Other methods have been tried - corticosteroid injections and now they will attempt a nerve block. I just sent a message to my doctor to get the details regarding this. My insurance (MediCare/MediCal) limits things like acupuncture for pain management so I am concerned because my current pain management physician as well as my primary care physician do not want me to continue on morphine (60mg every 12 hours) and oxycodone (10mg twice per day) but, if the other methods are not successful I think I should be able to continue on these pain meds which do work. A friend of mine who is a pharmacist and also suffers from RA and has had extensive experience in the pain management arena confirmed the above as an acceptable thing to do but I am feeling unsure as to how to find, ie. what questions or what to say when I call looking for a pain management physician who is open to prescribing opoids on a long term basis for a patient when everything else has been tried.
16 Dec 2011
I'm new to this wonderful site and also fairly new to the Pain Management System. I don't know how much help I can be to you but I know I have met some wonderful helpful people on here that I'm sure will respond to your question as well.
It sounds like you know what has worked best for you in the past. I can understand if your primary doctor does not want to handle your medications since it appears you will be on them long term. However, it seems strange that your pain management doctor does not want you to continue on your current medications.
If I was you I would set an appointment with your PM doctor to discuss what he/she feels is your next step for pain control. Maybe he would be willing to switch your medications not necessarily discontinue them. I would just be open and honest with him on how you feel and your level of pain. If he is unwilling to assist you or you are not comfortable with his plan then I would start the search for a new PM doctor which is not something I have any experience with because I've been with the same doctor.
I would first start with a referral from your regular doctor and if that don't work you must start shopping around which I think that is what your question is? Get copies of all of your medicals records (MRI's, CT scans, injections, xrays, doctors notes etc... ) I learned to keep copies of everything and I put them in sheet protectors and keep it all in a large binder that way I have it if needed in the future.
Make a list of questions for the doctor and have all your copies of your records (take extras so they can keep them). At the meeting explain your situation and what you have been through so far and go from there until you find a doctor who you are comfortable with. Which is not an easy tast. I love my doctor but still have the hassle of being judged by the other staff especially the nurse!!!
I hope this helps and I wish you the best of luck!
16 Dec 2011
I don't know how to find a pain doctor in your specific area except to maybe google Pain Management, & list your area. What I want to tell you is if you find a new doctor, don't go in & say I want this! They think you are first of all seeking just drugs. I understand that is what you are doing, but you have to go about it differently than that. Otherwise theyjust think you are a drug seeker is why it's getting hard to find a good pain doctor, plus the FDA is coming down hard on these clinics, & alot of them do not prescribe 4 to 6 hour pain relief drugs. I had this problem myself, & went to my primary doc in tears literally, & he got on the phone until he found one that prescribes oxycodone which is what I now take. Make sure you take all records you have or get them concerning your condition, & explain that you have tried unsucessfully all the other methods, & the only thing that helped was the morphine 60mg, & the oxycodone for breakthru pain. I wish you the best & hope this bit of advice will help you...
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