my doctor has referred me to a pain management doctor what does this mean? is this a bad thing? all answers would be great I am just nervous and also do pain management doctors take over my meds?
19 Oct 2010
yes, the pain management doctor will be taking over your pain meds. there could be many reasons that your doctor referred you to pain management. its hard to find a good pain management doctor that cares. mine is unwilling to give me the amount of meds that my regular doctor did. instead of 4 a day, he took me down to 2. he doesnt feel that at 25 i should be on 40mgs of hydrocodone a day. he dont know shit about what i go thru every day. im looking into changing doctors. i have to find someone that is willing to help me. i hope you have better luck than i did. did you do anything to throw up "red flags" to your doctor about your pain meds... like trying to get them earlier than you were suppose to? he may think you are becoming addicted. or he may be under stiff rules with his insurance or government regulations.
my primary care physician can only have so many pain patients, so he had to let some of us go to pain management. i hope this helps. you shouldnt be nervous. GOOD pain management is a wonderful thing for ppl in chronic pain. take care and keep us updated on how you like your new doc! xoxo
19 Oct 2010
It's not bad if you get a good one and unfortunately that is the hardest part for many. They can offer other treatments/procedures to help with your pain but it is always your choice whether to do what they ask of you or not.
Your doctor most likely doesn't want to just prescribe pain meds for you and you may need physical therapy and even an OT (occupational therapist) doctor that can help you regain some quality of life back.
The pain doctors should take over writing your meds for pain and pain related problems.
Many pain doctors offer pain pumps and/or spinal cord stimulators and the people I do know that have done so are still on pain meds too. These are serious surgical procedures that I refused to do.
Please look these things up before it is ever brought up to you by a pain doctor so you feel you are informed.
I went back to my diagnosing pain doctor this year and he was so proud that I had remained on the same dose of my pain meds for over 9 of over 11yrs now and also told me he was so glad I didn't get the SCS because to him it only works in 1 out of 4 patients; to him a 75% failure rate.
Others that have them will praise them because for them it has helped and did work. I am just tired of being a guinea pig sticking to what I know works that isn't so invasive.
I hope this helps and you will know if this pain doctor is just in it for the money or truly cares. If you feel in any way it's just for the money, find another one fast.
19 Oct 2010
Dear Soulreaper: Don't be nervous, be glad that your doctor had the foresight to recommend you to an expert in pain management. Now you can get all sorts of services such as medications, injections, nerve tests, etc. that regular doctors don't have the training to do, or care to learn. This also does not mean you are a drug addict. Many people cannot get to a qualified pain doctor, so feel lucky that you can! Pain Management doctors are usually board certified in pain management, so they know what kind of meds to give you, and will not under medicate you which is a problem with other types of doctors. They also have a whole support system built up (if they are truly good) of other doctors, or themselves where they can do procedures to you that will if not eliminate the pain, at least will greatly reduce it so that you can function as normal as possible.
I have found through the years, that these are the BEST doctors to see if you are in chronic pain, as they understand the process, and are not worried about addiction or over medicating patients who are truly in pain. Good luck!! Msfino
19 Oct 2010
My boyfriend was referred to a pain management doctor. Usually your treating physician refers you out if he feels there is nothing else they can do for you. Unfortunately we haven't had such great results with the pain doctor. They will take over dealing with your meds. I just think of them as glorified/legal drug dealers. It seems to me like they didn't want to try & get to the root of the problem they just wanted to give him pills. I'm sure there are plenty of good pain doctors out there but in my experience the several I have dealt with in the past were not fantastic. If your not happy with one doctor do some research and go for a second opinion if you feel it is best for you.
19 Oct 2010
Go to www.painfoundation.org. Click on the pain resources locator tab. This part of "American Pain Foundation" of which I belong.
They will assist you in finding a provider and also offer tons of information. If you join, its free, you will receive some very educational booklets.
There are tons of pain management physicians and unfortunately many are merely pill pushers, choose wisely, educate yourself before your visit. God Bless and Good Luck. Sable
19 Oct 2010
I think it is a good thing that you are going to pain management. There are some cruddy DRs out there but there are also a lot of good ones. This are DRs that specialize in pain management and yes that includes prescribing narcotics. In other words these doctors are so dedicated in stopping pain that they don't care if a fed like me goes after their license. I have a lot of respect for PM doctors. Just remember a good doctor should be conservative, assess your pain, and start you on a low dose narcotic if needed. I went through workups that included NSAIDS, PT, Tens unit, ect before starting narcotics. Now I found the correct treatment and have to slowly come off them. Use this site to check up on the meds before you agree to take them. When on narcotics, properly, you should feel clear headed and even though you may fill a little good it shouldn't be too much.
One last thing be honest many states have things connected so don't assume this DR won't know about the lost pills. If you are up front then you aren't hidding things. You will get dependent and grow tolerance on narcotics but you don't have to be a addict expecially in good PM.
20 Oct 2010
YES if your doctor referred you to a pain managment is not neseseraly a bad thin THE pain managment dr seposebly know more about pain medications then your regular ganeral practitions,so it all depend if you bin askin your doctor to give you more or hier dose he or she might not be comfereble ,so there for they will refer you to a pain managment,youll bee OK. TAKE CARE JOHN
10 Aug 2011
Being referred to pain management is a step BUT REMEMBER, the pain is the issue, not the medication. Find out from your PM doctor what he/she thinks is causing the pain and how can this be treated besides pain management. Can they refer you to a doctor for treatment? The usual practice with PM doctors is shots, procedures and medications along with physical therapy, acupuncture and spinal cord stimulator if needed but find the cause of the pain. Pain management is just that, they do all within their power for pain management with drugs and the like but if something is causing the pain, speak to a neurologist, get an EMG, an MRI, X-RAY, something to show you what is causing the pain. Medications are only a temporary fix, sooner or later your body responds, either it does not like the medication, the medication will not work on your pain or you become intolerant of the medication. Get an opinion from a neurologist and if need be a second neurologist.
Each neurologist has their own education level, personal opinion and some know more about diseases than others. Stay on top of research for your condition. Education is the key here and the doctors are not the only ones that have answers. You know what you feel and how it hurts so learning more about your medical condition put YOU in control of who does what and with what doctor. Pain management helps but the answers have to come from someone who can identify your medical condition and treat it! Are you ready for your education and to be in control and actually have a doctor listen to you? Go for it!
10 Aug 2011
having a "good pain management doctor" is not a bad thing, where I live some doctors especially general medicine (GP's and some of the others no longer write prescriptions for pain medicines instead they refer patients who have chronic pain to a pain management doctor, these are doctors who are trained in diagnosing and treating chronic pain, I go to one who is an internal medicine doctor and she has gone back and has a specialty in pain management, the doctors have you sign a pain contract that means that you will not go to any other doctor or get medication for pain from anyone else while under their care, if you for instance got a broken leg or something happened that you needed to be treated example in an emergency room if you were treated with pain medicine they would expect you to notify them this is to prevent doctor shopping and so that they know the pain medications that you are on. In my wallet I carry information so if I were involved in an accident or couldn't speak for some reason I have my pain doctor's name and phone numbers, what medications I am on and I remind them to please notify the doctor (pain doctor that is if it becomes necessary for them to administer any sort of pain medicine) then once this is done I would notify her just as soon as I possibly could, different contracts read or vary and the doctors explain what they expect but it's not to place hardship on you its to protect you and to protect the pain management doctor, they have you to also give them the name of the pharmacy where you will be getting your pain medications at it's added protection for both you and the doctor. it's important to comply with the pain contract, if you do not it is possible to discharge you from the doctor but that is something that also would be discussed and explained. I am not wanting to leave things out but I am sure I have, I think it's important to find a doctor that you feel comfortable with, there are people in this world that you just feel like it just works you need to find the doctor that works for you, sometimes it happen with the first one you go to and sometimes you can use one of the methods I did I asked people I knew, I did volunteer work at the hospital and I asked some friends that were able to give suggestions but the important thing is finding who works with you, how and what you feel having this doctor, our local hospitals here have a number you can call and for instance find doctors who specialize in pain management, you can go to the computer and put your area in and also pain management doctor and they may ask what type Insurance or if you have Insurance based on that they could give you the names of doctors in your area, and also the doctor you are seeing you may go to him and feel comfortable with him if not you might ask him if he would recommend another pain management doctor. the important thing again is that you find that doctor that you can work with and feel comfortable with. I wish you only the very best. I hope you locate a doctor and that all works out well take care
15 Mar 2012
I have documented severe spinal damage. I have taken Oxycontin, Percocet, Vicodin, Opana, MS Contin,and Roxicodone. I am a resposible grown man with no addiction history or medication management issuse. I have been receiving Roxicodone 30mg Q4 for at least one year. What a God send. This is the ONLY pain medication that has worked extremely well for my pain. Recently, out of the blue, my Doctor told me I have to go to Pain Management for Pain Pills. My Pain Management Doctor wants to reduce my dose from 6 to 4 pills a day because he says he is afraid more than 4 a day will cause him to get audited. He suggested Lyrica which did nothing for me. He also suggested Morphine, Duragesic Patch, and Oxycontin. Like I said, I have been through all this before. How can I approach him on my next visit so he will give me what does work and not what might work, maybe, or we'll see what happens. I am an OT and would not be able to work with a decrease or change. Please advise.
http://www.drugs.com/answers/search/?query=I+have+documented+severe+spinal+damage+++ I+have+taken+Oxycontin%2C+Percocet%2C+Vicodin%2C+Opana%2C+MS+Contin%2Cand+Roxicodone+++ I+am+a+resposible+grown+man+with+no+addiction+history+or+medication+management+issuse+++ I+have+been+receiving+Roxicodone+30mg+Q4+for+at+least+one+year+++ What+a+God+send+++ This+is+the+ONLY+pain+medication+that+has+worked+extremely+well+for+my+pain+++ Recently%2C+out+of+the+blue%2C+my+Doctor+told+me+I+have+to+go+to+Pain+Management+for+Pain+Pills+++ My+Pain+Management+Doctor+wants+to+reduce+my+dose+from+6+to+4+pills+a+day+because+he+says+he+is+afraid+more+than+4+a+day+will+cause+him+to+get+audited+++ He+suggested+Lyrica+which+did+nothing+for+me+++ He+also+suggested+Morphine%2C+Duragesic+Patch%2C+and+Oxycontin+++ Like+I+said%2C+I+have+been+through+all+this+before+++ How+can+I+approach+him+on+my+next+visit+so+he+will+give+me+what+does+work+and+not+what+might+work%2C+maybe%2C+or+we%27ll+see+what+happens+++ I+am+an+OT+and+would+not+be+able+to+work+with+a+decrease+or+change+++ Please+advise.
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