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Stop Pain Meds before Ortho exam

charryccharry Posts: 5,660
edited 06/11/2012 - 7:26 AM in Pain Management
Hi I have to go for a second opinion Orthopedic Surgeon and I was wondering if I should'nt take my meds since they mask pain. What do you think? Thanks if you can help.
DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN


  • Maybe you shouldn't because you're on a long acting medicine (MS Contin). I understand what you mean though. You might wind up having a bad flare after your appointment because they like to manipulate you during an exam. Those straight leg raises are no fun and I have to recuperate after being seen by the specialist.
  • I would think that the doc could do an exam with you still taking your meds and keeping that in mind. If you are that torn about it, call his office and ask them what they think or recommend.

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  • If the doctor isnt doing any kind of tests that require your "feedback" on pain, I dont think I would suffer thru not taking your meds for the appointment. BUT hagland has a good point on calling and asking.
    JENNIE :)
  • I had wondered the same thing at one time. I wanted him to see me in my real pain. The pain I live with everyday. Not the drugged up me. I agree with C and it's not just because she's my buddy but because she's pretty smart about this stuff. If they intend to do something like X rays then you shouldn't have to endure the pain. If they are going to do the leg raised test then maybe holding off might be a good idea. Call the office and ask what kinds of tests they are going to have you do and express your concerns to them. It can't hurt.
  • On the one hand, you do want him to see you in your normal pain, BUT the exams tend to trigger pain and it hurts!! Can you find a middle ground, like maybe not take breakthrough meds or something? My regular longacting med does not cover my pain any better than a 5 out of a 10 on the pain scale.

    Good luck at your appointment,

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  • I wouldn't stop the meds before the appointment. Tell the dr what you're taking and describe the pain you have while medicated and not medicated should be enough along with info from your other doctor. PT and PM info would be helpful too. And of course films.

    Hope your appointment goes well and that you get some relief soon. >:D< >:D< >:D< >:D< >:D<
  • Charry,
    Most of the practitioners I have seen asked me what medication I was taking and to some extent would expect you to be managing it with a reasonable strategy. I know from experience some PM residentials frowned upon taking volumes of medication, but where that threashold is I am unaware.

    What would be your objective in not taking them, and would the pain not be increased as a consequence of not taking them, the fool that I am I stopped taking some medication because I though at the time I knew better and they were not doing anything anyway, how wrong I was and never to be repeated, cold turkey is only for Christmas and not for right thinking individuals however stoic they think they are.

    Nobody would accept the side effects that medication brings without the validity of incumbent pain or condition and the incidence rate of misuse is projected at 1-20000.

    What do you think will be his perception of you, if you are taking appropriate medication ?

    Good luck and take care. John
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