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Denied Pain Meds

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:22 AM in Pain Management
My primary care Physician has told me in no uncertain terms he will not prescribe me anymore narcotics. He said until I was completly off of the valium, which I almost am, he would not even let me have an epidural (sp).

I start physical therapy soon and if that doesn't help can I ask him to refer me to a Pain Management Docter and can he say no. If he says yes can he tell the pain management doctor not to give me pain medications?

I was on Hydrocodone for 8 months and did not abuse them. He allowed me a measly 1-2 500/5 a day. I think I am being punished for the valium that he did not know I was taking.

Will a pain management doctor listen to my doctor or will he make up his own mind what kind of treatment I need?


  • You can request a referal to a PM doctor at anytime.
  • Will the pain management doctor determine what is appropriate treatment for me or will he follow my doctors orders?

    I know with the P/T my doctor has to approve of the treatment they are giving me.
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  • Pain management docs are separate docs from your primary care physician. They are the "specialists" in treating pain. PM docs will evaluate your case and make their own determination what the best course of action is.
  • Thanks that's good to know. I am going to give this P/T my best shot and hope it works, but it's nice to know that if it doesn't I have another option.

    I really don't want to have to take pain meds but I know that I can't live the rest of my life like I am now. This is not living at all and is effecting every aspect of my life including my marriage.

    I am no fun to be around, heck I don't even want to be around me.
  • Doctors are weird. I am on 10MG/500 Hydrocodone 2 times a day, and uh, no one ever asked me. lol, I have hundreds of the pills. I just keep refilling when I get the chance, cause I don't take them all of the time, and since my Primary Dr. dismissed me, I can't get anymore of the meds. I went to 2 diff Dr.'s and they said no. So, I have at least have enough to last me, but I am not addicted. That's why I would rather lay in pain then take them.

    22 years old - Holla Back! :)
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  • What is that doctor talking about? He's just a PCP. He can't give epidurals. Ethically he shouldn't deny a request for a consult with a specialist.
    Have you had any imaging done, like an MRI? A lot of PCP wont prescribe narcotics long term. I had herniated my back , but no one sent me for an MRI because of mysterious reasons. I was going to be referred to pain mgt without knowing what was wrong. I had enough, so I self referred myself to a back specialist after being in agony 7 weeks. The day after I had my MRI and found out I herniated L4-5.
    I had to have a microdiscectomy , and now, recently I'm recovering from a TLIF/laminectomy.
    In other words, take matters into your own hands. They're not suffering-you are. See if he'll at least refer you to a back specialist since you're not improving. They can do a whole lot of other things and get the testing you need.
  • :? Instead of your PCP neglecting you until "you" get off of the valium, why doesn't he do the responsible thing and work with you to get you off of them? There are other med's that can help you while you taper off of the valium and will also help with the pain and muscle spasms and whatever else you have going on. This type of treatment is ridiculous!

    DO NOT misunderstand what I'm going to say here. If a heroin addict went to the doctor and needed treatment for whatever, that doctor would work with the addict to get him off of heroin by putting him on a Methadone program and begin to taper it down until he is off. So why can't your PCP basically do the same thing? I consider the treatment of your doctor to be neglect. I happen to be well acquainted with neglect by doctors!

    And as long as your insurance does not require one, you do not need a referral to go to an Orthopedist to seek help for your back. You should be able to do that on your own.

    Good luck Suzie and I hope you find the "right" man/woman professional for you!
    With warmest regards,
  • One of the things I have learned over the years is that the doctor is not my parent, authority figure, lecturer or God. I go to doctors who understand I am the client. I call the shots according to his/her advise. If I do not get the treatment or respect I deserve, I find another doctor. It sounds to me like this PCP has an "I know whats best for you" hang-up. Remember, the difference between God and a doctor is God doesn't think He's a doctor. Find a new PCP who has some respect for you.
    Chig in Georgia
  • We were raised not to question the almighty doctor from were I come from. Kids would be dressed in their Sunday best when going to the doctor; all washed up and clean, running a fever and all. Doctors were well respected, revered, and like father figures. I grew up knowing real nice ones; I'd probably get a lollipop today at my age if I ran into any of them. I trusted in what I was told, because I knew it was for my best interest.
    I won't deny times have changed. My advice is, if you find a good PCP, stay there as long as possible. I used to have a real nice one, and I was treated nicely, never like a pest; we both respected each other, and I knew the doctor truly cared. I always left the office with dignity.
  • My doctor is helping me get off of the valium, we have a schedule and to be honest I could be off them today if it were not for the pain. I should be off of them October 18.

    He is not going to give me an epidural himself but will refer me to someone else.

    I have had an mri that showed pretty much nothing, so wants me to start P/T and see if we can get my muscles in my back built back up and then hopefully try some steriod shots or whatever they are. If that does not help than I am going to request to be seen by a pain management doctor. If he refuses than I will change doctors.

    He really does have my best interest at heart but I don't know why he is so hung up on this valium thing. I am down to 7.5 mgs. Barely nothing.

    I talked to a ER Doctor today (alot of our clients are doctors) and he suggested lyrica or nuerotin. He see's me alot so he knows I have a chronic condition and thinks that I am probably on the right track. He does not know about the valium.

    My doctor did tell me that he would not put in my records that I have been taking valium. I thought that was kind of him. I don't need that following me around.

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