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Pain management

PItnPPItn Posts: 1
edited 08/22/2015 - 6:58 PM in Neck Pain: Cervical
Hi Everyone,

I've been in extreme pain for 3 1/2 months now with cervical nerve pain from c5,6,7. At first I thought I had a shoulder problem since the pain was
deep in my shoulder. So went to the ortho and got a shoulder Mri and was told had some labrial tears and calcifications. He gave me cortisone shot
and sent me away for a month. Well the pain was too much to bare and my primary gave me some percacets to get by with until the shot kicked in.
well it never did, and a month later he insisted on giving me another shot. At that point i got a second opinion and was told the pain wasn't coming from my shoulder but my neck and I finally got that Mri. Well to make matters worse my primary was retiring and my new 31year old Primary doc refused to continue my pain meds until I could see the spine specialist. So by then I had been on them for 2 1/2 months and he didn't even taper me off at all. So I ended up in the ER with all the physical withdrawl symptoms that you get from an opiate, and being type 1 diabetic it wasn't a good thing for me at all. But they send me home with nausea meds and had some iv fluids but by the end of the week I was in full Diabetic Ketoacidosis which is life threatening and had to be in ICU for a couple of days. Then my new primary doc spoke to the attending and told him not to give any more pain meds to me (like i was a addict) and when I finally got out and saw a pain clinic doc the next day, he dumped me from the practice and wouldn't
prescribe me the meds the pain doc recommended. In addition, I can't get the injection for another month now due to my diabetes complication and steroids, and can only use pain meds for the pain which he flat out refused. If he didn't take me off them I wouln't have gotten sick and ended up in the hospital and I could have gotten the injection and be pain free right now!! But now I cant even go to the pain clinic since I dont have a primary care doc anymore. They make you have one to be treated. What do I do now? Is this even ethical? Any advise for finding a new doc? I've already called to get another primary but was asked before anything "are you on any opiate medication" by the receptionist. Is this something new?
Has it gotten to this point where you can't even get a new doctor without being screened for using pain medication? I guess I didn't realize the problem was so bad in this country that your a criminal for being in pain.
I'd appreciate any help or insight you have, thanks!
Welcome to Spine-Health

One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.

Here are some questions that you should answer:

  • - When did this first start?

    . Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)

  • . Which doctor did you start with? Ie Primary Care Physician
    . Who are you currently seeing?
- What Conservative treatments have you had? Which ones?

  • . Physical Therapy
    . Ultrasound / Tens unit
    . Spinal Injections
    . Acupuncture
    . Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)

  • . Summarize the results, please do not post all details, we cannot analyze them
    . How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)

  • . Name of Medication
    . How long have you been using this?
    . Results
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

Please take a look at our forum rules: Forum Rules

I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ There you will find much information that will

  • - Help you better utilize the Spine-Health system
    - Provide pointers on how to make your threads / posts
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    - General pieces of valuable information

Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide

  • - Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
    - Medical advice of any kind
    - Recommendations in terms of Medications, Treatments, Exercises, etc

What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.

It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are

I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.

Specific comments :

Personal Opinion, not medical advice :

--- Ron DiLauro, Spine-Health System Moderator : 08/23/15 12:58 est



  • SavageSavage United StatesPosts: 5,476
    edited 08/22/2015 - 11:22 PM
    I have never had such experience.
    To find new primary doctor, I usually call and just ask if doctor, or any of the associates, are taking new patients.
    Then it's either yes or no.

    Then I just make appointment for general physical and at that time, I have a little summary of my conditions that I carry with me along with list of my medications.
    I will ask receptionist to make copy of my paper work, or usually I've made copy myself to attach to all the forms required for new patient.

    Then when I see doctor, things are discussed.
    Only my opinion, but I wouldn't go in with any complaints about other doctors or their care. I would try to start fresh.

    My primary worked with me for two years before referring me to pain management doctor.
    That was best thing for me!
    Primary did MRI, but PM doctor did more testing and had a plan of treatment. And also backup plan B and C......to adjust to my changes in condition and to keep my medication effective.

    On the left side of this page is a " Find a Doctor" ...which may be helpful to you.
    I'm not sure if they offer suggestions for primary doctors.
    I'm not sure, but if you were to find spine specialist, maybe they would recommend a primary doctor...but I'm thinking they would prefer to know you've been under the care of doctor already, esp. as you mentioned your diabetes.

    Also, a primary referral would be very helpful in summarizing your situation and help spine specialist to treat you.

    Please keep us posted in how you're doing!
    Spine-Health Moderator
    Please read my medical history at: Medical History

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