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Old 04-22-2008, 06:06 PM   #1
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Lightbulb Benefits of a PAIN MANAGEMENT DOCTOR

I thought that I would start this thread since SO MANY people seem to be in need of one and don't know all the benefits of having one. I want people to add onto this and let everyone know the benefits of seeing a PM doc and the different kinds of PM docs there are and the procedures they do. Here are the benefits that I find:

1. they have the knowledge and expertise to treat the source of pain with things other than medications

2. they have knowledge of how to use medications, usually off label, and drug cocktails to treat an individual person's pain as an individual

3. they perform procedures and injections that can dramatically decrease a person's pain

4. they have the knowledge to do testing and mri's, ct's and other things to really find the source of pain and come up with a plan to treat it

5. they can use physical therapy, exercise, meditation, biofeedback, accupuncture and other non-drug ways to treat pain

Alright everyone else chime in.

brian

p.s. forgot to add that there are usually 3 different kinds/types of PM docs
1. PM docs that do procedures and injections only - no medications

2. PM docs that only do medications and medication management

3. PM docs that do ALL OF THE ABOVE - ALL INCLUSIVE (these are the best kind to get in my opinion)

However, there are some that do the procedures, injections, and non-drug modalities and tell the PCP what to presribe and then your PCP will give you all the prescriptions.

Last edited by brianpain33; 04-22-2008 at 06:14 PM.

 
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Old 04-22-2008, 06:24 PM   #2
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Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: Benefits of a PAIN MANAGEMENT DOCTOR

Excellent thread Brian........

I'll add in the same outline format:

(1) PM Docs aren't afraid to use narcotics, where applicable. Conversely, many GPs, and even specialists, are sometimes fearful of prescribing pain meds, especially Oxycontin.

(2) Because of # 1 above, most PM Docs work hand in hand with the DEA and have implemented checks and balances in order to minimize drug abusers and diverters in their practice. Therefore, they will script powerful meds when necessary. Patients who abuse are discharged and those who divert are turned over directly to the DEA.

(3) Most of the best PM Docs are anesthesiologists, and truly understand how meds work. In addition to being a specialist in meds themselves, they have achieved additional certification(s) in pain mgt.

(4) Most PM Docs are capable and qualified to do "procedures" on site....Injections & etc.

(5) Many PM Docs require a referral from a GP or specialist. In these cases, you cannot simply call and make an appointment. This helps establish your legitimacy immediately, which ultimately improves your care. Additionally, this helps weed out abusers and diverters, which also helps protect the practice, and the patients.


Ex

Last edited by Executor; 04-22-2008 at 06:33 PM.

 
Old 04-22-2008, 07:21 PM   #3
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

I want to add that my pm doc has been a god send! He makes me feel comfortable and most of I feel like I matter rather than just a number. Thank god for pm docs...

niap

 
Old 04-23-2008, 01:38 PM   #4
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

Could you elaborate a little bit, like what you have found to be beneficial for you specifically. What makes the PM doc so much different than a PCP doctor or surgeon? This is why I started this thread to get people informed about PM docs. Let us know.

brian

 
Old 04-23-2008, 07:23 PM   #5
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

I have been seeing my internist for a long time. When my rhumatoligist more or less gave up on me i talked with my internist about options. She suggested my nerologist which specilizes in pain mangment. For me that was my best course of action. He was the best doc experaince i ever had. He communicates effectively with the other docs. He accepts labs/xrays mris and other things the other docs have done. He also if doing a procedure requires internists approval.
This has been a team approach that has worked for me at this point.

 
Old 04-24-2008, 08:15 AM   #6
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

Brian,
Great topic!

What I get from my PM.

I was sent to a PM a few years ago when I was on workers comp for an arm injury.

I was in so much pain and they really were still trying to sort some things out about the source of the pain.

The PM was really good about ordering tests to diagnos the actual source of the arm and nerve pain.
He was good about prescribing the medications that I needed. In the begining he tried several different types of meds, nerve pian meds narcotic non narcotics...until we found a combination of meds that worked for me. He also was great about giving me detailed explanations of how the different medications worked how long the half life was, what to expect with side effects. He was really great as far as keeoing me informed and educated as to what meds I was taking or procedures I would be having.

I then got better and did not need his services anymore, but I did need to detox my body from the meds. I did not abuse them, but my body still need to gradually get off the eds. The PM was great with this process as well. He kept in close contact with me and saw me in his office every week. He kept me informed and was available by phone for the duration of this process. He prescribed medication to help with the process and to keep me as comfortable as possible during the process.

Unfortunatley as most of you know after getting better from the arm thing I then was in an accident and went back to PM again for the neck injury. He has done the same with the neck injury.

Always making sure that I understand what to expect from any medications or procedures that he has done.

He is the all around type PM so I guess I am lucky with that aspect. He also is very understanding.

Chrissy

 
Old 04-24-2008, 10:21 AM   #7
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

Excellent thread Brian....I can't really add much to your list of what a good PM does, but can list what my PM does for me.....

1) Took the time at my initial visit (1hr and 20min) to really listen to me and examine me thoroughly.
2) Made an initial assessment and diagnosis.
3) Started me on specific meds (both narc and non-narc)
4) Prescribed other modalities, such as PT, etc. that would meet my specific needs.
5) Let me know he respected me and my opinions regarding my care and treatment.
6) Explained to me what a reasonable expectation would be, in terms of pain relief and ability to function.
7) Never made me feel like any question I had was stupid or unnecessary.
8) Treated me (and still does, after 8 years) with compassion, dignity and respect.
9) Works with me as a team, and adjusts my meds and treatment as needed.
10) (most important) Gave me back a quality of life that I had lost.

That is really the best way I can describe my experience with PM. I'm glad to see others here, expressing the same. My wish is that all people living with pain, have or will have this opportunity. I also wanted to add that Ex is correct about Anesthesiologists, but Physiatrists (which is my PM's specialty) also make excellent PM's. They are MD's who specialize in Physical Medicine and Rehabilitation. (PM&R)

Thanks for thinking of this Brian. cmpgirl

 
Old 04-24-2008, 10:41 AM   #8
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

Brian I'd have to argue over #4 I wouldn't trust a PM Dr. to read any of my MRI or CT's . Their job is to treat the pain .. Your specialist is responsible and more knowledgeable to read your Films . Thats what they specialize in.

But most PM Dr.'s that I have ever seen will do injections and medication , but some are to worried they will get in trouble for giving out narcotics to a person who's an addict or dealer .. I have found out if your an elderly person they will give stronger meds for their pain , and if your in your 40's or younger they tend to shy away of giving the much needed stronger meds. I have seen this first hand .. This lady who goes to my pain Dr. for her bad knee is getting way stronger meds than I am for my back ..Go figure ??

When I was in the service I got a couple tatoo's and I think they see these and think , uh O we have a druggy here... Jeesh and I never did any drug's until I hurt my back. Maybe if someone gets a good PM Dr. with a big heart they will treat them the way their supposed to.. sure hope you all do .

 
Old 04-24-2008, 10:44 AM   #9
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

Sounds like you have a wonderful Dr. May I ask your age
Quote:
Originally Posted by cmpgirl View Post
Excellent thread Brian....I can't really add much to your list of what a good PM does, but can list what my PM does for me.....

1) Took the time at my initial visit (1hr and 20min) to really listen to me and examine me thoroughly.
2) Made an initial assessment and diagnosis.
3) Started me on specific meds (both narc and non-narc)
4) Prescribed other modalities, such as PT, etc. that would meet my specific needs.
5) Let me know he respected me and my opinions regarding my care and treatment.
6) Explained to me what a reasonable expectation would be, in terms of pain relief and ability to function.
7) Never made me feel like any question I had was stupid or unnecessary.
8) Treated me (and still does, after 8 years) with compassion, dignity and respect.
9) Works with me as a team, and adjusts my meds and treatment as needed.
10) (most important) Gave me back a quality of life that I had lost.

That is really the best way I can describe my experience with PM. I'm glad to see others here, expressing the same. My wish is that all people living with pain, have or will have this opportunity. I also wanted to add that Ex is correct about Anesthesiologists, but Physiatrists (which is my PM's specialty) also make excellent PM's. They are MD's who specialize in Physical Medicine and Rehabilitation. (PM&R)

Thanks for thinking of this Brian. cmpgirl

 
Old 04-24-2008, 10:54 AM   #10
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

Hi Shawley: No problem...I am 46 at the moment. At least till September. My journey with CP started about 8 years ago. I wasn't lucky, right out of the gate in terms of PM, but found this doc about 1 year into it. I definitely "kissed a few frogs" in the beginning, but just kept searching until I found the prince. This brilliant and compassionate man, saved my life. He also works out of, and teaches at a large teaching hospital. I drive an hour each way to see him, but would gladly go farther, if I had to. cmpgirl

 
Old 04-24-2008, 05:08 PM   #11
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Re: Benefits of a PAIN MANAGEMENT DOCTOR

I actually do not have a PM doc but have seen one in the past and I will agree with you shawley that he was not the right doc for me considering he would not "listen" to what I was telling him and that my pain was really, really impairing my ability to live a comfortable life. Of course being a recovering addict definitely played into it and he did not trust me with anything more than Ultram, which I was telling him did not work and I hated the way I felt on it. Anyway, I found an excellent caring and extremely knowledgeable family doctor. He knows about my past history, and that I am only 34 years old, but he has me on the fentanyl patch and Percocet for BT along with Lyrica and it is the combination that is working very well at the moment. I may see a PM doc if the podiatrist that I am seeing does not do me any benefit but I am going to be getting the shoes that he recommends, just waiting for my nice government stimulus refund

brian

 
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