In 1994, I blew out L4-L5 and L5-S1. I have been fighting this every since that time.
I have had the same PM DR for the last five years. In general, the experience has been good with him until recently. However, we have gone through all the normal things that he can do to help me: spinal injections, double Spinal Fusion surgery, and spinal stimulator implant. We have done several years of PT, Lyrica & Neurotin, Celebrex, Muscle Relaxers and Opiates. Currently, I am on Opana 20mg twice a day which is doing nothing as I am on average a 7 on the Mankowski scale that grows to 8 at night.
Mankowski Scale 7
Makes it difficult to concentrate, interfears with sleep. You can still function with effort. Stronger Pain Killers are only partially effective.
I have also completed a Functional Capacity Exam where I was given a rating of in a 3 hour work day, I can sit and stand for 10 minutes with postural changes and walk minimum distances.
In the last two months, my PM has gone all dead fish on me. He switched me from Percocet to Opana ER and its doing nothing for me. Furthermore, I don't think he really believes me about the pain even though I keep a pain log and bring my wife to visits.
So the question is what is the best way to change PM Doctors? I hate to do it but if the guy has doubts about my honesty, has no plan, and isn't giving me enough medicine to reduce my pain, I am left with no other choice.