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Old 08-26-2004, 11:38 AM   #1
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Texasgal HB User
Unhappy Houston Pain Doctors?

I live near Houston and have been struggling for several years now with back pain. I tried everything I could think of and finally had surgery last year. (Lumbar laminectomy) I continue to have sciatic pain, and horrible low back pain. My conditions are DDD, arthritis, buldging discs etc. My Neuro and Pain Dr think that my options now are either more surgery or a spinal stimulator. I've been taking Vicodin off and on for years and it's gotten to where it doesn't help much at all. I've tried to explain to my Pain Dr that Im in horrible pain most of the time and need something to help! All he'll give me is vicodin! I'm really at a loss and don't know what to do next. I continue to try accupuncture and other alternative treatments..but am in so much pain that it's hard to think straight! I understand the fear some Dr's have in prescribing pain meds..but people don't go through all I have (and what most of you have) to get high!! Does anyone know of any doctors in this area that MIGHT be able to help me? Thanks..

 
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Old 08-26-2004, 01:48 PM   #2
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Re: Houston Pain Doctors?

Hi texas gal, Your actually in a rough part of the country to find agressive PM docs not afraid to use meds. I have several friends that have been treated at Baylor, and although they are a fine school and a great place for inovative surgery. You not only have the old time views o opiates are baf, but there religious undertone spread by the baptist that suffering is an excepted part of life and learning to live with suffering is engrained nto the religous background of the hopital and medical schools.

You best bet is to get outside of the present loop of docs your in and find a doc or group of docs in private practices that don't incorporate the sufering beliefs into the treatment of pain. I have nothing against thebaptist beliefs but When religion is interfering with you ability to find treatment you need to find someone outside of the loop that doesn't incorporate religous beliefs into their treatment program.
I also have friends that have found treatmnet for CP in that part of the country, I can't say it would suite a high dose patients neesds but there are docs that will work with you trying different meds, opiates, antiseizure meds and muscle relaxers.

Continue to learn and try non opiate techniques for relaxation because there is a connection between tension and pain, However alot of tension is caused by the lack of treatment for pain. If you have only seen a couple docs, you need to understand it's just there opinion. I"ve seen a dozen PM docs , most of whcich wouldn't prescribe a tylenol 3 during the 90's, Since the flood of new long acting pain meds there are docs willing to give them a try and see if they improve function or hinder function.

Nerve pain, sciatiaca, which sis kind of a catch all DX for all Leg pain can be treated and does respond to opiates, It just takes higher doses. There are also meds that have specific caracteristics like the ability to block the NMDA receptor which is believed to increase your threshold to pain, decrease and slow tolerance to opiates and help more with neuro pain. Those meds would be the opiates, methadone orlevorphanol, or combining meds that have NMDA blocking ablity with front line opiates. Adding dextromathorphan "cough supresant" will give morphine, Oxycodone, Hydrocodone or Hydromorphone the same abilitiies to block this receptor.There is aa pure dextro capsule oOTC now called dexalone that comes in 30mg gel caps, taken with hydro it usually prolongs the duration and increases the efficacy. These are things to talk to your doc about.

There are other meds that have NMDA blocking abilty like Nemanda a new parkinsons med and meds in clinical trials that are combination opiate and dex like Morphidex. It's not aproved yet but there are many new drugs n the works.

There is nothing wrong with doing a trial of the SCS, no comitment for surgery is made unless it actually works. If you find it doesn't relieve at least half your leg pain than ity wouldn't make sense to procede with the implant. Not that it makes sense to proceeed with such an invasive method of pain mangement before you have given oral meds a fair hake. Short acting meds are not the standard of care when it comes to treating chronic intractable pain.

The company that makes the SCS and the pump can give you a list of docs that do these procedures and hopefully the list may lead you to someone outside the loop you are in and will give you a names to start making inquireies. Even though I wouldn't say your ready for anything as invasive as a pump or SCS because you haven't tried other methods or other meds to manage your pain, It is a bit premature to jump to something as invasive as an SCS.

Good luck and stick around, you can learn alot and the internet truly levels the playing field when it comes to knowledge about what's available. Obviously you know there are other optons docs should be willing to try, It's just a matter of making cvalls, explaining your situation and flat out asking if the new docs you find would be willing to try more agressive medication before comitting to an implant that the battary needs to be replaced every 4-7 years depending on how often and what frequency you set the SCS on.

The SCS can be a great tool, but tool is the key word, It's not a cure all and if your doc beleves it is, he's not the one you want implanting or mainting the unit. He may do the implant and say this is as good as it will get and you just have to learn to live with the remaining pain the SCS doesn't drown out.. If the SCS doesn't help, nothing will, which is not true, but if the doc doesn't believe in the use of opiates and believes in the suferring builds character BS then you really need to continue to look for an alternatve doc willing to at least try some of the meds available. However docs that don't believe in the use of opiates don't tend to want to make referrals to docs thay know that do. Your GP may be the one you need to talk to about getting outside the loop andconsulting with other PM docs. Anesthesologist in private practice, neurologist, physical med docs, DO's that practice PM. Etc.
Good luck, Dave

 
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Old 08-26-2004, 06:02 PM   #3
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Texasgal HB User
Re: Houston Pain Doctors?

Thanks so much for your reply

 
Old 08-31-2004, 07:09 PM   #4
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Re: Houston Pain Doctors?

Hi Texasgal,
I'm from the Houston area and I go to a terrific pain mgmt. dr. who has no problem treating chronic pain aggressively. He has several locations so perhaps one would be convenient to you. He is a very compassionate and understanding dr. who will work with you to get your pain under control. His name is Dr. Chahadeh (pronounced Cha hod dee) and his phone no. is (713) 802-9799. (I hope I am allowed to give a name and no. out). If his locations are not convenient, ask his staff if he can recommend someone closer to you. Good luck to you and don't give up.

 
Old 09-01-2004, 09:41 AM   #5
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Re: Houston Pain Doctors?

Hey Pixie, Is that the PM doc that practices out of his large estate. I have a friend that found a unique doc that practices from a unique older large estate in Houston? Glad you had some input on direction, Take care, Dave

 
Old 09-02-2004, 12:04 PM   #6
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Re: Houston Pain Doctors?

Shoreline,
I think that is the dr. I heard speak at a Fibro conference because I remember seeing a picture of his office which was his home in a ritzy part of Houston. He now only treats cancer patients for pain. He referred me to my dr.

If it wasn't for the fact that I attended that conference, I would have never thought of going to a pain mgmt. dr., but I was looking for answers since my rheumy had my liver enzymes tested and they were so high, he refused to give me any more meds. Within 2 mos. of going to my pain mgmt. dr., he suggested giving me a pump because I could not stay awake on morphine pills, nor function well at work.

Within 2 weeks from that appt., I had the pump implanted - that is how desparate I was to be out of pain. After 7 years of taking drugs (Ultram and Soma) that barely took the edge off my pain and constant thoughts of suidcide, I was willing to do anything. Of course for me, it was a life saver and a very easy surgery since I never had back surgery issues.

I think my dr. is an expert when doing the surgery and refills since he has been doing them since 1983. When he has added other drs. to his staff, they never do a good job with the refills - usually stabbing me about 15-30 times to find the right place to put the needle. That makes me think that anyone considering getting a pump should ask their dr. how long they have been doing it and how many they have implanted. Most of his patients have the pump and he never uses a binder to hold the pump in place while recooperating. I remember you mentioning that yours moved around and caused some kind of tears, but mine never has.

Have a great holiday weekend and don't overdo.

 
Old 09-06-2004, 10:34 PM   #7
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kittylover HB User
Re: Houston Pain Doctors?

As long as you only need a regular pain management dr. and not a worker's comp. dr try Dr. Michele Wiggins. She is the sweetest and most compassionant doctor i have ever had and i've had a lot. Her address is 11850 F.M. 1960 W. Houston, Texas 77065. Her phone number is 281-517-0020. I went through just about every medicine available until we found something that would work and she has no problem giving her patients the time and the medication that they need. Even though i moved out of Houston, i would have continued to see her , but she quit excepting worker's comp. patients. Good luck in your quest for a new doctor. I know it is hard to find one that you completely trust. I think if you give her a try you will find that she is the kind of doctor that most of us wish we could find.

Last edited by kittylover; 09-06-2004 at 10:35 PM.

 
Old 06-01-2006, 11:31 AM   #8
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Re: Houston Pain Doctors?

Quote:
Originally Posted by Shoreline
Hey Pixie, Is that the PM doc that practices out of his large estate. I have a friend that found a unique doc that practices from a unique older large estate in Houston? Glad you had some input on direction, Take care, Dave
Would this doctor's last name be PATT?

 
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