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Going 2 a pain clinic 1st time, what 2 expect?
  1. #1
    coming home is offline Junior Member
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    Default Going 2 a pain clinic 1st time, what 2 expect?

    My regular doctor is reffering me to (or maybe pawning me off on would describe it better?) a pain management clinic, tommorow.

    I have never been to one before what should I expect? I have a bulging disc and impingement in my neck area, and a possibly torn rotator cuff in my right shoulder, that combine to give me chronic pain in my upper back, neck, and right scapula area. They told us to bring all of the mri scans and reports on the neck and shoulder scans.

    Are they likely going to do anything different for my injuries such as physical therapy (which I am already attending), different tests? or are they just going to decide whether or not they are going to allow me to have the medicine that I need to keep the beast in my neck and shoulder at bay until something else can be done about it - as in I am having a "discogram" performed by a neuroseurgon on the 19th to determine if I need any vertebrae fused together.

    From the way that my regular doctor talks, he is just sending me there for my pain medicine, as he has made it clear lately that he doesn't feel confortable constantly prescribing pain medicine for chronic pain, and in his opinion this is the job of the pain clinic.

    As a general statement, can you just go to the pain clinic, show them the scans, and they give you pain medicine - no fuss no muss. or do they treat you like a drug addict trying to convince them to cater to what they see as your slimy drug habit. Do they generally have sympathy for people in pain, or think that they just need to quit whining and book another physical therapy routine to run consecutively with the one your already doing. Will they realize that I've already been through the process of trying all of the ****py anti-immflamatory's,Ibubrofen800's, muscle relaxers, and all of the new heart buster's like vioxx, and celebrex, and I have found that they give me no relief at all. Or do they generally go ahead and give the pain medicine that works without me having to explain I've tried everything else?

    I know I've asked a lot of questions here, but any help on what to expect would be appreciated. if there is anyone out there still awake I would appreciate your input as soon as is convenient for you, because my appointment is tommorow morning.

    Also I forgot to mention, I am currently prescribed four lortab tens per day - one every six hours.

    Thank You


  2. #2
    Rawoody is offline Platinum Member
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    THought this might be of assistance.

    http://www.aafp.org/afp/20000301/1331.html

    Notice that it states that narcotic analgesics (i.e.-Lortabs) are for breakthrough pain or infrequent flair ups. If used for chronic, then patients have a tendancy of addiction. I think your doctor isn't "pawning" you off, but is sending you to a specialist center who can help you better than he can in prescribing a medication that will be tailored for you.

    I might not always be right, but I'm never wrong.

  3. #3
    coming home is offline Junior Member
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    Thanks for the reply Rawoody!

    That makes me feel much better, esp. the info about the lortab and chronic pain, makes me not feel as bad about letting it get out of control sometimes.

    I guess I am a little paranoid about being pawned off as I had a really bad experience with a previous doctor. The doctor I'm seeing now is a good guy though, and I do think your right in that he's trying to help.

    Thanks again.

  4. #4
    zippysgoddess is offline Platinum Member
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    If they feel they can help you with your pain, you will also have to sign a contract stating that you will only take pain meds from them and no one else at all, not even the emergency room. If you break the contract you agree that they can drop you immediately as a patient.

    There are some narcotics that are good for controlling chronic pain, long acting ones such as Oxycontin, but many docs are reluctant to prescribe them because of the new DEA regulations.

    They will also make you sign a paper agreeing to urine testing on a regular basis, they want to make sure that whatever meds they are giving you are being used by you, and not sold or given away. They can also stop seeing you if you aren't taking them as prescribed, so you have no choice to use as needed when you are in pain management.



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  5. #5
    zippysgoddess is offline Platinum Member
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    Oh, and Rawoody, in that section, they say they are referring to short acting opiods, not long acting.



    My information is not guaranteed correct. I do not get them right all the time, but I do enjoy the hunt~

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