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Old 04-06-2012, 12:09 AM   #1
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Pain Management Doctors

Hi All. My question today is: Will pain management docs help yr case?
Ive been seeing my pain management doc for over a year now. I see him and a psychiatrist and therapist for my severe depression. Im at the reconsideration stage and im trying to do all i can to win at this stage... I had my psych do a rfc...what else can i do to prove my back pain and depression at this stage?

 
Old 04-06-2012, 04:26 AM   #2
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Re: Pain Management Doctors

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Originally Posted by 9 lv spinal fus View Post
Hi All. My question today is: Will pain management docs help yr case?
Ive been seeing my pain management doc for over a year now. I see him and a psychiatrist and therapist for my severe depression. Im at the reconsideration stage and im trying to do all i can to win at this stage... I had my psych do a rfc...what else can i do to prove my back pain and depression at this stage?
I would a pain management dr. would help but a ortho dr. Would have more weight because they are specialist in back problems. But any ( Do. MD.) would help. The only Dr. That the ssa dose not recognize are chiropractor's ,because they never went to med. school. Alo a chriopractor cannot write scrips of give shots.

Last edited by vann04; 04-06-2012 at 04:29 AM.

 
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Old 04-06-2012, 08:41 AM   #3
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Re: Pain Management Doctors

Quote:
Originally Posted by 9 lv spinal fus View Post
Hi All. My question today is: Will pain management docs help yr case?
Ive been seeing my pain management doc for over a year now. I see him and a psychiatrist and therapist for my severe depression. Im at the reconsideration stage and im trying to do all i can to win at this stage... I had my psych do a rfc...what else can i do to prove my back pain and depression at this stage?
I'm not real familiar with your situation/case-claim.. so excuse me if I've missed something here.

With back issues, an ortho doc should be one of your doctors, who has examined and given a DX that would be in your favor. (If its a neck problems a neuro's opinion would be good as well.)

Getting pain meds alone without a ortho/neuro or of any kind that would back up the fact you have pain, IMPO isn't going to get you very far. The pain med doc certainly can prescribe meds for 'pain', but it would look sorta funny if you don't have the other doctors to back up the pain problem. The psych docs aren't experts in pain, so that wouldn't make your case either. And the pain med doc can't back up your need for pain like an ortho or neuro. He/She is going on your claim of pain.

I have back issues - I've been thru the gambit of othro's neuro's etc for years. When they do the tests, MRIs, XRays, nerve tests etc, that provide the need for meds if surgery is not a solution. Then the optional treatment to attempt to stop the pain via the ortho's. All the results of the tests/treatments they do go in your med file for the SSA to review and to determine whether your case is favorable or not.

With the issues of Pain Clinics being closed down and the doctors going to jail today = the pill mills, isn't going to get you far IMPO. I would think you are going to need the back up from the ortho's and/neuro's to prove you need pain meds.

Hugs,
Jacki

 
Old 04-06-2012, 09:38 AM   #4
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Re: Pain Management Doctors

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Originally Posted by Jacki345 View Post
I'm not real familiar with your situation/case-claim.. so excuse me if I've missed something here.

With back issues, an ortho doc should be one of your doctors, who has examined and given a DX that would be in your favor. (If its a neck problems a neuro's opinion would be good as well.)

Getting pain meds alone without a ortho/neuro or of any kind that would back up the fact you have pain, IMPO isn't going to get you very far. The pain med doc certainly can prescribe meds for 'pain', but it would look sorta funny if you don't have the other doctors to back up the pain problem. The psych docs aren't experts in pain, so that wouldn't make your case either. And the pain med doc can't back up your need for pain like an ortho or neuro. He/She is going on your claim of pain.

I have back issues - I've been thru the gambit of othro's neuro's etc for years. When they do the tests, MRIs, XRays, nerve tests etc, that provide the need for meds if surgery is not a solution. Then the optional treatment to attempt to stop the pain via the ortho's. All the results of the tests/treatments they do go in your med file for the SSA to review and to determine whether your case is favorable or not.

With the issues of Pain Clinics being closed down and the doctors going to jail today = the pill mills, isn't going to get you far IMPO. I would think you are going to need the back up from the ortho's and/neuro's to prove you need pain meds.

Hugs,
Jacki
Your right Jackie I for got about the pain clinics being shut own here, up north we did not have that problem. A ortho or Nero dr. is what you need to have on your side and have all the mri's and X-rays that are up to date in order to win ssdi. A regular GP. Will hold little weight with the ssa for back or nerv problems.

Last edited by vann04; 04-06-2012 at 09:39 AM.

 
Old 04-06-2012, 10:55 AM   #5
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Re: Pain Management Doctors

I disagree. I see a pain management doctor almost exclusively and I was approved for disability. So long as you have the tests, such as MRI's to support your case it doesn't matter if you see an ortho or a pain dr. My condition couldn't be resolved by an ortho, and a lot of orthos won't do pain management long term anyway. If they can't do surgery, they feel there is no reason to continue to see some patients. So, yes I say so long as your medical records show objective medical findings, it doesn't matter what doctor backs you up!! And good luck! Keep us posted!!

Last edited by NElady; 04-06-2012 at 10:56 AM.

 
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Old 04-06-2012, 11:07 AM   #6
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Re: Pain Management Doctors

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Originally Posted by NElady View Post
I disagree. I see a pain management doctor almost exclusively and I was approved for disability. So long as you have the tests, such as MRI's to support your case it doesn't matter if you see an ortho or a pain dr. My condition couldn't be resolved by an ortho, and a lot of orthos won't do pain management long term anyway. If they can't do surgery, they feel there is no reason to continue to see some patients. So, yes I say so long as your medical records show objective medical findings, it doesn't matter what doctor backs you up!! And good luck! Keep us posted!!
Hi NElady,

What I believed 9 lv spinal fus was saying was he is ONLY seeing a pain management doc.... no ortho or neuro. JUST a pain management doc. I also got the impression no tests in file to support the pain meds. Which is why I prefaced it all and said to 'excuse me' coz I wasn't that familiar with his case/claim.

In my case - AFTER my ortho said surgery wouldn't solve the problem-likely make it worse then my GP handled my pain meds. (Going to a pain clinic here/Florida is a huge red flag for the Federal Govt and really not worth the hassle with the referral from any doctor really) My meds are all taken care of by my GP. He's treated me for over 20 years.

Hugs

 
Old 04-06-2012, 01:59 PM   #7
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Re: Pain Management Doctors

I know he's not seeing an ortho. I saw one 1 time only. But if there ARE tests, that could help.
9 level do you have tests?? MRI's?? I thought you said you've had a 9 level fusion, so if so there's not much else an ortho could do I would think, so a pain management program is appropriate.

I used to be a Long Term Disability case manager, and for me it didnt matter how many doctors supported a case, for purely physical conditions, I only looked a objective medical evidence. If he's had a 9 level fusion, that alone is strong objective medical evidence.

BUT had he had NO findings, and pain management alone, I agree, that's probably not enough to support disability. But again, there are mental conditions thrown in and that opens a whole other can of worms.

Have a great weekend!!

Last edited by NElady; 04-06-2012 at 02:00 PM.

 
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Old 04-06-2012, 10:59 PM   #8
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Re: Pain Management Doctors

Quote:
Originally Posted by NElady View Post
I know he's not seeing an ortho. I saw one 1 time only. But if there ARE tests, that could help.
9 level do you have tests?? MRI's?? I thought you said you've had a 9 level fusion, so if so there's not much else an ortho could do I would think, so a pain management program is appropriate.

I used to be a Long Term Disability case manager, and for me it didnt matter how many doctors supported a case, for purely physical conditions, I only looked a objective medical evidence. If he's had a 9 level fusion, that alone is strong objective medical evidence.

BUT had he had NO findings, and pain management alone, I agree, that's probably not enough to support disability. But again, there are mental conditions thrown in and that opens a whole other can of worms.

Have a great weekend!!
Yes he needs test to show that he is disabled alo he is of a young age so up to date test and records are even more inportment , also if there is mental wouden't he alo need records from a shrink? One dr and no test is going to cut it to get approved, and at a young age it's really hard just for that.

 
Old 04-07-2012, 06:28 AM   #9
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Re: Pain Management Doctors

For SSDI, here are the acceptable medical sources from the SSA website itself.

https://secure.ssa.gov/apps10/poms.nsf/lnx/0422505003


Mental is psychologist or psychiatrist. In fact most of the CE doctors who contract with the SSA to conduct mental health evals are psychologists (PhD's) and not Psychiatrists. All psychologists now I believe have prescribing privileges in the military and also in 2 of the United States. All a psychiatrist can do is Rx drugs today. All mine did for over a decade was talk to me about 5 minutes and then handed me a script. After being on a cocktail of drugs for over 20 years, when the drugs started not to work, he was not competent enough to do therapy and shoved me out the door into the hands of a psychologist. I will personally never go back to another shrink. If not for the drug companies, there would literally be no need for modern psychiatry. Most don't do psychotherapy or mental health testing anymore. That is all done mostly by psychologists.

Last edited by BlueSkies14; 04-07-2012 at 06:30 AM.

 
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