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Pro or No Meds....

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:25 AM in Pain Management
Does anyone know how to find a pain management dr that believes in medication? I just went to two one week apart that denied me a pain killer. The first said I have to be unconscious to be out of pain, the second said only morphine would help me and she was not about to prescribe strong medications. She ordered p.t. 3x a week and lidoderm patches. I got so upset I just left there without the scripts. I'd like to know before I go and waste my time with these dr's. I can't get any info online, at least I can't! I'm 63 yrs old and in so much pain, why don't they help me? Why punishment and 'looks'?


  • Hello, I just posted a question on the lower back forum with almost the same question. I am having a problem finding a pain management dr that will prescribe pain meds that will help. My ortho dr gave me pain meds, the pm dr gave me the lido patches too. Good you did not get the scripts they did nothing for me. I hope you find some help, have you talked to an orthopedic dr. maybe they could help you. I have an appointment tomorrow with my second PM, we will see what he will do. Take care.
  • :H What state do you both of you live in?
    I am very satisfied with mine and could ask him if he has any referrals?


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  • Sorry to hear that you are having trouble being treated with pain medication... I understand your pain (pun intended). I had a situation that was similar, but I WAS able to find a PM doc that prescribed me pain meds after being denied by a different doctor.
    I have heard that in some places it is difficult to get narcotics to treat pain. Something you might try is to call these doctors ahead of time and ask if they prescribe pain meds to treat pain or if they only do procedures. The office mgr should be willing to give you this information. This could save you from going to a doctor and paying, only to be disappointed in the end.
    Good luck with your search!
  • How could there be a pain management doctor who doesn't "believe" in giving pain medication? That's like an obstretician who doesn't "believe" in delivery babies. Unless, there's more money in injections and other types of "procedures". I have never encountered this problem. I have seen several PMs. Actually, one, I read in his office notes, did not believe in the long term use of narcotics for the treatment of pain. If there were several other options that worked just as effectively, we'd all be cheering, "hurrah" but in the absence of those alternatives, we need drugs. Only once did I have a problem -- it was at an ER following a radio frequency ablation where I was given no post-op drugs (my choice -- I'm super sensitive to opioids. they tend to make me hyper and panicky feeling). the deal with the PM doc was that he would be in his office all day the following day and if my pain kicked up following the RFA, I could reach him at his office. Well, he never got my many messages and so, on Saturday, two days later I presented at the ER and was treated like a piece of poop drug seeker by the brand new litle girl who was the "ER doc". I won't continue (as much as I want to.) I do think the advise to ask if the docs do something other than procedures) is the way to go (so as not to be suspected as a drug seeker.) I'm trying to think why I have not encountered this. Have you gotten a referral? I always had a referral. I always had MRIs, EMGs, operative notes, etc. demonstrating that I do, indeed, have a problem that causes pain. I think I would go to my surgeon or my PCP and get a referral. Going the referral route will garner you more respect but, frankly, i think the vast majority of these PM docs want to do procedures because its good for their pocketbook. Take the time to find someone who has yours (not his or her) best interest at heart and do not settle for being a doctors personal ATM. Susan (with the bad attitude.)
  • live have a sign on the door "do not enter with narcotics" the first time I went there it shocked me. I tried thier injections and after over $5,000 and no relief I quit going.
    All the injections did for me was to make this diet controled Diabetic insulin dept.This was 9 months ago and Iam still on insulin, so if your diabetic please think about this before you get shots. I now go through just my regular PC fpr pain meds and don't have any problems because she knows the constant pain I am in.
    So, what Iam trying to get at is if you have a good relationship with your PC Doctor than in my opinion that can sometimes be your best bet.
    I wish you good luck on your road to being pain free.
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  • sorry you suffering >:D< >:D< >:D< >:D<

    like others have said a referrel is good. plus having test results to back up your pain.

    we have 4 drs in my immediate area. 1 treats backs with injections and long acting meds. the other 3 only treatments. thats it.

    it all depends on where you live.

    if it wasn't for my pcp right now i would be down a creek without a paddle as my ortho dropped my pain control 8 wks post op fusion UGHH :jawdrop: :jawdrop:
    he will take care of me till my next surgery then im headed back to the pain guy i saw before. he only uses 4 meds that im not happy about but hey i have to do something. and if he can RX meds he can do more, he just doesn't. that has always confused me.

    i wish you the best of luck!!!
    what type of pain are you experiencing if you don't mind me asking ????

    HANG IN THERE there are so many people that can relate to your problems.
  • Stockbroker, Good day! :H

    I have seen different experiences regarding pain meds. Assuming we all had the same problem and all looked the same but went to 5 different Pain Managements Dr's for seeking help, I strongly believe that not everyone would get the same meds or amounts. One of my examples was my first Dr. only prescribed enough meds for 2 weeks with one refill, if you called the pharmacy for early refill you got dumped by the Dr.
    My current PM Dr. first gave me 240 Norco, 180 Soma, and 240 Motrin. I was blown away about the differences. When I read the prescription and saw the amount I ask the Dr. if this was correct. He told me bluntly, you are in pain, I have the images and your physical to prove it, now try to relax for the first time. He said "I not afraid to write prescriptions", and after a while we will decrease your dosage and get you on a recovery plan and fix your back. My previous “Mr. 50 count” DR said he doesn’t like to mess with the DEA and records. I think it's like anything else, some Dr's are just more conservative than others and they prescribe however think is appropriate, regardless of our preference.
  • Hi Bobby,
    I just saw your post and I appreciate your offered help. I live in Maryland. I just found another dr and am having another ESI tomorrow. I am going to a neuroradiologist. My Ortho dr gave me the pain meds I needed to help with the pain.
    Thanks again, Stacey
  • dilaurodilauro ConnecticutPosts: 11,349
    doctors sure has its twist here. There are a number of people that just talk about their disappointments and they there are so many out there that are totally satisfied.

    I fit into the category of being totally satisfied. My Pain Management doctor for the past two years has been able to help me manage and control the pain I have associated with multiple spinal problems.

    I have also read the bad stories and there are some common denominators in most of them:

    1. Person has bad pain but doesnt get any pain meds, but the patient doesnt provide the clinical symptoms of having that much pain.
    2. Doctor prescribes PT for the patient, but the patient doesnt want to do it

    One thing for sure, you have to work with your doctors in order to reach a place in which you will get what is needed and you will do what is asked. I know that if I was to refuse PT when my doctor ordered it, it would be ok the first time, but if I did it again, I only demonstrated that I did not want to be in compliance.. Once that happens, you will have a tough time establishing a solid relationship with a doctor.

    Pain is very subjective. One person's 3 is another's 7.
    And remember IF it reaches over 8, you should be getting off the computer and getting yourself into the hospital.
    Pain Management doctors that are experienced can tell when a patient is in pain and how much pain they are in. They can also distinguished between someone who just wants pain medications vs someone who needs it.

    Bottom line here, it is so important to estalbish a trusting and solid relationship with your Pain Management doctor. People will find out that managing and controlling pain is not just done using Pain medications.
    Its a 'blend' of medications and treatments. It could be nerve medications, sleep aids, some form of PT or Aqua Therapy. But I do not believe that just pain medications by themselves will do what people are looking for.
    And that is to reduce their pain levels so that they can continue to function the best they can
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • I ran the whole gammut. First the diagnostics; then the PT; then the mild forms of NSAIDS and an epidural injection or 2, milder pain meds along with anti-depressants and neurontin - and more epidurals, stronger pain meds with epidurals, surgery, more epidurals, stronger pain meds, radiofrequency ablation, more epidurals..... Finally, now I am on two long acting, 3-4 breakthrough (sometimes more, depending on my activity), muscle relaxers (only when I KNOW fer sure I won't be driving) and a sleep aid. That's my pain management regimen. I have been going to the same PM for the past 3 years. I have never refused a treatment option (I was always positive it would work, then deflated when it failed) and have never demanded anything (well, except for that one time I commented: "You are supposed to be a pain management clinic, how come my pain isn't being better managed?" but I was having a bad (very bad) pain day and they knew it - so didn't take that comment for more than it was intended: venting because of the frustration of it all).

    To all those searching for a pain management doc: I hope you have much success. My doc is a peach. She was referred to me by my GP and I have never been dissatisfied with HER; only the inability to be pain free for more than an hour every now and then.

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