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Resuming opioid treatment

Hello, I have a pretty urgent and important question about trying to resume or restart my pain management regimen. A little background, I'm a 19 year old male, suffering from constant severe sometimes moderate chronic back pain. I had 2 discectomys in Nov of 2013 on l4-l5 and l5-l6, prior to this surgery I was on an extremely succesful opioid management schedule with my regular GP consisting of oxycontin 20mg 2x day and 4 mg dilaudid prn...After my surgery (which I opted myself into, without him knowing) my surgeon continued my dilaudid regularly for a few months than ended the treatment. Since my surgery (which was in colorado) my pain has slowly but noticingly crept back into my life and it is beginning to become miserable and debilitating once more, I now live in kansas, my original GP who had me on opioids is in a town 30 miles away in NE and I am planning on trying to be seen by a doctor here in kansas where I now live. Now a 19 year old coming requesting to be treated for chronic pain with opioids raises flags. Especiallg with no records in hand no mri just my scar from surgery and my knowledge of what drugs do and don't work on my pain. Would it be a bad decision to ask for treatment on my first visit with this new dr....I plan on being completely forward and up front and releasing my medical records to him for proof, I just need relief. Would anyone have any insight or advice or experience on whether a doctor takes on patients with prior experience in opioid treatment. Thank u on advance


  • Welcome to Spine Health..http://www.spine-health.com/forum/announcements/spine-health-announcements/welcome-message-resource
    ......I highly doubt that any doctor, GP or PM doctor is going to just write you prescriptions for two opiates or even one, without any medical records, surgical records, or recent imaging studies to show why you are in pain.....Having had two disectomies doesn't provide a medical reason/diagnosis for what may be causing the pain.
    What kind of pain is it? Where it is located? Does it travel? What does it feel like? What number on the pain scale is it at it's worst? At it's best?
    Returning to your old doctor is also most likely not going to be an option since they can pull up your opiate history and in many states are required to now before providing opiates. Since it has been some time since you last saw them, and you didn't keep them in the loop regarding your treatment, and another doctor was writing dilaudid for you, they may not consider resuming care anyway.
    I'm afraid that you are going to have to start at the beginning........by finding a new GP, getting referred for physical therapy, injections, imaging, and then a consult with a surgeon if there is anything found on the imaging.....opiates are just one small part of a comprehensive treatment program for pain, so you have a long road ahead of you.....

  • terror8396tterror8396 Posts: 1,832
    edited 05/12/2014 - 6:49 AM
    for every reason moving to another state or whatever, you should have asked for copies of your records to take to a new doctor in a new state. one can not just show up on a new doctors doorstep requesting to be seen and asking for narcotics. it does not work that way. if you move especially a new state, the first thing you should have done was ask for your records, all of them, procedures, meds, surgeries, et al to take to your new doctor. i believe if it has not been too long since you saw your old doctor then there should be records. they can fed-ex them to your house and then you should also contact any hospital for records of surgeries also and also any other doctors, be it general practitioner, or orhtopedic surgeon, or pain doctor, all of them, all of them, and you should contact all of them for records. you will need every record big or small, important or not and take them to the respective doctors. i would start doing this asap so you can get started to get treated.
    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.
  • is that you need to consider that there are other treatment options aside from opiates to treat pain, and the doctors, whomever you start seeing is going to want you to start with the NSAIDs, prescription based, and nerve pain medications, the road to opiates is not one that just because an old physician provided them means that a new one has to or will........
    In fact, most won't, and especially in today's environment.
    There are many other modalities to treat pain, and many of them are far more effective than the use of opiates. Until you know the cause of the pain, you won't know if opiates are even the right type of medication necessary.....

  • In my experience specialists, GP's, hospitals, imaging centers etc will post or fax any records anywhere you want them to. They email you the forms you need to release your records, you sign & return them. It's a good idea to do this anyway so you can compile a folder of all your past records. Some specialists I've seen will not schedule procedures until they have the detailed procedure notes & surgery records in hand from the past.

    It's best to choose a doctor & have your information sent ahead before you move to a new area. That's worked for me when I've needed continued care. My past docs have telephoned the new ones to discuss my case.
    Osteoarthritis & DDD.
  • my pain doctor will not recieve a new patient unless that person is referred by another doctor. if they try to set up an appointment without a referral they will get turned down. one must check the doctors office about how to get seen and what one needs to do.
    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.
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