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Pain Management Clinics-Forget about them
Boston2CapeCod posted:
I have tried two clinics-they don't manage pain, they give cortisone injections & muscle relaxants---which does nothing to help. The injections wear off and they are bad for you, long term & when you take the muscle relaxants, you are useless. I had surgery recently and I found that one 800mg Motrin, 1/2 a percocet, with 1/2 tab "muscle relaxant-baclofen, flexiril, etc.) gave me enough relief to function through the day, be coherent, do calculations, etc. That was the first relief I have had in almost a year, but-good luck getting ANY doctor to prescribe so much as a tramadol. I was "offered" Neurontin, but I don't like the hefty side effects. I don't understand the problem with doctor supervised narcotic pain management. Without it, I am so "sore", I can't even focus on my work.

Since no one will prescribe those things that ARE effective, I am in a never ending state of pain, to some degree- 24/7. Also, I'm not stupid- as you can see, I'm pretty sensible. I think it is my age (this pain started with car accident in Nov 2009 & I am 49 yrs old)? I know someone who is in their 60's and the same doctor I went to prescribed them a drug cabinet, but he is an alcoholic (stopped drinking for going on 30 years, now) and he didn't fill the prescription.

I just don't want to see anybody wasting their time on pain management doctors, when the truth is-they don't manage pain, they only give you high priced procedures that make them the most money, with the least liability. These doctors don't want to prescribe something cheap and effective like percoset-and they don't want legal ramifications for those who abuse the prescribed drugs. This leaves us to pot (which just makes you sleepy and pretty useless & for me doesn't control the pain) or alcohol-which doesn't control pain or hot baths, herbal remedies or obtaining potentially lethal drugs on the internet that may or may not be "real" and may have dangerous ingredients/not FDA approved.

I am in the coastal region of Massachusetts, if anyone knows of a doctor that is not afraid to manage pain, effectively-then let me know-please.
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bren_bren responded:
I'm sorry to see that you have had so much trouble. I have run into a few doc's who were that type too, but luckily I learned pretty quickly what to look for in a pain management doctor. There are pain management interventionalists (who you speak of) that do injection therapy mostly, then there are actual pain mangament specialists (who specialize in treating all facets of pain; not just narcotics). Maybe if you call before you go to future "new" docs appts you could ask if the doc is an interventionalist and only does injections?

I don't know what your age has to do with it. Maybe your friend had seen that physician for a while and had built a trusting relationship with him. It's unfortunate but many docs will make you play a sort of waiting game, to see that you manage small amounts of med's appropriately. I've found that the clinics with the most elaborate "contracts" (containing an agreement between doc and patient that the patient will only get med's from him, patient will submit blood work/urine screens when asked, random pill counts may occur...etc) are more experienced and offer more to the patient.

You are in a tough situation, but don't give up. The moderators on this board do not allow the posting of physicians names, but if you get lucky and find someone with a suggestion, then you could exchange emails....but only use a throw-away email in that case.

That's all that I can suggest for you, welcome to the board and I hope someone offers you a helpful suggestion too -- I hate to hear of anyone suffering at the expense of fearful physicians. Take care, Bren
TDXSP08 responded:
Boston if you would care to leave an email addy i will send you some stuff to help you find a Doc in your area, that could speed your search.

annette030 responded:
I am a believer in using opiates as required if nothing else works, but I do believe in trying everything else first.

Side effects do not happen to everyone who tries a drug like neurontin (or anything else), so forget what the list says and give it a try. Side effects also frequently go away after awhile at a steady dose, I would give a new drug 3-4 weeks at least at a steady dose to see where I stood with it.

I have been on neurontin for about ten years now, I have no side effects at all, haven't for about eleven and a half years, the last time I changed the dose. Baclofen was a good drug for me too, once the sedative side effects wore off, I could take it twice a day without getting sleepy or anything. I haven't gained or lost weight with any drugs at all, and I have been on many over the years.

Keep looking for a PM doc, interview the head nurse or medical asst. on the phone and find out if the doctor is an "interventionalist" who mainly does injections and procedures, or if he is open to oral meds also, along with a widrer variety of treatments. That way you don't waste the cost of an appt. on a doctor who is not on the same page as you are on treatment approaches.

Take care, Annette

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