Hello all Im new to this group. Im 42yrs located in the U.S. I started attending a Pain Management Clinic Oct 2014 because my Spine Specialist could no longer help me, the caudal injections given by my Spine Specialist office no longer helped with pain (he referred me to PM).
PM sent me for an Lumbar MRI Oct 2014, results showed L4 - L5 & L5 - S1 have mild broad-based bulge eccentric towards the left causing minimal impression of the thecal sac and mild impression. There is narrowing and mild to moderate neuroforaminal narrowing on the left (Stenosis). Moderate bilateral facet degenerative disease is present. My previous MRI from 2012 showed an Annular tear as well as a milder form of what was documented in my 2014 MRI.
After getting the medial branch blocks done in Nov and Dec 2014, I had a left L4 - S1 Rhizotomy (Radiofrequency Nerve Ablation) done in Nov 2014, then I had the right L4 - S1 Rhizotomy done in Dec 2014. I also had a Epidural Spinal Injection at L4 several days before the right side rhizotomy.
I had a Cervical MRI done Feb 2015, the results showed bilateral uncovertebral hypertrophy with mild right neural foraminal narrowing C4 - C7 with mild Degenerative Disc Disease (bone spurs causing stenosis, with DDD). I had an an EMG done the day before the MRI on both my arms and neck, the results showed that everything was normal except for a subtle abnormality when sampling the right biceps brachii.
I also have had an MRI done in 2012, on both my hips, I have bilateral labral tears. CT of my Thoracic spine in 2012 shows mild DDD.
I asked PM to send me to Physical Therapy and Pain Psychology because I have been bed ridden since Aug 2014.
My first meeting with the Pain Psychologist, she said "you are here to be evaluated for narcotic use". I said "No", I'm here because i asked to be here, I wasnt referred by PM. She looked over my file and said, you have been prescribed benzo's, do you know what they are? I said what are you talking about. I said the only pain pills i have had where prescribed to me so i could get the ablations done (10mgs of Valium for each procedure). I said I am trying to avoid all pain medication completely. I wanted to see Pain Psych to help me get a grip on my depression, by being helped with tools (meditation, biofeedback etc), coz ive had enough of dealing with ongoing chronic pain for the last 18yrs. Its getting the the point where I need pain medication, but im holding off. I know i will not be able to come off of them once i start.
I have a prescription for 5mg-325mg x 2 Norcos, that i did not get filled (that script was given to me for the EMG) coz i have Fibro on top of all my other diagnosis.
I want to hand the prescription back to PM at my next visit. Ive been drug tested, which came back clear, I havent asked for any narcotics since i started attending the PM clinic. i only ask for pain relief when im booked in for a procedure. I have tried a slew of muscle relaxers and nerve pills, they either dont work or give me a headache. so I manage my pain with a heating pad, tens unit and laying flat resting in bed.
I have a huge list of different medical problems aside from what i have written about, i only take medication for those problems eg thyroid, asthma, chronic migraines, they arent pain/nerve medication, or muscle relaxers. I can understand why PM is covering their back from potential drug seeking, but really...... surely they can weed out the drug seekers from someone who is in chronic pain with multiple MRIS, CTs, Xrays & Specialists notes that show that the person has conditions that causes pain.
Should I give the Norco prescription back to PM at my next visit?