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Pain Management

unknownuunknown Posts: 1
edited 01/09/2016 - 8:33 PM in Alternative Treatments
I have just had my last physical therapy appointment and have a Dr. appt this week to discuss other options yet am wondering about the process of Pain Management and what is done during a pain management appointment. Also, I've heard of physuatrist yet don't know what happens at those appointments either. Another question I have is if it's possible to be reinstated back into the physical therapy sessions I was just dismissed from as I feel they are still needed and ended too quickly and the exercises I do there can be done at home yet some can't because of the equipment they have there that I don't have access to at home!

Welcome to Spine-Health

One of the most important things that need 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
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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 :

Liz, spine-health Moderator


  • duckgirldduckgirl Posts: 252
    edited 01/10/2016 - 9:00 PM
    I am curious about pain mgmt too. My surgeon just referred me to a pain management dr, and I don't know what to expect.
  • It all depends on the particular doctor and your medical situation. I can only tell you what has happened in my personal experience. First, my Primary Care doctor referred me to a neurosurgeon; the neurosurgeon reviewed my MRI and medical history, and determined that I was ineligible for surgery, prescribed me medication, and recommended I be placed in pain management. Then the pain management doctor described my situation in detail, and the type of treatment I will receive. He prescribed me medication, told me what kind of activities to avoid, and some exercises to do. I go back once a month to have my mediation refilled, as well as a checkup.
  • SavageSavage United StatesPosts: 5,427
    There is a post that may be helpful to you.
    Using the search on this site, Preparing for Pain Management appointment. Also, can look up the other kind of doctor you mentioned.
    I have no experience with that.

    My primary tried working with my pain about two years then referred me to pain management.
    Best thing for me!

    When you go to office, it very good to bring along all CDs so PM can review.
    Mine doesn't just depend on the written impressions, in fact, at times has disagreed with what was written and at times what was missed.

    My primary must have done a good job with referral, because PM stated me on medication first visit.
    Often times it may take longer for PM to understand your pain.

    PM also did variety of testing, many I never heard mentioned before.
    He found several issues to deal with for me.
    And he continues to help me as symptoms change, or additional symptoms, or responses to medications....
    I see him monthly for med management and occasional treatments.

    I have never been a candidate for surgery, but he would have been the one to help me communicate with a surgeon referral.
    And after surgery, often times PM is a follow up care, as surgeon usually stays involved a limited amount of time, and one may need continual follow up and or med management.

    Re PT....I would think it depends on what is going on with your body, ex..any changes that PT can meet...
    You might want to ask PM, since you feel you were benefitting, if PT should be continued? Or resumed at a later date?
    Doctor will know, but needs your feedback.

    Good communication so important. I see my PM monthly and tell him everything.

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

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