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1st PM apt

Hey guys, so everything finally got straightened out between my insurance/pcp/specialists and I have my first pain management appointment next week. Just to recap my condition, I have multiple bulged discs, straightening of lumbar lordosis, scoliosis, and tumors at my nerve roots and in psoas muscle. I have seen a neurosurgeon who believes the main cause of my pain is coming from the lesions/tumors in my psoas muscle. The pain started 8-9 years ago.

I know all doctors are different and visits probably vary based on condition, but I was just wondering what to expect during my first visit.


  • SavageSavage United StatesPosts: 5,476
    Not sure if you sent all information to new doctor already, but I know my PM doc wanted to see any CDs I had from previous testings.
    My doctor looked at them and talked to me about it and pointing things out to me.

    I usually carry around with me, a summary list of my spinal, and other issues.....in order of the year they occurred.
    After asking check - in person to please make copy of it, I add that to any doctor new appointment forms I have to fill out.
    To me it's a quick to read down a list, and my issues don't fit into the small areas usually allowed for such information.
    Also, after a time, it's difficult for me to recall what happened when. :)

    I wish you the very best with your new doctor!
    Please keep us posted!
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • visit is a new patient appointment. You will meet the doctor, he will examine you, discuss your medical conditions and pain levels. He will most likely not prescribe opiates at the first visit, most don't, but may provide other medications such as muscle relaxants , steroids if needed, and perhaps something for nerve pain if you are having any of that.
    He/she will likely go over suggested treatment options, injections or physical therapy, and perhaps other options.
    Is there a plan to remove the tumors? You want to be sure to bring any surgical consult reports, imaging cd's and reports with you.

  • Hey Sandi, I have been to a neurosurgeon and there are no plans for surgery; he just prescribed me hydrocodone and soma, and recommended pain management.
    I have the disc and report of my MRI for the PM doctor. Hopefully that will help him understand my pain to some degree because sometimes it's difficult to describe.
  • At the appointment. I hope it goes well.

  • So my first appointment went well, the doctor was really nice and courteous. He went over my MRI and explained it to me. He wants me to do a trial of prednisone for nerve inflammation. He also prescribed gabapentin for night time (which is new to me), hydrocodone, and skelaxin for daytime (I still have refills on my Soma for night time). He wanted to prescribe Zohydro for ER but thought my insurance wouldn't cover it, so he just stuck with the IR. I'm going back in 1 months l for a follow up.

    This is a new trial to me, hopefully it'll reduce my pain.
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