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    Pain management
    Pattimae posted:
    I had a Total knee replacement in October 2012 and 2 months after during therapy started having ;ots of pain issues... Burning the back of my thigh above the knee....then shooting pains down the side of my hip into the knee sometimes all the way to the bottom of my foot. Before I had the knee replaced i had lots of falls because the knee would just give way. This is an L&I claim and I have no other insurance.. Now the Ortho Dr I am seeing requested a MRI but L&I denied it because it has nothing to do with the original injury. Prior to the knee replacement I had a meniscus repair in May of 2012. The ortho Dr stopped all pain medication the end of December 2012. I can not sleep on my right side at all...I dont get more than 2 hours a sleep at a time these days. My husband tells me when I do sleep I moan.... This is really starting to wear me down.. Over the counter medications do nothing.. I fell a week before the knee replacement in the bathroom and slammed my head and shoulder into a wall.. a few days later I woke and couldnt turn my head... The knee replacement was put on hold for 2 weeks and I went to a chiropracter ...L&I refused to cover it because it had nothing to do with the original injury. My neck got better and i had the surgery. THe stress of dealing with L&I is bad enough but now I am just trying to deal with constant pain... I cant go back and see the original physician because the ortho Dr is now my attending physician or so I have been told..I am trying to keep as mobile as possible..actually I dont have much choice because sitting or standing or walking are time oriented for me . 30 minutes of standing or sitting is all I can stand at one time.. Waling is limited because too much and the back of my leg is on fire. I am at a loss here because my funds are limited. Does anyone have any ideas?.
    lorigibs40734 responded:
    Have you spoken with an attorney? Sometimes that helps. I had to get one because the worker's comp doctor didn't want to treat my carpal tunnel, that was diagnosed three weeks before the cubital tunnel by an ortho my own doctor had sent me to. That was why I had to see the worker's comp doctor to start with, but then was diagnosed with a severely pinched ulnar nerve at my elbow a few weeks later by the doctor that they sent me to, and who also confirmed the carpal tunnel.

    I'm very sorry you're going through this. I'm sure there's a lot of people on this site that could recommend something better, but I would consider speaking with an attorney...

    Best of luck!
    ctbeth responded:
    Hi Pattimae,

    I have read your narrative carefully and also read Lori's reply.

    First, what is L&I?

    The good news is that the ortho does want you to have more diagnostic testing, so he/ she is taking you quite seriously and wants to see what is going on.

    If the ortho will not prescribe pain med for you, will he/ she refer you to a pain management specialist to treat your pain?

    I would have to agree with Lori, that if your MD is recommending an MRI, or any testing, and the insurance is denying this, it would be a strong indication that you need legal counsel.

    In personal injury cases, Worker's Comp cases, SSDI, your attorney is usually paid out of the ultimate settlement. This means that you don't have to pay anything to the atty until, and unless, you win.

    Please tell us a little more.
    Pattimae replied to ctbeth's response:
    Well Labor & Industries {l&I} approved the MRI ad the Ortho Dr evidently got ticked off because I wanted a second opinion. I actually had all my files sent to another Dr but he was not taking L&I patients right now so that was a no go..When I had the MRI done I scheduled an appointment for the ortho dr ..... his nurse called me the day before my appointment and told me he would not see me and that he understood that I had a new I said No ....anyway I was told that I needed to see someone else as he would not be seeing me anymore...not even to go the results of the MRI that he had requested. When I called my claims manager he told me that the Ortho Dr had told them that I had told him I didn't want to see him anymore. I was not happy with him but he was spose to get with another Ortho Dr in their office and go ver the MRI.. that is what he had told me so I was good with it. I never once told him I did not want to see him anymore. So he will not be doing the check ups that I am spose to have for my knee a 1 year. I went back and saw the original Dr I had seen and he went over the MRI with me. It showed some issues with my hip and back....he recommended the pain clinic and prescribed pain pills.. actually he was quite appalled at what I had been through with the Ortho Dr. L&I refused the pain clinic. don't need it in their eyes since I am paying for the pain medication I am taking as they refuse to cover it. So that is where I am.. Dr says I cant work the way things are and my situation has not really changed much except i can sleep at night no with the pain meds. Next step is an Independent medical exam from te state I guess and the pay off for my injury to the knee.. the rest ???? I talked to an attoreny and as long as I am getting time loss and reasonable medical care there is nothing they can do.. So reasonable medical care is seeing the dr every 6 weeks for more meds and living in limbo land.? Thanks fr the comments but I think I am stuck with the situation as it is with no real way to substantially improve the situation.. So silly I was excited to go to the pain clinic but its a no go.
    annette030 replied to Pattimae's response:
    Seeing the doctor every 6 weeks and getting pain meds might be the right answer or you. I don't know, there may not be a cure in the works for you.

    Take care, Annette
    TDXSP08 responded:
    You might want to invest in a "pollster or find a used one with these you pace your self and always have a safe reliable place to sit when you need to and well your sitting your hubby can be pushing you closer to to your destination,and when your sitting limit is reached you can get up and walk again. or they make canes with fold down seats so yo stop and sit wherever you are,i don't know of either of these sound remotely workable temporary solutions to you or not,but I thought i would put the out there for you just in case.

    i have no small step for man, but i have 6 tires for mankind,Watch your Toes!
    TDXSP08 replied to TDXSP08's response:
    That was supposed to be ROLLATOR not pollster !
    i have no small step for man, but i have 6 tires for mankind,Watch your Toes!
    jinuwinlady responded:
    Hello, I had previously had a cage placed in my back L4-L5, L5-S1, in 2004. Since, no real back pain to speak of that wasn't doable. Now, for 2 years , my right knee has been bone on bone (wearing a brace, and gait has been awful) July 7, 2014 total knee replacement by respectful surgeon here in Jax, Fl. I had previously told him about my back, (should have said it minutes before surgery to remind him)
    I woke up from anesthesia grabbing my right hip not my right leg. It was killing me. Know after 15 days in nursery home complaining of hip and back issues (RIGHT KNEE IS GREAT) But, now one can figure out what is going on. Yes, placed on all the meds listed from others. I don't know if during the knee surgery he yanked my leg so hard, a rod or screw came loose. Get this, which has everyone scrathing their heads, prior to knee surgery- when I walked with my feet in the normal walking position, my right hip would pop, if I made my right foot pointed my right foot inward pigeon-toed my right hip would not pop) (popping right hip syndrome) there is such a thing now I've learned.

    Well, now when I walk after knee surgery my right hip does not pop. My hip was and is killing me, now it is my lower right side back and hip. Tuesday, I see two doctors and i'm going to demand a CT, MRI or whatever needs to be done to get to the bottom of this in order to get on with my life and get back to work. I was told by two doctors in the nursery home it's my back and a sciatica nerve. My pain is right in front where they injected the nerve block before surgery. I have been in Law Enforcement, Military and played sports all my life. Not bragging, but when my pain level is 8 or 9, thats usually someone else's 13. My knee surgical pain I can handle with flying colors and if not for my back and hip now I'd be back to work. Any suggestions. Done ice, heat,excerises flare up my hip to wear it feels like a nerve issue and the psosia muscle. I'm lost, and going to demand for them to order films or whatever to figure this out? Any suggestions??

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