... few years ago. At the time the pain was manageable with tylenol, aleve, etc., but now that i am getting older and i have a really physically demanding job i am in constant pain. I have no insurance and the doctors i go to seem to not take me seriously and they give me weak pain medications such as ultram. What do i need to do to get into a pain management clinic or to just get an MRI to prove that i am not just seeking medication for recreational use. I cannot lose my job over this and i cannot keep throwing money away to doctors who will not help me. Please give me an answer to my problem, i cannot sleep at night and it puts alot of strain on my wife and little girl because i cant ever do anything with them because i hurt so much
21 Apr 2011
I would make an appointment with an orthopaedist and he/she could order the MRI. You have to have doctor's orders to get one. That will be very expensive. A pain management doctor will want at least a report from a doctor to evaluate you effectively for pain medication so getting a referral from your regular doctor would be in order. Have you had at least x-rays done?
You may benefit from a non steroidal anti inflammatory such as Celebrex for pain. It is non narcotic and helps with arthritis which you probably have from the accidents. Best to see a doctor who can at least do x-rays to see what is going on. I highly recommend an orthopaedist to evaluate your condition.
21 Apr 2011
i agree if you have any documentation or diagnosis that you have back problems a pain mgmt doc will see you. i have tachycardia and normally you have to goto a cardiologist to get anything but i went to a low income health clinic they did a ekg took my pulse blood pressure showed them some records from the er and they gave me a prescription for beta blockers. and the whold dr visit was 61, then my meds for 6 months cost me 10bucks. i also see a pain mgmt doctor for four back surgeries i have had i also have no insurance so my office visit is 85$, then my many meds, methadone 300pills $44/norco 240 pills $32/valium 90 pills $12/dalmaine 30 pills 8$/xanax 60 pills $12 so it about $100. i hope this helps at least a little if it does could you answer yes after you read this answer so i know if i was helpful or wasting your time, your friend if needed. amber
21 Apr 2011
Laurie is right. Usually pain management wants a newer MRI report to start with. MRI will be VERY expensive to pay out of pocket. They are usually in the thousands to have one done. You might try to explain the situation that you do not have insurance and see if they will accept regular xray films or at least see what they require as a minimum. Have you checked to see if you can qualify for any assistance getting insurance? Have you looked into disability at all. If you can get disability you will qualify for state assistance with insurance (medicaid). Keep trying. Call a PM clinic and see what you need to be seen. PM is expensive however. Most PM Drs will want to do more than just throw pain medications at you. They usually want to try to do some procedures like epidurals, RFA's, physical therapy etc and those are all very expensive. Keep trying though. Be sure you get exercise outside of work even if it is just a walk.
Hopefully you will find someone sympathetic to your situation! It is hard to deal with back pain when you need to be active and want to enjoy time with your family. I hate having to miss out on life because i hurt. Pain medicine is not a miracle though. Even with strong pain meds it only takes the edge off. I probably get maybe 30% reduction in pain but Ill take anything I can get! It doesnt take it all away though. Most days it is only manageable. If you are like me any reduction is good but I just want you to have realistic expectations. If you go into this expecting to be pain free you will be disappointed!
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