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Is it Normal

Billie JoBBillie Jo Posts: 2
edited 10/02/2014 - 7:34 PM in Chronic Pain
Is it normal for an ARNP to order injections for a chronic back pain patient without knowing the history of the patient? I have only seen this Dr 4 times one of which she asked if I had any MRI's of my back. She has not even preformed a hands on exam...She is a treating ARNP at a pain clinic I was duped into going to. I was under the impression that I would be seeing a back specialist to figure out what is going on with my chronic back pain. Instead I have been placed in a pain clinic. Shouldn't I be speaking to a Back Dr before I receive these injections? Isn't there a process before they start sticking needles into a persons back? I've had MRI's done on my back which show bulging disc/s and annular tears (not leaking). I've also been told I have DDD and spinal stenosis but not by a back dr only by PcP's or MRI readings. I'm lost as to what I should do, I felt like I didn't have an option at all, that I had to go get these injections. Any input would be grateful Thank you.


  • LizLiz Posts: 9,543
    edited 10/02/2014 - 7:34 PM

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • http://www.spine-health.com/forum/pain/chronic-pain/chronic-pain-treatment-step-step

    The short answer is yes, since you already have MRI's showing what's wrong, physical therapy and injections are the usual first couple of steps in getting treatment for pain.
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  • Thank you for the response to my post. I've been reading lots of posts here on the forums and it looks like I have lots more to read. The frustration and fear can be overwhelming some times. And knowing what to expect is very helpful sometimes. Again thanks for the response.
  • It seems like this whole situation was tainted from the beginning. Obviously we don't have the whole story but my advice is to get a second opinion and find some trust in another Doctor. Don't be afraid to ask some questions, it's your back!
    Realize that FEAR is our worst enemy. Get up & get out in that stormy weather of the real world & kick fear in the teeth. Stare at it dead in the eyes & walk right through it into the storm; because once you're wet, you won’t fear the rain anymore
  • and the next steps are directed by your primary referring you to see the proper doctor.
    While a primary doctor should be the first step for most of us, when dealing with sudden back pain, they are not the best equipped to treat or diagnose spine conditions if the symptoms don't resolve in a few weeks.

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