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Requested to find new Pain Management Pre-Op

My surgery is in 9 days- L4-L5 fusion w/ facets. I have been asked by my Pain Management to secure another one for providing pain meds, and she will apparently do my PT??

What is this? I have been requested by this doctor in the past to completely taper off opiates prior to surgery, and another one of my physicians went to bat for me. Now this..... Well, I had been to another pain doc weeks ago, fearful I would be "cut off" at 3 weeks post op. I never expected this.

I have an appointment at the other Pain Management group for Friday. I have very few pills left. I am reasonably certain that this new doc will work with me... but let me ask you- how does this expectation play into my mentally getting ready for my procedure?


  • EMS GuyEEMS Guy Posts: 1,036
    edited 03/20/2013 - 2:04 PM
    Don't dwell on it or it will stress you out before the procedure. Many surgeons will cover your pain medications for a couple visits after surgery and then from there they will send you to a PM or an Physiologist.

    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • bassetmommybbassetmommy Posts: 50
    edited 03/21/2013 - 10:30 PM
    i am so relieved i could see issues coming down the pike with the colleague of my surgeon. i found another pain mgmt. group who was excellent. the M.D. did a great exam, reviewed my documents and encouraged me that perhaps i might not get cut off.

    well, the phone call came (via front desk) that the neurosurgeon's PM wanted me to find another PM specialist. my surgery is 3/29 (friday). i feel so tossed to the side. i worked with PM/ physiatrist in california for 5 years and never had an issue.

    you are correct. i will present to the new PM clinic M.D. whom i have met with. i will explain my situation. i have 5 tabs of opiate left. she sounded willing to work with me. since my last visit, i received 50 pages of medical documents from CA. for SSDI for my lawyer, and will bring the most important documents with me. i would like her to recommend me to another PT, as i don't feel comfortable doing PT with someone who wouldn't care for me pharmaceutically.

    i will pray for clarity, and for calm.i will request the help of this physician both before and post-op. my goal is to begin tapering meds at 6 weeks, or so. she asked about how i did on oxycontin 20 2X/ day up until december, and i did great. worst case scenario would be oxycontin 30 BID. i am ready to use suboxone if needed to detox, and she knows this.

    i hope this works out. i have a supportive psych MD that i see 2 X/ week. any other advice is welcome, and i'll write after my 11am appt.
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