He has avascular necrosis in his hip. Any experiences to share? He is in terrible pain most days but powers through and is still working... regular doc gave him lortab 5's which barely cut the pain. We are waiting (over a week now) to hear from the p.m. clinic. He is 39, so his doctor wants to wait on a hip replacement for now. ANY thoughts or experiences you can share on pain management or this disease are welcome... we are feeling pretty hopeless right now. Thanks all!
A pain management doctor will assess his pain and condition and take a history of his illness and former drug use. Be sure to tell him/her that the Lortab 5mgs is not working. They will make him sign a contract that states he will not get pain medication from anyother doctors while under the care of the pain management clinic.
I am not fimilar with the disease but have been to a couple management doctors in my life and it really is no different than seeing the GP excluding the contract he will have to sign.
I wish you both the very best and keep us posted on how he does,
seeing a pain management doctor allows the doctor to look at him and his medical history, he is trained to be able to manage pain, the more information such as how long this has been going on, when did it stop responding to the medication that the doctor prescribed for him, Like Laurie explained he will want your husband to sign a paper that says he will not be seeking medication from any other doctor, and also he will be expected to get his pain medication at one pharmacy.
It is to protect the doctor and also to make sure that you are being treated by him when it comes to pain, he will fully explain everything to you both, it is necessary and also for your husbands best interest as well/ Please keep us posted , I see a pain management specialist and have for quite awhile, she has expertese in not only internist care but a degree in pain management, be open and honest it will help the doctor to help him. I mean no disrespect, I do care and want to see him have positive results. I have been part of this site since mid January,
I have found many compassionate caring people that are willing to help in any way that they can, I am also willing to do the same. I had Polio and the after effects a long time later, I believe it will make a big difference in his life.
I wish you both the very best and please keep me posted.
Thank you both for your responses. We are (still) waiting to hear from the pain management doctor, so we'll try calling tomorrow since it has been over ten days now since his doctor referred him. He is a trooper, though... still goes to work and has a very physically demanding job. All we want is for him NOT to be miserable! I don't think some doctors understand that some people really ARE in terrible pain, which explains the low dosage of pain meds (and he is a large fella... 260 and 6'4"). Hopefully once he starts seeing the pain management doctor it will help. I hate to see him hurting so badly. I appreciate you both taking the time to write, and now we know a little bit more about what to expect.
We are STILL waiting for the PM clinic to process his paperwork! I called today and she said "we usually call on Fridays". Well, great, because he is in excruciating pain NOW, and he was referred two weeks ago! He called his regular doctor today to see if he would call in a stronger prescription for now, as it looks like this process will take a while, but have not heard back yet. It just bothers me that people in actual pain are treated this way. Very frustrating :(
pm doc help the patient handle their pain and if you get a good one he or she will be a friend for life !mine is wonderful !believe i know how blesed i am!she was out last month and i had to see another doc and he missed up all my meds !ended up going back to see carly pm doc 10 days later after going to see my back surgeon anfd hernia surgeon !because i was hurting so bad !i cried like a child for 2 days ! got to have another mri on back and hernia surgery won't happen until we know what is causing my pain!carly my pm believes it because that fill in doc changed my meds!
you will most likely have to sign a contract that you want get meds from another doc!and the might pee test you !
good luck & God bless
Thank you all for taking the time to respond. The clinic FINALLY called yesterday, after repeated calls to his doctor. His appointment is in 1 MONTH! So his doctor called in Lortab 7.5 for now, even though the Lortab 5 isn't helping much. I mean, with such severe pain and a diagnosis of aseptic/avascular necrosis with an eventual hip replacement, you would think he would call in something stronger or a different pain med, but I guess it is better than nothing. I feel so bad for him and just want his pain to stop. If the 7.5's don't help more he is going to call next week, but he feels like he is bother to the doctor. I told him that if the doctor would give him an appropriate medication for his level of pain, he wouldn't need to call. Again, VERY frustrating.
my husband had a hip replacement 14 yrs ago great recovery tho he waited too long and the hip broke due too sudden movement. Now has it in other hip and awaiting surgery, pain is escalating so hope surgery is soon. He will be having a minimally invasive surgery but a "new type" of joint will NOT be used due to too many failures
- Lortab Information for Consumers
- Lortab Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lortab (detailed)
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