6 Sep 2011
All depends on the Dr. For me, not much. I've been getting the run around from drs for years. The last one I went to seemed to actually care the most out of any of them and he's a pain management Dr/ spine specialist. But all I've gotten so far is Daypro ( a strong anti inflammatory) and a new muscle relaxant that I've never tried because I've had no success with all the other ones I've tried.
Years ago I was on opiate pain meds for my back and then my Dr said he had to stop prescribing them for me and I was unable to get any other drs to take me seriously without treating me like a drug addict. So I eventually just started buying off the streets and self medicating which worked great for years but eventually I got into legal problems for it so I had to stop and go back and try the legal doctor route again but since then I went to 2 pain management docs with no real relief.
Its so difficult to find quality care for pain problems nowadays because of the government crackdowns. But now I'm on probation and can't risk getting in anymore trouble so I'm stuck in pain having to rely on doctors to take care of me. And what's even worse is the 3 times I went to see him, they did urinalysys tests at each visit and my insurance didn't cover any of them so I now owe them over $4,000 for those tests which I didn't even want done. Its just for them, no benefit to me. The next step they said is for me to get cortizone injections in my back which I'm fine with but they want to get paid for what they already did first and there's no way I have or would even consider paying them all that money for a couple check ups in which they didn't even do anything for me except give me 2 lousy meds that I could have gotten from my regular Dr anyway.
Sorry for the rant lol, I wanted to try to answer your question from my experience but I'm just really frustrated right now with our whole system and needed to vent a little lol.
6 Sep 2011
Yes. It is very hard to say. It depends on the Dr and also what all you have already tried. they might start you out on a stronger NSAID-something stronger than what you get OTC or maybe an anticonvulsant or antidepressant medication as some of them have shown to be of use in chronic pain or they may start you on a mild short acting opioids and/or a muscle relaxant. If you have already tried the stronger NSAIDS and short acting opioids they may try a long acting opioid. They may also want to try epidural injections, nerve blocks, facet joint injections, physical therapy of some sort or other, massage, chiropractic therapy and manipulation and there are a few other treatments they may suggest. Be sure you bring records with you of what you have already tried so he doesnt start for square one if you have been treating with a PCP before now. Be open to non drug therapies and also to non opioid drug therapies. Give all suggestions a try and be patient. It sometimes takes a bit of trial and error bfore you hit on the right combo to treat your pain.
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