Cory, Thanks. Many of the members don't know what a pain contract is and this will give them a heads up. I 'stickied' it. I hope you don't mind......Paul

That looks close to the one I signed with my GP, who for now handles my pain medication.

I have been seeing a PM Dr. for about 6 years now and I have never even seen a contract like that. I hear all about them, just never seen one.

"Guilty until proven innocent".

Anyone notice you sign-away your basic human rights?:
" I agree to waive any applicable
privilege or right of privacy or confidentiality with respect to these
authorizations."

or that in a "contract", both sides state what they will do and in this case, the doc promises nothing except to kick ur azz out?

contract: "an exchange of promises between two or more parties"

Mt Dr has one and it is actually very good and informative. They need to do it to protect themselves. I am close to some of my Dr assistants and they have hundreds of calls and requests for medications and get bombarded with more and more patients who do not have chronic pain but an addiction. It really does hurt the people who need the services of pain mgmt not psychiatrists or addiction rehab

I don't have a pain specialist...but was wondering...do they really have you bring in your unused meds at EVERY visit?? Is that so they can count them to see where you are in your script? Just wondering cuz that would seem kind of intrusive...especially since we have probably ALL been there where we need to take maybe an extra or two a day...then even out the next.

I'm not required to bring in unused pain medicine. I was surprised to read that you can have alcohol if you're not driving. On my contract, we're forbidden to have it at all. This is fine b/c you cannot mix alcohol with muscle relaxers or opoids, and I haven't had one drink in 3 years in fear of getting sick.

I had my surgery in Oct of 2007, I was fused from L3 to S1 with 8 screws two vertical rods and one horizontal rod. I attempted to return to work in Feb 08 with the Postal Service. It was not pleasant at all. On March 10 they had me unloading mail and a container of mail fell on me and knocked me to the floor. Since this I have torn muscle on my left side of my incision that seems to not be healing. I also injured my tailbone in this accident. I am still having pain and now have no reflex in my right leg. My surgeon won't see me because he does not want to be involved with worker comp with the government. I am not sure how to go about getting help and finding out that I don't have any reflex in my right leg is kind of scaring me. Is it normal to not have reflexs after a surgery like this? My pain management doctor is telling me I may have a failed fusion.

I have 2 ruptured discs (L5-S1 I think) scoliosis, degenerative disc disease, and stenosis. I am not a candidate for surgery because I am allergic to steroids that are given during surgery and because I am also allergic to all pain medications. I have been in anaphylactic shock 4 times (3 of those were in the hospital because of medicine they gave me)and when I had a hip replaced I was put on morphine the first day. I had hallucinations and absolutely no pain relief. It was the worst day of my life. Finally they gave me codiene and valium and I was fine. Since then I have become allergic to codiene and to Tylenol, among other drugs, so it looks like the electrodes are all that is left.

I want someone to tell me they work wonderfully! Or if they don't work the first time they can keep trying until they do.
thanks so much!

i had to sign CONTROLLED SUBSTANCE AGREEMENT with dr. cant drink or use illegal drugs, randum urine test to see if you are takin meds and if your taking other street drugs, random pill counts. they can call you anytime for any reason and you have to go down that day and submit to test or pill count, but they are very good about it so far. usually there has to be a red flag. i also have to inform them right away if another dr, give meds. and i have to tell other dr,s that im on this and who im seeing.

i am a paramedic and for last number of years i have miss lots work due to my bulging disc l 4/5 .sometime it really gets me down just like to have a normal life again.

i am a paramedic and for last number of years i have miss lots work due to my bulging disc l 4/5 .sometime it really gets me down just like to have a normal life again.

I believe you are referring to a TENS unit ie - electrodes. My p.t. used them on me (didn't work) and my PM gave me a unit to use at home (didn't work). Hope it does for you.

i go the the link.it's really usefull link .thanks for the link

I had surgery in oct fusion 1-4 with decompression and have a big problem with my pain both muscular and spinal the pain meds im on 15mscontin twice daily does not help me going back to therapy monday took a break cause of the pain there was popping with pain in my back does anyone have a clue?

Do you believe my dr had me sign a pain contract, then yesterday he said he is cutting back on giving people pain meds and will be slowly tapering people off pain meds , he doesnt want to loose his license. He told me to go the pain management clinic at the Hospital, unreal! I have documentation for having Fibromyalgia, degenerative disc disorder, spinal arthritis and other things. Currently i am taking percocet 10 mg maybe two times a day up to 4 times if i need it. And soma a muscle relaxer. Has anyone just been cut off by their Doctor. Isn't a dr supposed to help people keep from being in severe chronic pain? I guess i will have to go to the pain clinic or find another Doctor. I cant believe this crap, Its not like im a new patient with no documentation. I have been tried on other drugs and they either dont work or im allergic to them. When i find something that works for me, hes taking it away!

Unfortunately a lot of family doctors are turning their chronic pain patients over to a pain mgt clinic because of all the drug abuse and stigma related to prescribing narcotics. There is nothing wrong with going to a pain clinic- a lot of us do. In them, qualified doctors are able to treat you with many kinds of medications, spinal injections, or even try you out on neurostimulator or morpine pumps to control your pain. A PCP isn't able to do all this. Yes, we have to sign contracts and pee in a cup once in a while, but this protects them and keeps them open and it helps to build trust between them and us. Not everyone is a fan of this but this is a sign of the times we're living in. If you end up going to a pain clinic, you will have access to many treatments and hopefully it will benefit you and bring relief.

You can bet somewhere, somehow, there was an a-hole lawyer behind all of this. The damn doctors are running scared. They are afraid to do anything these days for fear of being sued. Why else would all of the ambulance chasers have the ads running non-stop on TV? I quit my pain doc because he became a robot. He said many times that he was worried and was no longer able to practice the "art" of helping people in pain. I finally jumped ship and went back to a doc I knew would be serious about treating me. He is aggressive and straight forward. The old doc gave me DOZENS of shots over the years. Then he would just shove a script for vicodin in my face and give me the bum's rush. Out of the office in less than 10 minutes... AFTER I waited an hour & a half PAST my appointment time to get in. He no longer wanted to treat patients that weren't "easy" fixes. I'm sure he could run 10 regular patients through the office in the same time it would take to spend the proper time with a chronic case. I liked the guy, but not enough to waste the rest of my life waiting for him to quit pissing around. Good riddance.

My back injury happened at work so I see a workmans comp doctor to check my progress.In the beginning he had me sign a pain management contract.I was unable to get controlled substances prescribed by any other doctor or be thrown into a pit leading straight to hell.
This led to major problems as I have serious chronic mental health issues and refractory rls/pld which have been treated with opioids/benzos or tranqs successfully for over 5 years with no abuse.
When I presented for my spondylolithesis and herniated disc with xray and MRI still I was looked at as suspicious.
I am a hard working,competent and had been a productive human being.
After I signed the contract I was prescribed percocet and then oxycontin but I lacked the other necessary drugs to keep me functioning.
Once I had my surgery my surgeon understood my situation and agreed to continue low dose opioids (vicodin) as I wanted to stay away from percocet.Unfortunately Im still in agony but I am able to get my necessary medications from my sleep specialist and psych. Which helps keep me from wallowing in depression and 5 out of 7 nights a week I am able to sleep.
The CT showed issues and now the doc has ordered an MRI and lidocaine injections as he believes the screws are causing my constant pain.
I fear the surgeon will be reluctant to continue helping control my pain as he is the only one willing at this time as I can not follow the rules of a pain contract by the workmans comp doctor.
It just really grinds my gears being in such discomfort and the doctors are skeptical and reluctant to help.
As a certified veterinary technician we have learned that if you do not limit pain you are limiting healing.I am sure the same goes for humans. I am just truly disappionted in the care and pain management as a whole. I just wish there were better drugs that didn't come with such a stigma and didn't suck the life out of yah.

My back injury happened at work so I see a workmans comp doctor to check my progress.In the beginning he had me sign a pain management contract.I was unable to get controlled substances prescribed by any other doctor or be thrown into a pit leading straight to hell.
This led to major problems as I have serious chronic mental health issues and refractory rls/pld which have been treated with opioids/benzos or tranqs successfully for over 5 years with no abuse.
When I presented for my spondylolithesis and herniated disc with xray and MRI still I was looked at as suspicious.
I am a hard working,competent and had been a productive human being.
After I signed the contract I was prescribed percocet and then oxycontin but I lacked the other necessary drugs to keep me functioning.
Once I had my surgery my surgeon understood my situation and agreed to continue low dose opioids (vicodin) as I wanted to stay away from percocet.Unfortunately Im still in agony but I am able to get my necessary medications from my sleep specialist and psych. Which helps keep me from wallowing in depression and 5 out of 7 nights a week I am able to sleep.
The CT showed issues and now the doc has ordered an MRI and lidocaine injections as he believes the screws are causing my constant pain.
I fear the surgeon will be reluctant to continue helping control my pain as he is the only one willing at this time as I can not follow the rules of a pain contract by the workmans comp doctor.
It just really grinds my gears being in such discomfort and the doctors are skeptical and reluctant to help.
As a certified veterinary technician we have learned that if you do not limit pain you are limiting healing.I am sure the same goes for humans. I am just truly disappionted in the care and pain management as a whole. I just wish there were better drugs that didn't come with such a stigma and didn't suck the life out of yah.