I have never been to pain management but seriously considering going due to my doctors advice, also been adviced to see a rhumatologist. I was just wondering what some of your experiences have been when going to pain management, what do they do for you exactly? Any advice or info would be greatly appreciated. Thank you!
27 Nov 2011
Of course, every doctor is different but going to a pain specialist isn't any different than going to a regular doc. I recommend you discuss some of the non narcotic medicines for fibromyalgia with the pain doc. There are several such as Lyrica, Savella or Cymbalta. The doctor is the best to advise what would be right for your situation. If one of these don't work then you can investigate the opiates for pain relief.
Going to a rhuematologist will help rule out other possibilties of what might be causing your pain. The rhuematologist can prescribe medicine too, so you might want to start there. Investigate the options with him or her and then see if going to a pain management clinic is necessary.
27 Nov 2011
At one point I had enough with my doc refusing to increase my level of methadone, even after trying every med that might work for the fibro pain. This resulted with me taking an obscene amount of meds, and feeling very tiered all the time, even when taking Nuvigil.
As a result, a couple days before my doctors visit, I also made an appointment for a pain clinic in order to get a second opinion. I printed out my medical records that included the 35 tests (30, 35, in that general range anyways) so that the doc had all the tools needed to make a proper assessment. He hated the idea of using methadone, and wanted for me to switch over to suboxone or oxycotin. He wrote up a script for the oxycotin (with the agreement that should I decide against his recommendations, that the script would be returned.
I wrote up a letter for my other doc, presenting him with the second opinion as well as how the meds that only kinda helped made me drugged out, as well as not providing me with the level of pain relief that I needed. I also on into a detailed account as to how the current pain and meds was creating problems at home in addition to work helped illustrate the serious nature of this problem.
At the end of this all, the doc increased the methadone and we very slowly stopped many of my meds.
My overall impression of the pain doctor that I saw was that he really didn't know very much about fibromyalgia. I say this due to the fact that while the oxycotin would make the pain easier to deal with, it nonetheless would have any direct impact on the level of pain. Methadone, Ultram, Lyrica, Cymbalta, and many others do. His fear of Methadone indirectly told me that he more likely than not does not really understand the mechanics of that drug, and without a firm understanding, it's easy to accidentally overprescribe and kill a patient, even at low starting doses with opioid nieve patients. The guy was super nice, but just didn't seem like a person who understood fibromyalgia. As the others have said, it depends on the doctor really. Hope that this is of some help to you!
27 Nov 2011
I would love to give you advice..I just hope it's the correct advice! ha ha. No seriously... I started having back problems in 2005 and have been going to pain dr.s ever since. It depends on what you are going for really. I mean Pain is the main reason for going. If you have Fibromyalgia like I have..you have pain. I also have osteoarthritus. But usually they check your weight, blood pressure, pulse, ect.. like a normal doctor's visit. They may check the checkpoints of Fibromyalgia. Like I said, it really depends on what you're going for, but most usually they prescribe pain medicine of some kind to help your pain. I have a wonderful pain dr. I have had several injections (steroids) in my knees, synvisc injections in both knees, and one set of injections in my neck. He wants to do an epidural injection in my back due to my chronic pain issue.
I wish I could give you more information, and I hope I helped a little, but it really depends on case to case when it comes to pain management. What they do for one person isn't what they will do for the next. Wow. this was really cool getting to answer my first question. I just hope I did ok. And I hope you take your Reumatologist's advise and go see one. Ask me anything you want. If I am unavailable I am doing something for my son, but I check in real frequently, and will get back to ya soon!! Your friend,
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