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My First pain management app

nextupnnextup Posts: 1
edited 06/11/2012 - 8:56 AM in Pain Management

Last yr I had MRI that came back with
Central disc protrusion and annular tear at L5-S1


I have very bad low back,hip,leg pain off and on for 8 yr!!!

We talk about the injection ( looked in to it but the cost it 3700 for one )

The meds I have been taking from my GP is
tramadol and flexeril. I told him i do take them on and off,
they just dont work some much.

He stated talking a about the stroger ones, but is was talking bad about them and talked me out of them.

How do i ask him for stuff that will works?
im going to PT and will try the shot in about 3-4 mouths

Im so sick of being in pain!!! day in day out, It gets in your head!!



  • Welcome to Spine Health.

    How long have you been having the intense pain? Can you describe your pain in more detail? Do you have numbmess, tingling or a change in sensation? Please try to be patient. Backs are very difficult to get the right diagnosis and treatment. It can be quite an adventure.

    Where are you located? I live in Alaska and health care is expensive. I have had many injections and the most expensive was $1700 (both side nerve root block and esi) on my lumbar in hospital fully conked out. At my pain clinic they are less about $1350.

    Can you call around and compare prices? Does your insurance cover any of it?

    Some PM don't like to use meds they only do injections. I went to one once who said if your here for meds you might as well leave now. He is convinced that since he has back problems and doesn't use meds no one else needs them. He was a intervention pain manager. My new PM does everything. They even have a sleep study clinic.

    What I am getting at is that this may not be the best match for you.

    I would consider the injection though. I haven't had the best success, but they can also have valuable diagnostics.

    Hang in there.

  • I would recommend getting another opinion. Just like any doctor PM docs can have different opinions and different treatments. Interventionalist do the injections and RFA and more invasive treatments. Some are only pill pushers.

    To be honest if I were you I would be looking to get a new MRI. Alot can change in a year. You don't mention whether you went to an ortho or neuro doc. I hope you didn't just see your GP...

    Either way I would go back to the specialist you saw or even try someone new. There are lots of good meds that can help. But you also have to take them consistently because they create a stable level in your body.

    I hope you get some relief but staying safe is most important.
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  • First let me say welcome to spine-health. Have a look around and there are many other threads of members looking about how to talk to a doctor. I think one of the problems your going to run into is that your not taking these medications on a regular basis. The doctor may wonder if your in that much pain, why your not taking those medications? Which may also make it harder for them to justify a stronger medication. Also typically on a first appointment they are not up for strong medications. You need to build a relationship with them so they know you.

    As was eluded to up above what type of pain do you have, which the doctor needs to know also. Keeping a journal of your pain my also be useful to the doctor to help them understand your serious about the pain. Other than meds what types of things do you do to help control the pain.

    Just thought I would stop by and welcome you to spine-health. Hopefully your next appointment will go better.
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