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Old 04-18-2011, 08:55 AM   #1
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I will see a new Pain management doctor and have two questions

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I have been having pain on my left shoulder and arm for more than a year. I did a MRI recently and need to get a diagnosis and treatment. I will see a new Pain management on Thursday but have two questions here.

1) My shoulder MRI reportís impression is : Mild multilevel degenerative disc disease ( brief)
I have done twice general injections on my shoulder and arm and already removed about 80-85% pain but just this arm is not able to raise without pain until touch my head. The pain management doctor who I recently had seen is not able to do Epidural injection, that is why I want to see a
new doctor. But donít know if Epidural can helps degenerative disc disease.

2) I also have been having left leg pain for three years since I was found spine disc herniation.I have done a lot of treatments but none of them can help. I like to know if most of Pain management doctors allow patient to talk two similar diseases at same appointment or donít?
If the answer is NO, I have to arrange what is major disease I need him to treat.

Thanks!
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had herniated disc in L5 s1 five years ago, have
had persistent right leg until now.
have Osteoporosis, subacute thyroidits.

 
Old 04-18-2011, 10:43 AM   #2
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Re: I will see a new Pain management doctor and have two questions

I have DDD in back, arthirits in both knees and arthritis/bursitis in my right shoulder. My PM discusses anything I need to talk about in one appointment. This morning, at my meds management appointment, we discussed everything that hurts. I stopped going to one ortho because they only talked about one area per visit. I can't afford to go every day to talk about my right knew, left knee, shoulder, back hips etc. My insurance forces me to do my medication one time and go back to get any injections. I used to be able to do both at same visit and only pay 1 co pay

 
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Old 04-20-2011, 07:30 AM   #3
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Re: I will see a new Pain management doctor and have two questions

Your PM is pretty nice but not every doctor like that. Sometimes when you start to talk about your second condition, He/she will show no patience on his face and make you had to stop talking this topic. You have to come one more time.

Thanks!
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had herniated disc in L5 s1 five years ago, have
had persistent right leg until now.
have Osteoporosis, subacute thyroidits.

Last edited by efang; 04-20-2011 at 07:45 AM.

 
Old 04-20-2011, 08:58 AM   #4
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Re: I will see a new Pain management doctor and have two questions

Efang, PMs are used to treating PAIN-and that is usually all over the obdy, not in just one spot. Because my back broke after the first surgery, I have little feeling in my left leg and foot. My PM treats this area as well as my back. It hsouldn't be limited to kjust one area a visit. When you put those meds in your mouth and swallow, they attack the pain wherever they find it, not just in one area. Does that make sense? Pain is pain. you can't separate it to just one area at a time....or so I thought.

 
Old 05-30-2011, 02:17 PM   #5
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Re: I will see a new Pain management doctor and have two questions

I will see my Pain Management doctor tomorrow. Last time he told me since my new MRI report shows that “ the previously noted small disc protrusion at L5_S1 Is now smaller. “ No any surgeon will suggest surgical to me now unless doing a big fusion. He said If Epidural can’t help me , he suggest me to Physical therapy, but actually I had done PT already many times and it couldn’t help me.I suspect there is another reason to cause my leg pain such as muscle diseases because I found knee support can help me a little if I wear. I can feel the pain is not much.I hope my doctor can diagnose this point.
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had herniated disc in L5 s1 five years ago, have
had persistent right leg until now.
have Osteoporosis, subacute thyroidits.

Last edited by efang; 05-30-2011 at 05:37 PM.

 
Old 05-30-2011, 02:50 PM   #6
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Re: I will see a new Pain management doctor and have two questions

You need to be seeing an Orthopedic or Neurosurgeon....A Pain Mgmt Dr. is there to help with your pain...not diagnose it...he can do injections...offer PT...medicines...recommend counseling....a lot of methods to help you deal with it...

So don't expect him to be solving this for you...It may be his recommendation based on looking at your films that you probably need a fusion....but you need to see the actual Dr. that deals with the spine to get a true diagnosis and where to go from here...

 
Old 05-30-2011, 05:58 PM   #7
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Re: I will see a new Pain management doctor and have two questions

I knew that. Actually I already had seen several Orth and Neuro in the past several years. It is said the PM doctor I am seeing is skilled in a broad scope of non-surgical pain management techniques, including fluoroscopic-guided injections, radiofrequency neurotomy, Prolotherapy and a range of other advanced procedures. His expertise equips him with the most effective methods for treating acute and chronic musculoskeletal disorders. So I hope I can listen a non-surgery doctor's opinion first , I don't need to worry about that his opinion is based on business purpose.
__________________
had herniated disc in L5 s1 five years ago, have
had persistent right leg until now.
have Osteoporosis, subacute thyroidits.

Last edited by efang; 05-30-2011 at 06:42 PM.

 
Old 06-02-2011, 01:02 PM   #8
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Re: I will see a new Pain management doctor and have two questions

Just curious, Ilovemycutedog, are you a physician?

 
Old 06-03-2011, 12:52 PM   #9
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Re: I will see a new Pain management doctor and have two questions

Nope...Just a chronic pain patient for 10 years....and 3 cervical fusions in my history...as well as I have gotten to be friends with my PM Dr. outside our appts. and have learned so much from him on the other side of the coin...what it's like for them and what they are looking for in a pain patient to be a part of the 'team' to help with their pain...

So..I am only speaking from my perspective and what I have learned...not trying to tell anyone what they have to do...that is between them and their Dr....

 
Old 06-05-2011, 12:59 PM   #10
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Re: I will see a new Pain management doctor and have two questions

I saw my PT doctor on May 31, the diagnosis he gave to me is “ L5_s1 radiculitic” , He insisted I take second Epidural this time regardless I told him I had did 4 times in the pass two years and hadn’t got any Help. He said the different doctor may use different location to make injection. I have no reason to refuse and had to accept. He said if Epidural is not able to help me , He suggest I go back to Physical therapy because he think it can strengthen my back muscle and release pain . I searched the web and knew “ nerve radiculitis” means nerve inflammation at the root, I don’t understand why the strengthened muscle can help and hope if Someone can tell the reason.

Thanks!
__________________
had herniated disc in L5 s1 five years ago, have
had persistent right leg until now.
have Osteoporosis, subacute thyroidits.

Last edited by efang; 06-05-2011 at 01:03 PM.

 
Old 06-05-2011, 09:26 PM   #11
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Re: I will see a new Pain management doctor and have two questions

efang-pain is pain-your dr will treat your pain nomatter where it generates from-he specializes in the many generators of pain in a way alot of drs dont=my pain dr is simply wonerful and has helped me tremendously-just keep an open mind-there are alot of drs who would discourage you or tell you your pain is psychological so beware, my dr knows i suffer tremendously an has helped to alleviate almost 50% of my pain level-you must work with him-its a lot of trial n error but if you have a good pain specialist he will find what works best for you-there is no cookie cutter resolution in pain mngt-but together i can asssure you there is an answer for you to for optimal pain relief
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Old 06-08-2011, 07:05 AM   #12
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Re: I will see a new Pain management doctor and have two questions

My question right now is, My PM doctor insisted me to take three times Epidural regardless I already had done 5 times in the past years with no help before I saw him on March 2011, He already did two injections to me and insisted the injections I had done before which didn't put correct location. I believe if I refuse to take third one , He maybe will unhappy, if I accept the their one , I think just waste time.
He already told me if Epidural can’t help me , he will send me to Physical Therapy . He made me surprised becasue I expect he should have some interventional pain techniques not just Epidural injection. That is why
I came to see a new PM doctor.I don’t know but maybe only Epidural can treat “ L5_s1 Radiculitis” and no more another interventional techniques can be used.
__________________
had herniated disc in L5 s1 five years ago, have
had persistent right leg until now.
have Osteoporosis, subacute thyroidits.

Last edited by efang; 06-08-2011 at 07:12 AM.

 
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