I think the reason you are having such a hard time finding one is that any good pain clinic will not just Rx meds to try and treat pain.You pretty much have to go through many more options before or while you are being treated with meds.The doc can suggest injections to you but you do not have to have them done if you really feel strongly about it.Just discuss your reasons with the doc.You have to into pain management with an open mind and be willing to try just about anything besides just meds to try and treat your pain.If you go into see a pain doc and tell him that you will not try anything but meds,I can almost guarentee you that he will not treat you at all.Most pain patients are more than willing to try other options along with the meds just to try and get some quality of life back.i know i have and many many others on this board.you just never know what may work for you until you at least give it a shot.If it doesn't work,well at least you tried and it's another thing to scratch off your list.Just what type of pain are you trying to treat?I wish you luck,Marcia
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.
I do agree with Marcia (hey, I'm Marcy!!) that you have to be open to trying things other than meds before most docs will give narcotics. Maybe you have already tried different things but you don't say so in your post. Before I was given narcotics I had to endure physical therapy, tens units, injections, soaking in a hot tub many, many times a day, massages, many different types of x-rays and probably every nsaid that is on the market and some that have now been pulled. Finally I was sent to a rheumatologist and a neurologist who "qualified" me for long term opiate use. While enduring all this my doctor would occassionally, and I mean very occassionally, give me a prescription for a few pain pills. He knew something was wrong and that I wasn't just faking it but he wasn't comfortable prescribing narcotics basically without written proof from a specialist. Once I got his "proof" I never had any more trouble. Sorry for such a long post but what all other avenues of pain relief have you tried?
I agree with the other post. Doctors use something called ediology. This basically means that there is proof that you have a medical problem (Example-Herniated Disc). In order for a doctor to prescribe meds, they have to prove or somehow show an ediology. So when you visit a Dr. and he later writes the notes on your case, he has to show or explain why you needed the medication. Most Dr's also need to show a treatment plan. Now some people will be on meds the rest of there lives, but if you were to ask these people, you will find that just about everyone has had to have multiple procedures done to try and "Cure" you or at least make you comfortable.
If a Dr. were to just write that you have back problems for example, and just continue to give you meds as treatment, he may run into trouble if he is audited. Dr's are watched by the DEA and Pharmacy boards. Basically they need to show a reason why you need the meds, and what other forms of treatment have been tried or currently being tried. After exhausting all other means, at that time a Dr may feel comfortable saying that your condition can never be cured and basically meds will give you a good quality of life. But without a treatment plan, a Dr is putting himself on the line. The purpose of a pain clinic is to help decrease the pain. This means that they have to exhaust or try many ways of treating that pain. This may include Injections along with Medication and so on. I think you will have trouble just finding a Dr that will prescribe meds as the only form of treatment. I would re-evaluate this if I were you. You can always talk with the Dr about Injections and see if there are other forms of treatment that would help if your against injections. You kind of have to keep an open mind when seeing a pain Dr. and remember what there goals are for you as well as keeping them safe with the DEA and Pharmacy Board.
I agree with everyone else. but my PM doc is in Delaware.
He has tried everything in the book to help me but he gave me meds at the same time.
Now all i go for is maybe a epidural 2 times a year (i think to make him happy) and for him to dispense my meds.
He did have me at one time go back to my family doc to rx them as his policy is after they get u stabled and the right combination of meds they would like your family doc to take over the rxing.
Only thing is my family doc changed my meds andd I had a heck of a time, plus withraw so she said I should probably go back to PM doc.
Pm doc said he usually doesnt do this but since i have been seeing him for 3 yrs and my neurosurgeon is actually a very good friend of his he agreed to do my meds for me. I just call them once a month for script, and see him every 4 months for follow up unless i need to see him sooner.
U can Pm me for name (do they have that on this site?) as I don't like to give out this info on the web for everyone to see.
let me know if i can help u, and I also have a couple of names of ones in northern maryland too, and in Pa which depending on wheere u live in DE isn't that far.
The Following User Says Thank You to goawaypain For This Useful Post: diddo (08-05-2012)
just wondering if u still need names of docs in delaware. I have them for u but have seen no response since i answered this thread.
just wondering thats all, let me know, you asked the question so i thought u needed an answer (not to be snotty or anything) just curious thats all.
take care and if u already found one than good, a good pm doc is hard to find.
Dear GoAwayPain...I read your post regarding a good pm doc in Maryland...I'm about to move there and need the names of a couple of good ones! I had a c-section delivery in 2004, and since then, I have nerve damage from the epidural block, and have been seeing a neurosurgeon/pm doc. Thanks SO much...you may be the answer to my prayers!!
Last edited by christiangal77; 07-11-2005 at 02:40 PM.
Hi Christianangel. I go to the Pain Management Clinic at Kernan Hospital in Baltimore Maryland. They are part of the University of Maryland Medical System. Excellent doctors! Their phone number is: 410-448-2500. Ask for the Pain Management Clinic.
Thanks so much for the info! I'm really scared...I've been taking the same meds for about 7 months (hydro 7.5 and ibuprofen), and they're working great. I have been doing PT, and it's helping too. However, my hubby is in the military, and we have to move in the next couple of weeks! So, needless to say, I'm changing docs. I will be seeing my dr once more before we move. Is there any kind of referral he can give that explains my situation and plan of action that can be given to the doc in MD? I'm so worried the next dr will stop my meds. I have never had a problem with addiction, but I definitely think I'd be hurting without them. And advice?? I hope you're feeling well these days!
Thanks again and God bless!!
Goodmorning ChristianAngel. I didn't ask you what part of Delaware/Maryland you are moving to. Baltimore seems to be the medical hub for all of central/northern Maryland, Pennsylvania, etc. Johns Hopkins also has a Pain Management Clinic. I think that your current neuro/pain doc would need to give you a written referal: To Whom it may concern: and a copy of all your records including documentation of your current drug treatment. Having all of this will save you lots of time and effort in the long-run.