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

Chronic thorasic back pain. Need help.

When I was 17 (now 25), I was involved in a car accident by myself, that broke my back, neck, left humurus, and left femur. Wore a halo for 3 months. My spine was fused T2-T4. Fussion of left humurus and left femur as well. Along with the fixtures came chronic osteomyelitis in left femur. I've been prescribed medicines only a handful of times in my life for pain. Tramadol--Took it for a few days of prescription and noticed severe stomach cramps lasting most the day. Stopped taking it. Nucynta-- Had a sample pack, couldn't afford it because my insurance didn't cover it. None of these medicines worked to alleviate my pain. My back constantly hurts and aches from standing to sitting. I constantly have to move positions in sitting every 20 to 30 seconds. I'm afraid to seek medicine treatment even tho I know I really need it. My question is, how would I go about doing this? I have no family doctor but I can get one. I don't want to be seen as a drug seeker, even tho I have been prescribed hydrocodone before and it worked amazingly!!! It wasn't a steady prescription, just about 2 weeks worth. So my history of pain medications is almost non-existent. I've lived 8 years now with this pain and now it is getting much worse. I've held off help soooo long. Now I'm giving in. What to tell the doctor? As I said, I'm new to all of this. I've never seeked help before. It's gotten to the point where I'm crying every other day wishing someone would understand me and what I'm going through. I can't be too open with doctors, because I don't want to be labeled as anything bad. I've only drank alcohol a handful of times and never ever tried recreational drugs. Anyone have any advice or a step by step way to appraoch this to get genuine help?


  • dilaurodilauro ConnecticutPosts: 9,841
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • jtdjjtd Posts: 5
    edited 05/29/2014 - 9:22 AM
    Thank you Dilauro. It was very helpful. But still, what to say to the primary doctor? I don't want to look bad in her/his eyes. Because I'm not. Never abused anything in my life.
  • certified spine surgeon and pain management doctor.......they will examine you, order any updated tests that they feel are necessary, then suggest treatment options, which may or may not include pain medications. There are lots of options availble to treat pain, other than just opiate pain medications. Depending on the symptoms , the type of pain, the imaging studies will determine what options the doctors feel are best for your condition.
    They will offer the least invasive treatments and medications first, then follow up with more involved treatment options.
    It is all there in the Step by Step Guide. There are not short cuts to getting pain medications......you will have to go through the same steps that we all have.......and if the doctors feel they are warranted, then they will order them.
  • Hi,

    I was worried about how I would look in my doctor's eyes, and even when I did get to a pain management doctor, I worried about what he thought. I worried that staff would think I was a drug seeker. The only thing that helped my worry was time. Right now, at this time in my life, I need my medication to help with my pain. I take the recommended dosage, and was worried that I was an addict because I have been on narcotics for two years. I'm not- my body may physically depend on the medication, but I don't take my meds to get high, I take them to help with my pain. You have clearly had damage due to the car accident, and your doctor you find will understand that. If he/she doesn't understand, it's not the right doctor for you.
    As for a step by step guide, what I would recommend is talking to the doctor's office that did your surgeries after the car accident. Do you still go to any specialist for follow ups? I would explain to the doctor your situation, and ask them for a recommendation. You could ask fro a recommendation in general, or ask for a PCP doctor. They might even want you to come into their office for an appointment, and they can tell you where to go from there. Good luck, let us know how you are doing .
    2000- spinal fusion, complete spine due to scoliosis
    2012- pain began, started treatment for chronic pain
    2013- install of pain pump, procedures to address complications
    2014-blood patch, spinal fluid leak
  • jtdjjtd Posts: 5
    edited 07/08/2014 - 9:22 AM
    I've seen a family doctor. Haven't had one before so I'm trying to build a relationship. She ordered X-rays of the supposed areas and I have a follow up after. I've never been prescribed pain medicine before for a chronic reason. I've lived since 2006 with them. Can't do it anymore it's dragging me down. Hope she understands. I don't know how to go about trying to get the medicine I need. No clue..
  • Is a thoracic specialist just your general neuro surgeon? My doctor won't even give me any NSAIDs. Like I said, I've never flat out asked for pain medication at all, especially any by name. I'm willing to try absolutely everything first before narcotics. But I can't even get my foot in the door on that either. It's gave me more stress and discomfort than I already have. I would like this for myself: Physical therapy, with psychiatry and medicines. The total treatment. But, if i can't even get NSAIDs, then I can pretty much kiss the rest goodbye. It's like doctors don't believe my pain even tho my xrays light up the room easily. I just want a caring and loving doctor who is hands on and will try anything at least once so WE can get a feel for what works.

    If the doctor I am seeing after a few more visits won't confront my pain I will have to find another one. But here in Kentucky, it is generally considered doctor shopping if you go from a doctor to a specialist and back again, especially with different specialists. And we have a prescription monitoring program, which is perfectly fine because I don't get any medicines. I've come to trust the specialists more. They "seem" to know much more than my primary does but of course that's what there title ensues; specialist.

    I'm afraid of pain management clinics. I have no history of getting prescribed pain meds for chronic reasons. So, I naturally believe they wouldn't even consider me without my primary attempting first. I don't know if I'm right on that or not. Just a gut feeling. I would just like anti-inflammatory first, then go from there if I even need anything else at all. MY DOCTOR WON'T EVEN GIVE ME MOTRIN 800! It's wild and I'm sorry I've bcame a caps lock warrior (lol) but sometimes you just wanna screammmmmm.
  • They , for the most part are not equipped to deal with and treat long term , chronic pain. Acute pain, yes, but not chronic pain. Ask him or her for a referral to a board certified spine surgeon and a pain management clinic. There is no reason to fear going to either one. If you can find a thoracic spine surgeon, all the better, and that is ideal. However, even a surgeon is going to refer you to pain management for ongoing pain medication and treatment. That's the way it works.


  • I'm getting physical therapy for my knee. The distal femur hardware rubs my IT Band and causes some pain and irritation. We are doing the steps one at a time. My spine will be next. She felt my knee was a more troubling situation for immediate care. Spine and xray-mri whichever of those is next. The pain management places here won't even think about accepting you without prior history of a primary prescribing pain medication to you. Those clinics are pretty much out of the question right now. Sucky part about it.
Sign In or Register to comment.