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Old 10-22-2007, 10:37 PM   #1
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Question Doctors will not prescribe anything for pain? what do i do?

I have severe chronic lower back pain.

I am 30 years old.

MRI shows a black buldged disc nearest to my tailbone and disc-o-gram showed that it was not bad enough to operate and then diagnosed me with Facet Joint arthritis. I have been receiving Facet Joint Injections for about a year and it provides very little but some relief. My pain is almost a 10 scale at times. It aches constantly and I have no mobility. I lose a lot of sleep due to the pain.

I have lost my employment due to this condition and have government assisted medical insurance. All doctors and specialists prescribe is zanaflex and naproxen. I have been to the ER several times and they prescribe a narcotic to help and it does much more than injections and muscle relaxants. what do i do to fight this pain and get proper treatment with medications?


Thanks

 
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Old 10-23-2007, 12:40 AM   #2
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Re: Doctors will not prescribe anything for pain? what do i do?

If there is any way you can keep from getting on narcotics at this young of an age, please do it! Have you tried physical therapy? Or even alternative medicines like accupuncture may sound kind of hokey, but they work for many many people. It is just a bad idea to begin taking pain meds now. The condition you have is likely to worsen with age and what will you do then after you've already taken (and most likely become addicted) to narcotics? There will not be many options for you. Honestly, although many people don't think they do, most doctor's know what they are doing. The muscle relaxants actually go in and relax your spasming back muscles and then the naproxen helps with the inflammation. All pain medicine does is go into your brain and block the pain pathway. You are still hurting, you're brain just doesn't allow you to know it. Your best bet is to try physical therapy or another conservative method and try to find a job that you can do that isn't so hard on your back. Not working and getting any kind of exercise is doing nothing for your back pain and in all honesty is making it worse.

Please trust me on this. Sign me:
Been there, done that

Last edited by Administrator; 10-26-2007 at 06:53 PM.

 
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Old 10-23-2007, 01:24 AM   #3
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Re: Doctors will not prescribe anything for pain? what do i do?

Deleted inaccurate and incomplete info. Read the rules.


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<JCAHO> is not a law and it does not effect a doc in private practice that doesn't need the JCAHO and doesn't qualify for govt funding. The JCAHO has no control over a private practice or out patient prescribing.

If there was actualy a law that forced docs to prescribe enough opiates to satisfy every patients desire, every junkie in the country would line up at the ER, every 4 hours for their fix because acording to that missinterpretation the docs would be sued for malpractice if they don't pass out shots of morphine like candy to everyone that claimed to be in pain.

The Joint Commission on Accreditation of Healthcare Organizations requirement to monitor and treat pain is a guidline, not a law. It only effects in patient institutions seeking JCAHO accreditation and continued public funding. Please read the article before sugesting you can bring a malpractic suite against any doc for not prescribing adaquate pain meds to anyone that asks. That idea fuels the sense of entitlement that will get you nowhere with a doc in private practice.

Some PM docs use opiates, some don't. Some use a multi faceted approach ,and there are plenty of pill pusher that make a living knowing once your dependent they have a patient for life. If you suggest you have a right to opiates and will sew a doc if he doesn't give you what you want, you will be laughed out the building and labeled a drug seeker.

If your present doc isn't managing your pain, change docs, find a PM clinic, keep trying alternatives untill you find what works for you. Of couse a shot of morphine helps, but it doesn't mean it's your only choice. Don't waste your time loking to get revenge on a PM doc that simply doesn't believe in the use of opiates for chronic pain, it's not mal practice to believe the use of opiates causes more harm than good. He has his right to his opinion and there is no law that forces a doc to prescribe any drug to anyone he isn't comfortable with.

Prior to the invention of oxyContin, opiates weren't used on anyone that wasn't terminal or didn't just have surgery. There are dozens of alternatives to opiates and it's up to you if you want to shop for a doc that will give you anything you ask for or one that will do anything he can to help you learn to cope with pain that can't always be relieved by a big dose of opiates.

Good luck and forget the law suite .
Dave


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Last edited by Administrator; 10-26-2007 at 06:51 PM. Reason: posted inaccurate info. Do not tell others what may be posted.

 
Old 10-23-2007, 05:58 PM   #4
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Re: Doctors will not prescribe anything for pain? what do i do?

I am 33 and have pain which sounds at least similar to yours. My pain hurts most at night...because the nerves are depressed (compressed??) when I lay down. It is NO FUN...I know. We are also trying to fend off surgery as long as possible.

I have had so much luck with injections and anti-flams..really, I have. However, there are times when nothing but a Lortab will knock it out...period. And at those times, I am so greatful to have a doctor who understands this.

I agree avoiding narcotic medication for as long as you can is a good idea...and I don't think age makes a difference on that one. It is a "playing with fire" situation which has to be juggled very carefully. However, when you need refief, it is worth the juggle....

 
Old 10-23-2007, 08:21 PM   #5
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Re: Doctors will not prescribe anything for pain? what do i do?

Quote:
Originally Posted by HappyFlower View Post
I am 33 and have pain which sounds at least similar to yours. My pain hurts most at night...because the nerves are depressed (compressed??) when I lay down. It is NO FUN...I know. We are also trying to fend off surgery as long as possible.

I have had so much luck with injections and anti-flams..really, I have. However, there are times when nothing but a Lortab will knock it out...period. And at those times, I am so greatful to have a doctor who understands this.

I agree avoiding narcotic medication for as long as you can is a good idea...and I don't think age makes a difference on that one. It is a "playing with fire" situation which has to be juggled very carefully. However, when you need refief, it is worth the juggle....
Happy Flower, that is exactly how it should be. You do conservative methods that control your pain most of the time, and of course there will be times that a narcotic is needed. If you take 5, 15, 20 pain pills a month, you will not become addicted and your dr will know that you are not a drug seeker. The dr's appreciate people like you who try other alternatives. Although narcotics are definitely needed at times, there are not to be the entire treatment option for a condition. As I've said, they only mask the pain. They do absolutely nothing for the cause of it.

 
Old 10-24-2007, 04:02 AM   #6
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Re: Doctors will not prescribe anything for pain? what do i do?

I have been on opiate medications for pain for almost 15 years. I tried many other things first, including nothing but over the counter meds and pt.

I take 90 lortab 7.5 and 240 tramadol a month and have done so for over 10 years. I am physically dependent on my medication, if you take it away, I will get sick and go through withdrawal.

But I am not an addict. I dont steal, lie, or take more than I am prescribed. I have never 'lost' a prescription (or dropped it in the fish tank or toilet) If my doctor stopped prescribing for me tomorrow, I would try hard to find another doctor, but I would not turn to street drugs or buying them off the internet.

The incidence of addiction in chronic pain patients is actually very low. If I were you, I would try and find a new doctor, one who wants to try lots of things is always best. You wouldnt want a doctor that only prescribed opiates without treating your diet, exercise, and mental health any more than you should want one that wont prescribe them at all.

While it is good to know the law and the guidelines doctors follow, I would not suggest telling any doctor he HAS to prescribe for you, you'll get laughed out of his office.

Try interviewing a doctor and look for one that you have a good relationship with, that you trust. dont accept any narcotic prescriptions until you have made your choice and locked in with the doctor you like best.

Good luck and please post again and let us know how it goes, what one of us learns, we can all benefit from.

Your Friend, Fabby

 
Old 10-24-2007, 05:57 AM   #7
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Re: Doctors will not prescribe anything for pain? what do i do?

Rome, thank for your post. I feel the same way you do and I am glad you clarified what you were trying to say. your information was very helpful to me and I thank you for the information. I did not feel your original post was what it was interpreted as and I am glad you clarified yourself in the manner in which you did.

SS

 
Old 10-24-2007, 06:04 AM   #8
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Re: Doctors will not prescribe anything for pain? what do i do?

Quote:
Originally Posted by Fabrashamx View Post
I
But I am not an addict. I dont steal, lie, or take more than I am prescribed. I have never 'lost' a prescription (or dropped it in the fish tank or toilet) If my doctor stopped prescribing for me tomorrow, I would try hard to find another doctor, but I would not turn to street drugs or buying them off the internet.
Your comment reminded me of something that happened to me. Shortly after my lumpectomy, I was getting these weird jerky twitch things, where I would be just standing there and I would jerk so violently that I would just about jerk myself right off a chair, or if I was drinking I would end up wearing my drink. One day I went to take my meds. My pharmacist, had put them in a different bottle that month (first he didn't use the child proof lid for some reason, and second they were in these new funky patent pending prescription bottles that kmart had at one time but that never caught on). I was just starting to pop the top and I jerked and the bottle went in the toilet. It wasn't totally open but I think the way the bottle was designed, and the lid being just loose enough where some water got in the bottle. A little water in those bottles make oxicodone expand and turn to mush. Well needless to say, I felt a little scared to go into my doc and say my script fell in the toilet (it is a little like saying the dog ate my homework). Fortunately, the pills were still in the bottle and a few were still legible, so I was able to show her and then turn it over to the pharmacy for them to document and destroy. The doc said that was the first time that someone was able to actually prove that the script fell in the toilet and she was also mildly grossed out about it. LOL

So now as a rule, I go nowhere near sinks, toilets, vents, windows, etc!

 
Old 10-24-2007, 09:59 AM   #9
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Re: Doctors will not prescribe anything for pain? what do i do?

LOL on the toilet thing, OMG I'm really glad your doctor was okay with that, I feel so sorry when something like that happens to one of us here, and I know there have been many people who have had meds stolen or what have you, and its terrifying, because, like you said, it sounds so much like 'the dog ate my homework'', lol.

Lots of us here have lost meds one way or another through no fault of our own, and unfortunatly the concensus seems to be that most of us (me included) would be too scared to tell our doctors and would try and tough it out until the next fill.

I had a pharmacy short me by about 40 tramadol once, and I called the pharmacy and they were very rude and condesending and implied I was lying. I was able to make what I had last, which is good, if I hadnt noticed and run out early I could have had a seizure. I never told the doctor and I switched pharmacys. I tried to tell them, jeeze, if I was going to lie, wouldnt it be about the hydrocodone and not the ultram? I think they had an employee theft problem, that or really shoddy record keeping, Once I got home and had a strangers script in my bag! my 3 were there, and in the same bag, there was a strangers meds. I took it back and they were like ohhhh snap, lol but how can they act all high and mighty when I had seen them make such a huge mistake?

The strangers script was a narcotic, too, and I'm sure if I hadnt returned it, they would have yelled at the poor man that he already picked it up.

What bugs me the most is that this isnt a deli that messes up a sandwich order, they could kill someone by their shoddy work and never wanting to admit a mistake.

I like the pharmacy I have now, and besides they have my most expensive med on their $4 generic plan which was a life saver when I lost my medical insurance.

Sorry this is so long~Fabby

 
Old 10-24-2007, 12:13 PM   #10
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Re: Doctors will not prescribe anything for pain? what do i do?

Just a quick update!

Let me explain some more stuff about my situation. First of all not that I have to explain the pain I feel cause no one knows what I feel but 4 years ago I had a hereditary illness attack of Pancreatitis which leak acids over my internal organs and nearly died. I was on every medication known to man in ICU and had tubes running down my nose draining my stomach, had setup pneumonia, a hospital infection and lost nearly 40 pounds in 10 days not to mention my bowels were paralyzed and leading up to that attack i was extremely fit, healthy and athletic.

Now that being said my back is screwed up bad and hurts bad. Pancreatitis was a 10+ and my back at times is almost close to that.

This morning I went to orthopedic specialist for a procedure and its SUPPOSE to be a pian management place. They went in and numbed my nerves in my back. A procedure they said they had to do twice before they could burn the nerve out which sometimes relieves pain for a year until the nerve grows back. They asked me what kind of pain medicine I was on, and i told them none at the moment. They were in shock! I said my family md will not prescribe them because I am seeing you "the specialist". They replied and said they only did procedures that my family doctor had to prescribe me pain medicine.

So i called my family md and told them it will be atleast 2 months before the nerves would be burned could i possible get something for all my pain and they refused? What in the @#$&#37; do i do? I am 6'4" 250lbs and in tears constantly? I do not where to go to get medicine for only 2 months?

Last edited by SpongeBobby; 10-24-2007 at 12:14 PM.

 
Old 10-24-2007, 03:12 PM   #11
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Re: Doctors will not prescribe anything for pain? what do i do?

SpongeBob-
Did you tell your family doc that the clinic wants them to carry your meds? The may have thouhght you were trying to get meds twice, because it seems the specialist should have presecribed it for you and let your family care take over or refer you out to a pain clinic. Did you try asking the specialist to call your family care doc and tell them the situation? Sometimes docs are lazy and you need to light a fire under their butt. Call the specialist and tell him you are in pain and need to be treated but the family doc wont prescribe because they might not understand why so can they please call and explain the situation as well as recommend a med. The family doc may not be familiar with pain meds and not know how to even write a script for them. I know that sounds strange, but some family docs just don't prescribe them that much. Especially in small towns. If this doesn't work, find a new doctor.

Your biggest problem is you live in Kentucky where doctors are on RED ALERT after your Attorney General Greg Stumbo sued the manufacturer of Oxicontin or as he calls it "hillbilly heroin" seeking reimbursement for costs incurred in drug abuse programs, extra law enforcement and prescription payments. So you may have been profiled. I hate to say that, but that site I was talking about in my earlier post talked about how common it is to be profiled as someone who looks or acts like a drug seeker. There is a fine line with that because when someone is in pain, it can often look and feel like drug seeking behavior. Both types want the drugs equally as bad for 2 different types of pain. Some docs are just not trained enough to know the difference. And being from KY it is just all the more reason that this may be the case.

Just FYI if you want to know the guidelines that the docs must follow in KY you can go to this EDU site [url]http://www.medsch.wisc.edu/painpolicy/domestic/states/KY/kymbguid96.htm[/url] to see what the docs have to do. It seems KY is pretty strict and don't have the same laws that CA does that protects docs allowing them to be more liberal. That couple with the existing problem in KY already with drug seekers, you are going to have issues.

Just keep trying. Don't waste your time too much if you keep meeting resistence. There are plenty of good docs out there who wil want to help, but it takes work finding them. Just stay informed, and stay strong and you will be successful. I WISH YOU LUCK MY FRIEND! Hope my super long post helped some...

 
Old 10-26-2007, 06:20 AM   #12
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Re: Doctors will not prescribe anything for pain? what do i do?

That is some cool info. I have been reading your posts and your story is similar to mine. You have collected some really helpful information. I am not very good at browsing the internet so I depend on people like you and some of the others for the information. Thanks for sharing!

Last edited by moderator2; 10-26-2007 at 02:08 PM.

 
Old 11-03-2007, 02:20 PM   #13
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Re: Doctors will not prescribe anything for pain? what do i do?

Quote:
Originally Posted by Fabrashamx View Post
LOL on the toilet thing, OMG I'm really glad your doctor was okay with that, I feel so sorry when something like that happens to one of us here, and I know there have been many people who have had meds stolen or what have you, and its terrifying, because, like you said, it sounds so much like 'the dog ate my homework'', lol.

Lots of us here have lost meds one way or another through no fault of our own, and unfortunatly the concensus seems to be that most of us (me included) would be too scared to tell our doctors and would try and tough it out until the next fill.

I had a pharmacy short me by about 40 tramadol once, and I called the pharmacy and they were very rude and condesending and implied I was lying. I was able to make what I had last, which is good, if I hadnt noticed and run out early I could have had a seizure. I never told the doctor and I switched pharmacys. I tried to tell them, jeeze, if I was going to lie, wouldnt it be about the hydrocodone and not the ultram? I think they had an employee theft problem, that or really shoddy record keeping, Once I got home and had a strangers script in my bag! my 3 were there, and in the same bag, there was a strangers meds. I took it back and they were like ohhhh snap, lol but how can they act all high and mighty when I had seen them make such a huge mistake?

The strangers script was a narcotic, too, and I'm sure if I hadnt returned it, they would have yelled at the poor man that he already picked it up.

What bugs me the most is that this isnt a deli that messes up a sandwich order, they could kill someone by their shoddy work and never wanting to admit a mistake.

I like the pharmacy I have now, and besides they have my most expensive med on their $4 generic plan which was a life saver when I lost my medical insurance.

Sorry this is so long~Fabby

 
Old 11-03-2007, 02:47 PM   #14
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Re: Doctors will not prescribe anything for pain? what do i do?

I have never been shorted pain pills in over 20 plus years by any pharmacy from Percocets, Oxycontin 80's to Mscontin and morphine IR. I learned years ago to hide my pills, not tell people I took pills, and; it is best to get a safe. The real trick is to keep thieves and anyone who has ever abused pills out of your house.

Yes, I had pills stolen in late 1999 to 2000 when I moved my lawn on a riding mower. My fiance and her 15 year old son moved into this homy. My fiance, now my wife, came home early. The 15 year old had 10 mg diazepam all over the floor plus he was high as a georgia pine.

The daughter is a known thief and drug abuser and dealer. I do not allow either in this house. My wife hates drugs, so; no problems anymore. I have never bought a pill on the street. I doubt a Lortab could touch a pain level of 10. A pain level of 10 is having two bullet holes through you with severe muscle, nerve, and other damage. A 9 pain level to me might be awaking after a radical lamenectomy with pedicle rods, plates and screws just inserted. Any 10 pain level would cause shock, in my experience. I have gone into shock from bullet wounds and femoral artery damage. An 8 is real pain. Please tell your MD's how you base pain. If not they may think you are exaggerating or understating.

 
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