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Pain Management


I have my first appointment with a new pain management doctor this Friday, can anyone share with me what to expect/questions to ask/things to do/not do? I've had 2 surgeries to my neck in the past and had an amazing PM dr. in the past but we recently moved, my PCP has been prescribing my pain meds but we both agree along with my surgeon that I should try something more. I'm concerned because I got a bunch of paperwork to fill out prior to my consult with this new dr., including a contract that requires me to only work with him and come in for random drug tests and pill counts. I've never had to do this before with any of my doctors and it seems weird to me since I haven't even met him yet.

~Hope and healing to all :)


  • dilaurodilauro ConnecticutPosts: 9,835
    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
  • BManBBMan Posts: 113
    edited 11/05/2015 - 4:17 AM
    I suspect that finding a great pain management clinic (and experience) is like spotting a diamond in the rough. It took me over a month to get my first pain management clinic appointment. All the pain management doctors in my area are booked full. The first one I was scheduled for would not prescribe pills. He would only give injections. That wasn't what I needed, so I had to schedule an appointment with a different doctor. That meant more time waiting.

    For my first appointment, I really just wanted to chat with the doctor about medicine combinations, options, and doses. I didn't know I needed to be ready for a urinalysis. Regardless, they called me back to their tiny lab area after a long wait in the waiting room, and I had to give them whatever I could so they could run a baseline test, I guess. They were busy and the lab tech gave me a cup with someone else's name on it. I didn't notice until I handed the cup over. I'm not sure the mess would have been straightened out if I hadn't said something.

    All told, my first experience was quite lousy, and it makes me sad to think the whole pain management "game" is built on settling for crowded waiting rooms, embarrassing situations with little privacy, and over-worked office staff, doctors, and lab techs who are a bit numb to the whole experience.
  • part of the pain management process these days. Make sure you read and understand it before signing it. If you have questions regarding it, make sure that you get clarification .
    Urine testing and pill counts are part and parcel of compliance testing to ensure you are taking any medications exactly as prescribed.
    You most likely will not be given opiate based medications on your first visit, but will go over your medical history, previous treatment, films and reports and discuss treatment options.

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