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???? about PAIN Management guys??

Old 07-17-2012, 03:24 AM
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Default ???? about PAIN Management guys??

The admiral suddenly can't walk well and pain goes from legs up to her neck. Visit to the GP (insurance first step) and she got an X-ray...but it wasn't conclusive to the Dr., so the next appt. was (we thought) to a neuro-surgeon that specialized in lower back/spine.

As it happens, that guy is not a neuro-surgeon, but is a Pain Management guy. Somebody please tell me what they specialize in, other than maybe dealing with pain, but not the causes?

Is this normal, or should we insist on seeing a neuro Dr. before wasting time on a symptomatic approach without curing anything? The GP, of course, never makes or answers phone calls and her PA just does what she's told.
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Old 07-17-2012, 03:32 AM
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Scotch, weed, and blow.


Barring that, get to a neuro. You are wasting time with a PM. Suddenly losing the ability walk well is indicative a significant issue.

That doc may not be an MD, but rather an DO. Pain management is not much more than a GP. Your wife needs a clear and concise diagnosis of what is going on. I'd get her to a neuro, who will be able to figure out what's going on, or at the least, eliminate any serious possibilities.


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Old 07-17-2012, 03:37 AM
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Originally Posted by Snapper Head View Post
Scotch, weed, and blow.
Big Al

...we're talking about fixing the admiral, not helping out her deck hand.
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Old 07-17-2012, 03:41 AM
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I agree. See neuro soon. My wife ended up having three back surgeries with hardware due to an early misdiagnosise years ago. Long story. But please do see a neuro. PM Is good for possible daily ease of pain but not a Dr to see to help with the cause/cure.

Good luck
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Old 07-17-2012, 03:51 AM
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I would insist on getting to the root of the problem.After removing my wife's gall bladder for an abdominal pain(which turned out to have been unessary) and MRI cat scan ,ultra sound and a few more the doctor pointed us to pain management. She went once and that just doesn't solve anything. You want to know what is wrong. I hope they get to the bottom of what is wrong with your wife. Best wishes
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Old 07-17-2012, 04:31 AM
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Absolutely get to a nuerologist before she takes anything for pain. I would'nt wait either. Two weeks ago a good friend of ours was at our annual pig roast and she did'nt look right. She said she was feeling weird and her legs were tingly up to her neck area. She felt like she couldnt walk right. Went to hosptal next morning cause she could'nt feel her legs. They send her to nuerologist and after tests and mri they say she has MS. Because she went right away and didnt try to mask the pain they gave her some meds and she is starting to feel better.
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Old 07-17-2012, 04:50 AM
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Maybe PM works differently from one to the next or one area or state to the next. My PM clinic is part of a group of specialist that try to treat the whole problem. Also, sometimes, getting the pain under control is the first step. Many tests are difficult to do when the patient is in extreme pain.

I've said it before, it's up to you to be your own advocate. Assuming your family doctor is a board certified Primary (Physician, not sure that's the term)?, he or she should act as the "clearing house" for all the specialist your wife may need to see.

The PM doctor can help with the symptoms, give immediate relief and possibly send her to a specialist. If all the PM does is give her pain pills, you need to go back to your Primary Physician and get them to send her to the right specialist.

When all else fails, go to the emergency room and complain of chest pains. That will get your wife to the front of the line and probably admitted. They check her heart first, but you'll also have access to a specialist for her back. The rational will be that the back pain was so much that the blood pressure spiked to the point of chest pains. Hopefully, she wont have to resort to such convoluted measures to get the right people involved.
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Old 07-17-2012, 05:10 AM
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Originally Posted by bamaboy473 View Post
The admiral suddenly can't walk well and pain goes from legs up to her neck. Visit to the GP (insurance first step) and she got an X-ray...but it wasn't conclusive to the Dr., so the next appt. was (we thought) to a neuro-surgeon that specialized in lower back/spine.

As it happens, that guy is not a neuro-surgeon, but is a Pain Management guy. Somebody please tell me what they specialize in, other than maybe dealing with pain, but not the causes?

Is this normal, or should we insist on seeing a neuro Dr. before wasting time on a symptomatic approach without curing anything? The GP, of course, never makes or answers phone calls and her PA just does what she's told.

You gotta ease up on here man. F the pain management, you need to know what is wrong and can it be fixed. If she's in pain and can tolerate it (no blood pressure increase) then I'd hold out on the pills.
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Old 07-17-2012, 05:27 AM
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Rick, I've just read your post again and it seems all your wife got to see was a PA, not acceptable.

Doing a little research up here and it turns out that the Neurosurgeons also specialize in pain management. Maybe the PA got it wrong or maybe the PM guy is tied to someone in Neurology. Has she been to the PM "guy"?
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Old 07-17-2012, 06:01 AM
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Bama a Neuro as stated already!

Also if your ins co has a preffered list,that list should

include graduation dates, colleges attended and hospital affiliations.

Shop for a Dr, get references.Good luck to Mrs Bama

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Old 07-17-2012, 06:08 AM
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Pain Management clinic is slang for Oxycodone dealer. Beware.
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Old 07-17-2012, 06:35 AM
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I was just thinking about my own experience and usually pain management is for long term pain. I didn't get to PM until I had seen several specialist (and still do). Both my Primary and the PM doctor has sent my to the specialists.

Reading the post by ifishbuster reminded me as to how complex these issues can be. I would never have thought that the time (years ago) when 1/2 of my face was paralyzed (Bell's Palsy) that it was caused by a virus. Although no one knows for sure, it could be related to the Chicken Pox that nearly killed me as a child or it actually might be the Lyme's Disease bacterium.

Bottom line is, PM might be able to make her more comfortable, you need to find out what the problem is. It's quite possible that the PM doctor will send her to a specialist for more tests.
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Old 07-17-2012, 07:00 AM
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Originally Posted by jaredsrt View Post
Pain Management clinic is slang for Oxycodone dealer. Beware.
Do you have firsthand experience or is that something you heard somewhere? I do recognize that it's a part of medicine that has been abused and has been sensationalized in the media.

My experience has been that they are much more regulated than a GP. Because I do take pain meds for an incurable condition, I am randomly tested for drugs to make sure I'm taking what I'm prescribed, no more, no less. They make sure I'm not "double dipping" or faking and selling my meds. One fail, and I'm out.

I've been in Pain Management for 2 years and they haven't given me Oxycodone or Oxycontin (much more likely to be abused). For something like Rick's wife's problem, they'd be more likely to do a Epidural.
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Old 07-17-2012, 07:43 AM
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Hello Rick,

Several things to consider:

1. Your wife requires a full diagnostic workup. How and who does these things may be fragemented (by various people) but you should persist until a specific diagnosis or diagnoses (more than one) are identified.

2. Pain management physicians come with a variety of backgrounds. Anesthesiologists or Physiatrists are the most predominant. Their credentials are easily verified by just asking, looking up their qualifications, or better yet, calling the offices and asking.

3. Indeed some "Pain management" physicians are notorious for prescriping oxycontin and running "pain mills." Obviously, avoid this at all costs. Most are trained specialists. The ones I know go to great lengths to avoid narcotics, and their goal should be to wean those habituated from them. Good ones really know their stuff.

4. Certain medical conditions exist that can cause or greatly contribute to whatever ails your spouse, so a straight shot to a neurosurgeon or specially trained orthopedic surgeon (Spine surgeon) may not necessarily be indicated.

5. Quality pain management physicians are capable of ordering and interpreting nearly all the required imaging test to get started. They most certainly should and will refer your wife to the appropriate surgical specialist if necessary.

6. If you have not spoken to the primary care physician, call and insist on the physician speaking to you. Tell that to his staff. (PA, nurse, whatever) There is NO REASON you should be in the dark about what that physician thinks and why. If communication is not forthcoming, tell the staff you will be lodging a complaint with the Board of Medicine if you can't get straight answers. You don't need to be an ass. You should be forceful.

Good luck.
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Old 07-17-2012, 08:19 AM
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I've had lower back issues for a few years now, legs go numb etc... Was sent to a PM ... All they wanted to do was back shots... No one could ever tell me exactly what was going on... I'm not taking a shot in my spine under an X-ray untill they can tell me why... I gave up and deal wih the pain and numbness sometimes it's worse than others... Skipp the PM
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Old 07-17-2012, 08:49 AM
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Originally Posted by davedowneast View Post
Do you have firsthand experience or is that something you heard somewhere? I do recognize that it's a part of medicine that has been abused and has been sensationalized in the media.

My experience has been that they are much more regulated than a GP. Because I do take pain meds for an incurable condition, I am randomly tested for drugs to make sure I'm taking what I'm prescribed, no more, no less. They make sure I'm not "double dipping" or faking and selling my meds. One fail, and I'm out.

I've been in Pain Management for 2 years and they haven't given me Oxycodone or Oxycontin (much more likely to be abused). For something like Rick's wife's problem, they'd be more likely to do a Epidural.
In south Florida "Pain Manegment Clinics" are synonymous with legalized oxy pushers, or PILL MILLS that are raided daily by the DEA... There are legit pain management centers as well.... my neuro does pain management that consists of Nerve and facet blocks.


http://www.google.com/search?hl=en&g....0.edM97ogzmpU
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Old 07-17-2012, 09:09 AM
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I agree with some on here. In Florida, I'd say 98% of PM Clinics are just drug dealers/oxy pushers. My wife has been dealing with this crap for years and she has finally seen the light and wants to get off the Pills. So she tells the doc and he just try's to keep stringing her along. He tries to talk her out of it keeping her meds and dosage the same and when she disagrees with that he wants to put her on another high level narcotic pain pill. It also crazy to me that a PM can prescribe depression and anxiety meds. My wife finally had enough and decided to stop going there. She's getting off the meds herself. She's very tough trying to do this her self. It's crazy what these meds do to your brain/body, especially when you stop them. I've been with my wife to several appts and the people that go in and out of these places are scary. I pack heat when I go with her. For example one of the patients has been arrested multiple times, has freaking track marks all over his arms and legs and the doc still prescribes meds to him....?????WTH
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Old 07-17-2012, 09:26 AM
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There are legit Pain Management offices:

They Doc's can be different specialists: anesthesiologists, and Neurology are the most common. Are many of the patients clinical diagnosed with opium addiction? sure, doesn't mean they don't have incurable or untreatable conditions that leave them paralyzed by pain though.


don't forget the word of Chris Rock, "The government doesn't want you to not take any drugs, they just want you to take THEIR drugs"
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Old 07-17-2012, 09:50 AM
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Originally Posted by jaredsrt View Post
Pain Management clinic is slang for Oxycodone dealer. Beware.
Not so and not fair. You will never read about the good ones that help the millions of people that depend on pain managment. My son suffers from Marfan's Syndrome. As he gets older (30 now) his pain is worse and complications get more complicated. Can't count on my hands the procedures and operations on his back. The good doctors at the PM Center know what they are doing and is his only salvation.

Care to take that qoute back?
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Old 07-17-2012, 09:57 AM
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Originally Posted by snapperkid View Post
Not so and not fair. You will never read about the good ones that help the millions of people that depend on pain managment. My son suffers from Marfan's Syndrome. As he gets older (30 now) his pain is worse and complications get more complicated. Can't count on my hands the procedures and operations on his back. The good doctors at the PM Center know what they are doing and is his only salvation.

Care to take that qoute back?
The Pain Centers he is talking about dont even have doctors... Just Junkie Pill-billys from Arkansas and Kentucky camped out to snort Oxy..... ans shoot up..... These places are not in medical centers next to hospitals... and I am sure your kid, or any other sick person goes there....they advertise in the same papers and hookers and titty bars....

Click for news on Florida Pain Clinics http://www.google.com/search?hl=en&g....0.edM97ogzmpU
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