going to second pain clinic now. had 3 neck fusions,have lg thoracic herniated disc(drs. dont want to operate because it would be a huge one. have ddd lumbar and bone spurs and bursitis. been going to clinic 1 year. several injections dont work. i am suffering horrible pain. they just say lets try another inj. ready to switch clinics.
You take your medical records and xrays etc with you. You tell the dr all about your pain, and what you've done for it. To avoid the wish to just do injections you find a practice that is not run by anesthesiologists. And whatever you do, you do not ask for pain medication. Showing any desire for them or knowing too much about them will get you pegged as a drug seeker, and that's the kiss of death at a pain dr.
There are many kinds of pain management doctors. I have had some that were anethesiologists who were very good and some who only wanted to do injections. A physiatrist can make a good pain doc. Orthopedics usually just want to do surgery. You should probably try another clinic altogether. The one you are going to sounds like they like to pad their pockets with injections. Injections are big money makers for these docs and doesnt get them DEA scrutiny. I dont see a problem with having an anesthesiologist for a pain doc but you need to find one who is willing to try a variety of approaches other than just injections. When you go, take any xrays, MRIs or other tests you have done, take a list of everything you tried and how it worked for you-injections, meds, therapy, everything. Be honest and upfront with the Dr. Tell him you have tried all the injections and they just dont work.
Find out what your other options are. Right now a lot of Drs are trying to get away from using pain medications because they are under a lot of scrutiny right now. Our culture sends the message that pain meds are bad and with all the drug abuse going on, it is causing people with legit pain to suffer. It took me a while but I think I finally found a good Dr. It has taken me several tries to find someone good so hang in there. Drs are a commodity and a service just like any other. If your current doc isnt helping, fire him and find another! Kaismama is right. Dont ask for a particular medication. You can say what you have tried and what works for you in the past but be open minded and willing to try what he suggests. You can always come back and tell him it doesnt work. Be persistant but dont be pushy.
Hello. I'm sorry for your unfortunately bad experience with obviously the wrong pain management doctor! There are many out there! I have only recently finally found a fantastic pain Dr after 15 yrs, 5 spinal fusion surgeries( 3 p5-s1 on my lower spine and 2 X-4 v7 fusion upper spine.) Many pain drs make tons of money through trigger point injections and other in office procedures dealing with nerve and joint pain. They can and are effective for many patients. For me they only gave short term relief or no relief. Before I continue with my 2 cents I was wondering if u could answer a few questions? First one is can u clarify what u mean by they won't due surgery on u because its to huge??? Also who is and has been in the past doing your referrals to your pain management doctors last is usually along with injections you are put on a medication plan especially when the des don't know immediately if the injections are going to work.
Do u pay out of pocket or have insurance for your doctors? These are all issues that contribute greatly to the kind of medical care u recieve. I look forward to hearing from u and hopefully being able to help you through my experience. Take care and God bless!
Hi - sorry, I am new to this question, but not to this site. Could you please clarify what the notes from the previous clinic have in them that may cause problems for you? We all together here have a ton of experience, but we can best help you if you put all your cards on the table. We've seen it all, so no need to be embarrassed. Also, there are additional reasons why pain docs don't want to prescribe narcotics. There is now scientific evidence that narcotics cause a disruption in the nervous system, via glial cells, that predisposes you to have more and more pain. Yes, the opiate pain meds cause more pain. And I am one that has tried very hard, 3 times, over long periods of time, to get off of them and can't - the pain is just too bad. So I sympathize. If pain meds are taken away I plan to spend my days in a haze of smoke, if you know what I mean. So please, tell us what those notes say so we can do our best to help you. - ElizaJane
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