Pain management clinics
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11-08-2015, 11:38 AM
RE: Pain management clinics
A friend of mine got the pain clinic deal after many years of pills for chronic back pain. They gave him a series of 3 shots, which seemed to help a lot. Can you ask about those, Chas?

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11-08-2015, 12:23 PM
Pain management clinics
(11-08-2015 10:43 AM)Chas Wrote:  
(11-08-2015 10:33 AM)TheBeardedDude Wrote:  May have to do with new initiatives to combat opiates in Massachusetts.

Actually, I meant to ask people whether this is local to Massachusetts or more widespread.

I've no experience with it directly but pills are incredibly easy to come by (legally and illegally) in my native state of Tennessee. But heroin is harder to get there.

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11-08-2015, 01:27 PM
RE: Pain management clinics
(11-08-2015 10:31 AM)Chas Wrote:  You may have seen in the news that prescription pain killer abuse is the latest social bogeyman, and there are more restrictions on doctors prescribing narcotics. So what came out in the discussion was that primary care physicians are referring patients to these clinics in droves. The PCPs just don't want the hassle and have passed it on to the pain clinics.

That's because abuse of pain medications is a serious problem. The Pain Clinics are suppose to be better suited for evaluating and treating for abuse. Though we did have several in our area shutdown for selling prescriptions.
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11-08-2015, 01:36 PM
RE: Pain management clinics
(11-08-2015 10:31 AM)Chas Wrote:  I had my annual physical a few weeks ago. I asked my doctor to renew a prescription for Vicodin which he has prescribed many times to help with my chronic/acute pain. I take the occasional Vicodin when the pain occasionally gets bad enough. Otherwise, I manage with over the counter stuff.

He prescribed Tramadol to see if that would work. Turns out it doesn't do much for my pain, so I asked again for Vicodin because it works.

He referred me to a pain clinic and I saw them yesterday. I didn't really know what to expect, though I feared it would be either pain Nazis or woo merchants. I was sort of half right - they push Reiki, for fuck's sake. Weeping

Anyway, after over an hour of interview where I described my medical history, pain experiences, and medication use, the doctor prescribed Vicodin Facepalm and scheduled another appointment to get me into a long-term pain management program. Why couldn't my doctor have just done this? Dodgy

You may have seen in the news that prescription pain killer abuse is the latest social bogeyman, and there are more restrictions on doctors prescribing narcotics. So what came out in the discussion was that primary care physicians are referring patients to these clinics in droves. The PCPs just don't want the hassle and have passed it on to the pain clinics.

I recommend Damnitol.
Works great.

Seriously, I've seen good Pain clinics, and REAL quacky ones. I think in many ways they're just a barrier/insurance against law suits. Maybe they have evolved to having real specialists with real standards and education, but they used to be anestheisiologists (or whoever) who wanted to make bucks.

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11-08-2015, 01:55 PM
RE: Pain management clinics
(11-08-2015 01:27 PM)Tomasia Wrote:  
(11-08-2015 10:31 AM)Chas Wrote:  You may have seen in the news that prescription pain killer abuse is the latest social bogeyman, and there are more restrictions on doctors prescribing narcotics. So what came out in the discussion was that primary care physicians are referring patients to these clinics in droves. The PCPs just don't want the hassle and have passed it on to the pain clinics.

That's because abuse of pain medications is a serious problem. The Pain Clinics are suppose to be better suited for evaluating and treating for abuse. Though we did have several in our area shutdown for selling prescriptions.

I take Tramadol for a back injury from a car accident and I have to pee into a cup every time I visit the doctor

(22-08-2015 07:30 PM)Revenant77x Wrote:  It is by will alone I set my brows in motion it is by the conditioner of avocado that the brows acquire volume the skin acquires spots the spots become a warning. It is by will alone I set my brows in motion.
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11-08-2015, 02:38 PM
RE: Pain management clinics
I have arthritis and post-polio syndrome. I used to take Vicodin on occasion to dull the pain. I quit that a couple years ago. I've had abdominal surgery a couple times in the last couple years and I won't even take pain meds post surgery. I merely remind myself that "pain is my friend and I embrace it." Big Grin
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11-08-2015, 04:03 PM
RE: Pain management clinics
A girl from my work has dealt with chronic back pain starting (iirc) from around the time when she got shingles while carrying her second child (they were unable to treat it as they normally would since she was pregnant) and tried all kinds of things to help - even surgery. Finally she got put on methodone (sp?) and that seems to have helped her. At least, I think that is what she's still on. She too has to see a pain management doctor.

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11-08-2015, 04:28 PM
RE: Pain management clinics
These new rules are also why I couldn't get cough syrup with codeine last fall until I went back to the doctor and he finally noticed that I had lost six pounds in a week...I am not a big person so nearly a pound a day is a lot.

Of course, I came down with the flu within a week of the new law being passed here. Dodgy

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12-08-2015, 10:16 AM
RE: Pain management clinics
(11-08-2015 01:36 PM)Bucky Ball Wrote:  
(11-08-2015 10:31 AM)Chas Wrote:  I had my annual physical a few weeks ago. I asked my doctor to renew a prescription for Vicodin which he has prescribed many times to help with my chronic/acute pain. I take the occasional Vicodin when the pain occasionally gets bad enough. Otherwise, I manage with over the counter stuff.

He prescribed Tramadol to see if that would work. Turns out it doesn't do much for my pain, so I asked again for Vicodin because it works.

He referred me to a pain clinic and I saw them yesterday. I didn't really know what to expect, though I feared it would be either pain Nazis or woo merchants. I was sort of half right - they push Reiki, for fuck's sake. Weeping

Anyway, after over an hour of interview where I described my medical history, pain experiences, and medication use, the doctor prescribed Vicodin Facepalm and scheduled another appointment to get me into a long-term pain management program. Why couldn't my doctor have just done this? Dodgy

You may have seen in the news that prescription pain killer abuse is the latest social bogeyman, and there are more restrictions on doctors prescribing narcotics. So what came out in the discussion was that primary care physicians are referring patients to these clinics in droves. The PCPs just don't want the hassle and have passed it on to the pain clinics.

I recommend Damnitol.
Works great.

Been using that for years! Thumbsup

Quote:Seriously, I've seen good Pain clinics, and REAL quacky ones. I think in many ways they're just a barrier/insurance against law suits. Maybe they have evolved to having real specialists with real standards and education, but they used to be anestheisiologists (or whoever) who wanted to make bucks.

The people I saw seemed reasonable and competent. Time will tell.

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Science is not a subject, but a method.
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12-08-2015, 10:22 AM
RE: Pain management clinics
With my recent septoplasty and turbinate reduction (they straightened my deviated septum and shrank my swollen sinuses) they sent me home with a huge bottle of some sort of pain medication. I took about two and that was it. Advil did just fine. I guess I don't feel pain much or something. So I have this big bottle of pain medication and don't know what to do with it.

Chas, have you tried getting a gentle massage from a qualified physical therapist once a week? Sometimes insurance will cover it. [/size]

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