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1st appointment, pain management, October.

I have my first appointment with the pain management dept in October. Not sure what to expect. UK here, so may be different to US?

One thing I don't want, is them to try and pile drugs on me! I take ibuprofen and paracetamol at the moment. Not at the same time.

What can I expect from them? Ta



  • dilaurodilauro ConnecticutPosts: 13,562

    Really note sure how much different it is in the UK.  Perhaps some of of our friends from the United Kingdom can tell us more.

    But, heres what generally happens

    • Review all the previous medical notes from previous doctors and appointments (you provide them)
    • Review diagnostic images and reports (you provide CD and documentation)
    • They will ask you a series of different questions, hoping to narrow down the source of your pain
    • They will conduct some clinical examinations (determing muscle weakness, nerve feelings, etc)
    • They may suggest additional diagnostic tess
    • They may write a prescription for Physical Therapy
    • They wont overdo anything in terms of medications, they will be on the leaner side
    • Come up with an action plan (ie types of conservative treatments)
    • Suggest any follow ups with other specialists

    This is not a all inclusive list nor is it that every pain management doctor will do.   This is from my experiences with many different pain management doctor and finally with my physiatrist, who handles/manages my entire medical situation

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • Here in the UK, all documents and scans are 'in house'. In other words, as it's NHS it's all kept on computer network so that any 'department' can access your files etc. As you know, we don't have to pay insurance for healthcare over here.

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  • You’re lucky your dog is so cute or I’d make a foul comment about the well deserved jab at the US health care system. Actually you may not have been jabbing, just bragging? Lol

    Good luck with PM.  You already seem like you’re not the drug digger type, maintaining that approach has been helpful to me over the years with physicians that prescribe pain meds.  It’s now so different with ‘the War’ and is likely even more different in UK. Share your experiences afterwards it would be interesting to understand the differences, and good luck with your PM appt and managing your pain.  

    L3-S1 ALIF Feb 2018 and 

    L3-S1 PLIF Laminectomy and Fusion March 2018

  • Will do. Thanks

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