, they can drop you without warning. pain drs are very serious about contracts. i had to sign one and you might have to take urine tests also and also pill counts. be honest with pain dr and don't exaggerate or make things up.
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • Today I went to my appt with my mom they were very helpful and put me on 15mg of oxycottin and 10mg of valium it is working so far thank you everyone I could not have done it without you and im not scared no more the doctor said I have anxiety and put me on 1mg xanax thanks again for your support
    justin d
  • devriesj1ddevriesj1 Posts: 20
    edited 07/30/2013 - 9:19 PM
    They made me sign a contract that said I can only see that doctor for my medicine I have been sent to many doctors but that doesent mean they all gave me medicine only my family doctor gave me my medicine she sent me to a pain doctor she gave me 120 norcos and said make them last till I seen the pain doctor the bottle says take 1 to 2 tablets every four to six hours I never took more then five a day thats how I ran out all I can say is I tried that is all I edited my comment to make everyone happy
    justin d
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  • I am a bit confused hon.........how did you run out of meds so early? If you had meds that were supposed to last you until Wednesday, how did you run out on Saturday? If you don't follow the directions on the bottles exactly and not take more than you are supposed to , you are going to create problems for yourself, and then the doctors can dismiss you from their care and it can make it so that no doctor will give you pain medications once you do that. It is very, very important that you only take the number of pills exactly as they are prescribed for you to take.
    Do you have someone who can help you manage the medications? If not, it might be worthwhile to find someone who can help you set up a schedule for when you are supposed to take your medications, and put them in in a weekly pill box or something for you to keep better track of your medications each day.
    Taking more than you are prescribed can also cause you to overdose, and that can be deadly. With the long acting medications, never change the dose, without talking to your doctor first, and don't ever cut them or alter them in any way, because that can be deadly.
    Pain medications are only part of the big picture of pain management, physical therapy, strengthening, ice, heat, swimming, walking, excercising are all part of the pain management picture, so make sure that you talk to your doctor about other things that you can do to help keep your muscles strong and to keep you moving so that the pain doesn't increase due to the inactivity.
    If you need help with something you can send me a private message and I will be happy to help .
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