I herniated my L4 about five years ago and it has gotten worse. Proof of that is I now have a bulging L5 and I have been very careful. I went into er one day because my while left leg was useless where they found spinal stenosis and the bulging disk. I had a great doctor that was actually trying to treat my pain. She left and I am now on my second doctor since her. He started me at the bottom with norco 10/325 4 times a day. I told him two months in that it wasn't even allowing me to be a productive person but he didn't have my chart at the time (long fight with a doctor before him that didn't believe I needed anything but to rub dirt on it). I have requested surgery just because I want to try to fix it but I was 20 and the surgeons would not touch me. I'm 22 now and I don't know how to tell him that I need a long acting medication and one for.break through. And that he can have his tramadol back but it seems with every doctor I see now that they look at my age and just say oh you just want to get high but I just want relief! My left leg has.shooting pain, my lower back feels like someone is stabbing it with an ice pick and lately I have had problems with my upper back from my lower back being jacked. Does anyone have any advice? I went to this doctor because his office is an adult medicine pain management facility but he tells me last time I saw him that he is not a pain specialist? Why did I come here then?! Sorry I am just so frustrated after five years of being poked and prodded with not one doctor trying to.fix it or really manage my pain.
I am terribly sorry to hear what you're going through. I had similar issues. I fell down some stairs and landed flat on my back which caused terrible back pain. For years they told me it was just muscle injury and it would get better, and my weight was causing all my back pain, though I was highly physically active before the injury and had no pain. I went years and through many doctors before I finally got MRIs on my back, found out I have herniated discs throughout my spine and degenerative disc disease. Your best bet is just to tell them exactly how bad the pain is. Just be honest. Tell them that none of the other medications help the pain and you need something stronger. If they don't help, try another doctor. I hate to give you that advice, but sometimes that's the only answer. Good luck!
Hon, its not your age that is the big problem, I still get that reaction, and I'm 65 and have never taken a drug to get high. Its horrible that you can't get relief from your pain, you have damage they can see. Tell him just how bad your pain is and how it restricts your life. Tell him your goals for your life and how it is effecting attaining them. Don't ask for a specific med or he'll think for sure you're a drug seeker. Our government and the media have set such a terrible picture of prescription pain meds that those who really need them can't get them.
Out of the five doctors, have you been to a neurologist? If not, maybe try that so they can order MRI's and X-rays. I'd say with your age, they wouldn't want to operate but if a neurologist sees something, they may provide you with better services, and maybe surgery is needed pending on what the images will show but likely make you go through injections and other more conservative measures first to see if any provide you with relief. (Wait, just read KM's response saying there is damage they can see), so I'd still try a neurologist vs pain med doctors. And if they don't want to operate, perhaps they will write a referral to a specific pain mgmt doc who will be helpful and at that point you can say what you've tried and what hasn't worked. If this effecting your quality of life, whether your 20-70, doesn't matter. You shouldn't live in pain.
And I'd say you haven't been receiving proper care if injections haven't been brought up. Some times you have to follow their "recs" and when they don't work, someone has to provide relief. It's not fair to have to suffer. But again, you don't want to say what you need, but when they recommend certain things, you just answer I've tried that with no relief. Have you been to a neurologist yet? Your insurance may require a referral but in that case, you could see the doctor who ordered whatever imaging you had done and request a referral. It's unethical to not provide you with one if needed. I have a herniated disk at L5-S1, but have already had three surgeries at C5-C6, so I don't want another but was fortunate enough to be referred to a great pain doc I've been with over five years. Best of luck!
Try to find a Physical Therapist or Restorative Yoga instructor (this is a special certification) for treatment that will help your body heal and help you learn how to use it properly. The pain med route for this sot of thing is a difficult, long, ugly, frustrating road, that treats only he symptom, and not the cause.
It's a balance of physical repair and pain management. Best to you, hope this helps.
Been there,all I can say is hang in there and go back to a pain management clinic, I got a pac last time I was in vegas, he knew more than his boss and was more compassionate. I suggest that when you make your appt. , you tell them you need to see someone in pain management,even a pac but only they will understand you pain, the symptoms will match the tests and ex rays and they know that when in pain your body wont allow you to get high as the pain meds work different in the brain,if it's not a pain management specialist ask if they have one in the office and that's who you want to see,find out if anyone you know even your gp/primary care can suggest one to you. I know the frustration but just remember you know your body and I always let the dr know I want to be actively in volved in my care, I only have one body and it seems to work 4 me. As I'm very outspoken and do lots of research on the web and use it to be prepared b4 I go into the dr.
Good luck, i'll be praying 4 you,that u find a keeper that you can respect and trust. A dr earns that from me, a degree in pain management usually starts with a doc who started out as an anesthesiologist first,doing pain blocks and good hunting. God bless, ms pat
MH I feel so sorry for you. When are these @#$% doctors going to wake up and start LISTENING to the patient instead of drawing their own, highly erroneous conclusions? I swear it should be criminal! There are some good ones out there, but as in my situation (I'm new in town and it's taking me months to find a new pain specialist) you CANNOT GIVE UP. Keep advocating on your own behalf. Now, others on this site will also have great ideas but here is what I want to tell you, based on what you've said:
1. Make sure you have a GP you trust. One who listens to you and who cares.
2. A) Ask your GP for a new MRI, if yours isn't recent, b) ask your GP to send you to a new Pain Management Specialist since clearly the ones you have been seeing are incompetent, and c) ask her/him to send you to a surgeon who will LOOK at your MRI before he starts arguing.
3. Is your weight an issue? Do you have insurance? Because you have obviously got to get some help here. And why they won't do corrective surgery on you is a complete shock to me. Age has nothing to do with messed up backs.
4. Lastly, have you kept records from your first accident, the one that caused all of this?
My heart goes out to you. Don't give up. Pray, and keep trying. Blessings upon you
You need to find an orthapedic surgeon and have an MRI. I went through the same thing with the age. get away from the pain management dr they dont care about you they only care about giving pills. you probly need a discectomy I have had 2 surgeries in 2 years. but now I am on disability and struggle with chronic pain everyday due to severe degenerative disk disease. keep us posted and good luck to ya
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