Pain Management Clinics

BreC
By BreC Latest Reply 2015-01-16 09:20:30 -0600
Started 2015-01-15 21:31:05 -0600

I have been having back pain for years. I have slight scoliosis, transitional vertebrae, hypertrophic spurring, back spasms, a protruding disc, and many bulging disc. I have taken different pain meds and steroids. I have a back brace that I am supposed to wear all times except in bed. My spine specialist has talked a couple of times about a pain management clinic. I am a little reluctant about going to one because I don't want to get addicted to any meds. I have an appointment with my spine specialist on January 26th. He will probably bring up the subject again. Maybe I don't know enough about them. To be honest, I don't know anything about them. Any insight?

Tags: off topic

9 replies

Jan8
Jan8 2015-01-16 07:25:51 -0600 Report

I took the prescribed amount and ODd. Ended up in the hospital where they thought I was addicted. Phooey !

Gabby
GabbyPA 2015-01-16 06:41:42 -0600 Report

My husband has a pain management doctor. Actually he has had several over the years, and they have saved his life, literally. He is paraplegic and the scar tissue in his spine causes uncontrolled spasms that will not stop. It's a horrible site to see when it happens. His first pain management doctor put in an internal pump that delivers medicine directly to his spine and gave him a quality of life that he can enjoy. He will be getting his 5th pump sometime in the next year or so. So he has had this treatment for about 24 years now.

He does have some oral meds, but he only takes them in extreme cases. He, like you, doesn't want to become addicted. Now the pump is narcotic, but because the doctor controls the dose, it doesn't become an increasing habit. And because it's delivered straight into his spine, it doesn't have the addictive "feelings" that go with taking oral meds to control pain.

What he takes is actually not pain management, but kind of pain control, in that he takes a relaxer for his muscles to stop the generation of pain in the first place.

Every situation is different and pain tolerances vary so much from person to person. The best thing you can do is find a doctor that you trust. Interview a couple of them and see if they are going to just push pills or shots on you or if they are going to truly help you with your own management. I wish you luck in finding a good one.

One more thing...we have a chronic pain connect sister site. If you go to "visit another community" at the top left of the page, it will give you the link to visit. There, you may find more detailed answers from members there and their experiences.

BreC
BreC 2015-01-16 08:36:48 -0600 Report

I have joined the Arthritis and the Chronic Pain Connect and asked this same question on the chronic pain site but got no responses. That's why I decided to ask it here. I have heard so many bad stories about pain management clinics and how easy it is to get addicted to pain meds.

Gabby
GabbyPA 2015-01-16 09:20:30 -0600 Report

It is true. You have to be determined and ask questions of your doctor. Make sure they have been around for a long time. There are some that are just drug dealers with a front. Florida has really cracked down on them and it has helped a lot. It also helps the legitimate ones remain and show their practices. We both like the one we have very much.

lilleyheidi
lilleyheidi 2015-01-16 00:45:00 -0600 Report

Hi Bre, I've had chronic pain in my knee from a knee replacement that went bad (i ended up having to have 5 surgeries in about 7 months, spent a year in a rehab center). I have been going to a pain management clinic for about 2 years now. I was on all kinds of heavy duty pain medications. They pin clinic weaned me off most of the pain medications, and have been doing alternative pain relief measures. I still take Tramadol twice a day (I can take it 4 times a day, but choose to take it twice) and I get nerve blocks twice a year. My experience with the pain clinic is that they work with you not against you. If you do not want a lot of pain medication they will find alternative ways. My center is attached to a chiropractor and a massage therapy office, so they are definitely not all about meds. I urge you to talk to your doc but definitely look into the pain center and talk to them as well. Heidi

jayabee52
jayabee52 2015-01-15 23:07:01 -0600 Report

Howdy Bre
If you NEED the medications to knock down the pain you are experiencing, then you NEED them. It is not like you're addicted to them for recreational purposes. You may wish to take a look at the sister site to DC called Arthritis Connect. They have a lot of discussions there about pain mangagment clinics. One of the things that is problematic about pain mangament clinics is there is often a shortage of such medications as the DEA allows the manufacturers to make only so much and no more in a year. (at least that is what I remember from what was written there)

I pray you get the relief that you need

James

Kats49
Kats49 2015-01-15 22:45:20 -0600 Report

I went through a bi tof "hell" three years ago with my lower back. I have crushed discs L4 L3 L2 and the tailbone is fractured. I was on dilaudin. It worked but impossible to function.then after several visits to my chiropractor I was able to wean off the medication. As we get older these parts are wearing out.I had really good luck with the pain management class I was sent to. They used various methods to see which would work best for me.NOw i go swimming three days a week..in the deep end all of your muscles relax and it feels heavenly..I swim for 45 minutes and can get 4 hours of pain relief …doesn't happen over night . But as you keep exercising your muscles they get stronger. Oil of Lavender along with peppermint rubbed onto the back help as well.I wish you all the best..but go to your pain management clinic they really can do miracles.

Dr Gary
Dr GaryCA 2015-01-15 22:01:06 -0600 Report

Hey BreC, sorry to hear you are having so much pain. I encourage you to make it clear to the doctor you meet with that you are concerned about addiction to pain medication. Hopefully, you can work together on treating your pain through an approach you can feel comfortable with from that perspective. I can certainly understand your concern. It's always a good idea to start out by being honest with your doctor. Talk about the trade-offs.

sweetslover
sweetslover 2015-01-15 21:42:41 -0600 Report

Last summer I had 3 epidural injections and 2 fascet injections. For me, they helped with about 50% of the pain. They gave me tramadol to help with the rest. I found a neurologist who put me on decompression therapy. It has worked wonders for me. I have been off the tramadol since Thanksgiving, and I saw my neurologist for a 3 month checkup this morning. He was pleased with my progress and I have my next appointment set for 6 months. The decompression therapy is not covered by insurance, but it has been worth every penny that I have paid.

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