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Old 07-19-2012, 11:32 PM   #1
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Talking to my Dr about pain management makes me so nervous.

Hello Everyone, nice to meet you all. I am so glad I found a site that I can ask questions and have people to "talk to". I'm so sorry if my first post is long, I just really need to get this out there to people who understand.

I have had back pain almost my whole adult life. A few months ago I had 2 falls within a 3 week time frame. It really did a number on my back. I went to see my primary Dr and he did a x-ray. Gave me an Rx for some pain meds and some muscle relaxers and sent me on my way. It took a few days to get the results back so when the nurse called and said nothing was broken I was happy but I was still in so much pain that I asked if there was any way I could get a refill since he only prescribed me enough for the few days. His nurse said "Oh I don't know if he will give you more pain medication". Then I heard him in the back ground literally screaming "If it's not broken she doesn't need anything else". I was so SHOCKED that a Dr would act so unprofessional and frankly mean.

He offered me physical therapy and I accepted. After I got to thinking about it I decided to get a second opinion. I was scared to do the PT if something was seriously wrong with my back and I didn't know it. I called a Dr that I had seen all through my teens. He was wonderful to me and immediately ordered an MRI. It showed that I for sure have Arthritis in my back. Disk bulging in my L2/3, L4/5 & L5/S1. With canal narrowing in my L4/5. Good thing I didn't go for the PT Doc.

Anyway the Dr I am seeing now is really great about managing my pain. He is very understanding and patient. However it has been really scary and nerve wracking. I have seen him 3 times and each time we have adjusted my medication. First I was put on Hydrocodone 7.5/500. They took the edge off but didn't really do all that much. Now I am on Oxycodone 5mg. First it was 3 x a day. Now it is 2 in the morning and 1 twice more through out the day.

I have another appointment tomorrow because it's just not doing it. If I could take 2, 3 times a day I think we would have it down. I am just super scared to talk to him about it. I get horribly nervous going to see the Dr. Talking about pain medication makes it so much worse. I am scared he is going to get annoyed with all the adjustments and tell me that he can't help me anymore. I kind of think I need a long acting medication and then something for break through pain but I don't want to bring that up to him and I don't know how to suggest it. I been in the position where Doctors think I am drug seeking to many times. It's really unfair. I think I just need some affirmation that tomorrow will go OK.

Thank you so much for reading my very very long post.

 
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Old 07-20-2012, 02:36 AM   #2
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by MissCherrie78 View Post
Hello Everyone, nice to meet you all. I am so glad I found a site that I can ask questions and have people to "talk to". I'm so sorry if my first post is long, I just really need to get this out there to people who understand.

I have had back pain almost my whole adult life. A few months ago I had 2 falls within a 3 week time frame. It really did a number on my back. I went to see my primary Dr and he did a x-ray. Gave me an Rx for some pain meds and some muscle relaxers and sent me on my way. It took a few days to get the results back so when the nurse called and said nothing was broken I was happy but I was still in so much pain that I asked if there was any way I could get a refill since he only prescribed me enough for the few days. His nurse said "Oh I don't know if he will give you more pain medication". Then I heard him in the back ground literally screaming "If it's not broken she doesn't need anything else". I was so SHOCKED that a Dr would act so unprofessional and frankly mean.

He offered me physical therapy and I accepted. After I got to thinking about it I decided to get a second opinion. I was scared to do the PT if something was seriously wrong with my back and I didn't know it. I called a Dr that I had seen all through my teens. He was wonderful to me and immediately ordered an MRI. It showed that I for sure have Arthritis in my back. Disk bulging in my L2/3, L4/5 & L5/S1. With canal narrowing in my L4/5. Good thing I didn't go for the PT Doc.

Anyway the Dr I am seeing now is really great about managing my pain. He is very understanding and patient. However it has been really scary and nerve wracking. I have seen him 3 times and each time we have adjusted my medication. First I was put on Hydrocodone 7.5/500. They took the edge off but didn't really do all that much. Now I am on Oxycodone 5mg. First it was 3 x a day. Now it is 2 in the morning and 1 twice more through out the day.

I have another appointment tomorrow because it's just not doing it. If I could take 2, 3 times a day I think we would have it down. I am just super scared to talk to him about it. I get horribly nervous going to see the Dr. Talking about pain medication makes it so much worse. I am scared he is going to get annoyed with all the adjustments and tell me that he can't help me anymore. I kind of think I need a long acting medication and then something for break through pain but I don't want to bring that up to him and I don't know how to suggest it. I been in the position where Doctors think I am drug seeking to many times. It's really unfair. I think I just need some affirmation that tomorrow will go OK.

Thank you so much for reading my very very long post.
Welcome!! Sorry that you are not getting adequate relief. I know it is a nerve wrecking process. Welcome to the world of pain patients. We all have been on that end where you are scared to tell the doctor that your still hurting not sure if they will label you. Unfortunately that is just the risk we have to take. If you are not getting pain relief then you are still in the same situation you were in before. Miserable. When you first start going to a pain doctor the first few months is trial and error. They will change it and that is normal. They are trying to play around and see what is going to work. I really believe that he won't look at you that way. But at this point all you can do is tell him. Be honest with him and tell him how you really are feeling. Explain to him when it seems to get worst. Have you tried ice/hot packs, TENS unit, etc. It still shocks me how many people are going through the anxiety and fears of being honest with their pain doctors due to them labeling us. I think it is so not fair to us who really need the doctors help. Then the ones who don't never get labeled. The system is so backwards. Let me know how your appointment go. Good luck! Muah!
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Old 07-20-2012, 04:17 AM   #3
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Re: Talking to my Dr about pain management makes me so nervous.

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Welcome!! Sorry that you are not getting adequate relief. I know it is a nerve wrecking process. Welcome to the world of pain patients. We all have been on that end where you are scared to tell the doctor that your still hurting not sure if they will label you. Unfortunately that is just the risk we have to take. If you are not getting pain relief then you are still in the same situation you were in before. Miserable. When you first start going to a pain doctor the first few months is trial and error. They will change it and that is normal. They are trying to play around and see what is going to work. I really believe that he won't look at you that way. But at this point all you can do is tell him. Be honest with him and tell him how you really are feeling. Explain to him when it seems to get worst. Have you tried ice/hot packs, TENS unit, etc. It still shocks me how many people are going through the anxiety and fears of being honest with their pain doctors due to them labeling us. I think it is so not fair to us who really need the doctors help. Then the ones who don't never get labeled. The system is so backwards. Let me know how your appointment go. Good luck! Muah!
Thank you so much for your reply.

I am not seeing a pain management doctor, this is just my primary. We have not gotten that far yet. I have only been seeing him around a month and a half. I am waiting for an appointment with the spine specialist.

I have done heat/ice. Muscle relaxers, anti inflammatories. Everything that is considered normal for an injury I guess. I will for sure let you know how everything goes.

 
Old 07-20-2012, 04:53 AM   #4
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by MissCherrie78 View Post
Thank you so much for your reply.

I am not seeing a pain management doctor, this is just my primary. We have not gotten that far yet. I have only been seeing him around a month and a half. I am waiting for an appointment with the spine specialist.

I have done heat/ice. Muscle relaxers, anti inflammatories. Everything that is considered normal for an injury I guess. I will for sure let you know how everything goes.
I still think a course of PT WOULD help you out! When you go see a specialist, they are likely going to recommend you first try PT. If that doesn't help the pain, they will want to move on to epidural steroid injections. If that doesn't help then you will probably be a candidate for pain management. From what you've told us about your MRI, it doesn't sound like you will be a surgical candidate at this time. But that's a good thing!!
I understand it's hard to discuss pain meds with Drs! They sometimes act like all patients are drug seekers! I think they will want to hold off on the long acting meds until you've passed those other steps in treatment. And most regular drs won't prescribe long acting meds anyway, they refer those patients to pain management.
BUT, while going through your treatments it's still important for you to stay on top of your pain. It sounds like you have a good dr you're dealing with. Just be honest with him and tell him your thoughts that 1 pill isn't working and you need 2 for each dose. You deserve to get adequate pain relief! It's your right! I think as long as you're honest with your dr you will be ok!
When do you see the specialist? Keep us updated, ok??

 
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Old 07-20-2012, 05:11 AM   #5
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Re: Talking to my Dr about pain management makes me so nervous.

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I still think a course of PT WOULD help you out! When you go see a specialist, they are likely going to recommend you first try PT. If that doesn't help the pain, they will want to move on to epidural steroid injections. If that doesn't help then you will probably be a candidate for pain management. From what you've told us about your MRI, it doesn't sound like you will be a surgical candidate at this time. But that's a good thing!!
I understand it's hard to discuss pain meds with Drs! They sometimes act like all patients are drug seekers! I think they will want to hold off on the long acting meds until you've passed those other steps in treatment. And most regular drs won't prescribe long acting meds anyway, they refer those patients to pain management.
BUT, while going through your treatments it's still important for you to stay on top of your pain. It sounds like you have a good dr you're dealing with. Just be honest with him and tell him your thoughts that 1 pill isn't working and you need 2 for each dose. You deserve to get adequate pain relief! It's your right! I think as long as you're honest with your dr you will be ok!
When do you see the specialist? Keep us updated, ok??
Hello.

I really appreciate your reply. I 100% agree with you. I would be more than happy to do PT if this Dr ordered it for me. My comment on the PT was due to the fact that it could have been dangerous for them to do without knowing the full extent of what's going on in there. Does that make sense?

My current Dr asked me how far I wanted to take the treatments and I told him that I was willing to try anything that he recommended to me. He talked about the injections and also ablation. Surgery on my back scares the living crap out of me so I am pretty thankful I am not a candidate. lol

I am not sure when I go see the specialist. He sent them a referral for me but I have not heard from them yet. Something else I have to mention to him tomorrow.

Again thank you for your reply.

 
Old 07-20-2012, 05:25 AM   #6
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by MissCherrie78 View Post
Hello.

I really appreciate your reply. I 100% agree with you. I would be more than happy to do PT if this Dr ordered it for me. My comment on the PT was due to the fact that it could have been dangerous for them to do without knowing the full extent of what's going on in there. Does that make sense?

My current Dr asked me how far I wanted to take the treatments and I told him that I was willing to try anything that he recommended to me. He talked about the injections and also ablation. Surgery on my back scares the living crap out of me so I am pretty thankful I am not a candidate. lol

I am not sure when I go see the specialist. He sent them a referral for me but I have not heard from them yet. Something else I have to mention to him tomorrow.

Again thank you for your reply.
Ahhhh!!!! Yes, now I see what you mean!!! You didn't want the PT without first having the MRI! Gotcha!!
Without actually seeing your MRI report I can't guarantee you aren't a candidate, I'm just saying from what you've said it doesn't sound like you would need surgery. But that's not to say you arent in pain!! Those things can definitely cause pain. The good thing is sometimes bulging discs can sometimes resolve themselves. Not saying it will happen for you but I had a bulging disc, and a couple years later my MRI showed the disc no longer bulging, ( but by that time I had other worse injuries at other levels).
Well good luck to you and keep us posted!!

 
Old 07-20-2012, 05:30 AM   #7
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Re: Talking to my Dr about pain management makes me so nervous.

Yep, that's what I meant.

So sorry I am neurotically replying to this post. This is what I do when I get super nervous. I read stuff online to pass the time.

 
Old 07-20-2012, 05:39 AM   #8
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Smile Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by MissCherrie78 View Post
Yep, that's what I meant.

So sorry I am neurotically replying to this post. This is what I do when I get super nervous. I read stuff online to pass the time.
No worries!!. I'm the exact same way!!!

 
Old 07-20-2012, 07:51 AM   #9
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Re: Talking to my Dr about pain management makes me so nervous.

I am rooting for you. I am your cheerleader. You talk to your doctor and just be honest. You can do it!!! Okay I can understand why you are nervous now because I understand how doctors don't like to prescribe pain meds when they don't specialize in pain management. The pain doctors label patients so I know how the other docs can sometimes be. But I have learned through the years that being up front is the best. Like someone already said PT may also help.but that is still in the air. Keep me posted and let me know how you are feeling. I am just positive that things will start to get better! Muah!
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Last edited by luvinmusiq; 07-20-2012 at 08:09 AM. Reason: additional info

 
Old 07-20-2012, 04:03 PM   #10
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Re: Talking to my Dr about pain management makes me so nervous.

Hi everyone,

I just wanted to let everyone know that I went to the Dr and everything went very smoothly. I got the med increase I needed and an Rx for Lyrica. So I as usual was stressed and nervous over nothing.

Thank you all very very much for all the support you gave me.

 
Old 07-20-2012, 06:26 PM   #11
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by MissCherrie78 View Post
Hi everyone,

I just wanted to let everyone know that I went to the Dr and everything went very smoothly. I got the med increase I needed and an Rx for Lyrica. So I as usual was stressed and nervous over nothing.

Thank you all very very much for all the support you gave me.
I'm glad you got the increase you needed. I hope it helps with your pain levels.

 
Old 07-21-2012, 12:27 AM   #12
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by MissCherrie78 View Post
Hi everyone,

I just wanted to let everyone know that I went to the Dr and everything went very smoothly. I got the med increase I needed and an Rx for Lyrica. So I as usual was stressed and nervous over nothing.

Thank you all very very much for all the support you gave me.
That is great Misscherry! See like I said in the beginning you will have to change meds, increase meds, or add additional meds.They have to find out what works best for you. Hopefully you will start to feel some relief. Best Wishes! Muah!
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Old 07-24-2012, 12:19 AM   #13
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Re: Talking to my Dr about pain management makes me so nervous.

I can totally relate to this thread. Although my Dr, is nice it's hard for me to discuss meds with mine too...on the first visit he said the DEA looks at me(THe DR) like a dealer and your the buyer...it really offended me...but he is right I guess that seems to be what the DEA is all about...my problem is the nurse and staff...they are rude and treat all the paitents like drug seekers...I get my lyrica medication free through Phizer BUT the paperwork has to be done by his office nurse...well she is such a Bit%CH she refuses to do it luckily my primary care physician said she would be glad to do it for me....I live in a small town and I just bite my tongue and go get my scripts every 3 months....its awful that some Dr's and thier nurses really should not be in that profession at all.!

Last edited by GaNeal; 07-24-2012 at 12:19 AM.

 
Old 07-24-2012, 12:46 AM   #14
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by GaNeal View Post
I can totally relate to this thread. Although my Dr, is nice it's hard for me to discuss meds with mine too...on the first visit he said the DEA looks at me(THe DR) like a dealer and your the buyer...it really offended me...but he is right I guess that seems to be what the DEA is all about...my problem is the nurse and staff...they are rude and treat all the paitents like drug seekers...I get my lyrica medication free through Phizer BUT the paperwork has to be done by his office nurse...well she is such a Bit%CH she refuses to do it luckily my primary care physician said she would be glad to do it for me....I live in a small town and I just bite my tongue and go get my scripts every 3 months....its awful that some Dr's and thier nurses really should not be in that profession at all.!
Yes, I agree with you 100%. I have seen too many times with myself and other patients how rude and judgmental they can sometimes be. And the messed up part is they get away with it because they know they have the upper hand. It is so hard to find a "good" pain management doctor that you sometimes deal with being mistreated. Sad but true reality.
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Old 07-24-2012, 04:09 AM   #15
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Re: Talking to my Dr about pain management makes me so nervous.

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Originally Posted by GaNeal View Post
I can totally relate to this thread. Although my Dr, is nice it's hard for me to discuss meds with mine too...on the first visit he said the DEA looks at me(THe DR) like a dealer and your the buyer...it really offended me...but he is right I guess that seems to be what the DEA is all about...my problem is the nurse and staff...they are rude and treat all the paitents like drug seekers...I get my lyrica medication free through Phizer BUT the paperwork has to be done by his office nurse...well she is such a Bit%CH she refuses to do it luckily my primary care physician said she would be glad to do it for me....I live in a small town and I just bite my tongue and go get my scripts every 3 months....its awful that some Dr's and thier nurses really should not be in that profession at all.!
I swear there is always someone in the office that is rude. My last Dr it was the receptionist. This Dr. it's the nurse. The first time she went in she was a total ***** to me. Like "Oh, a back pain pt AGAIN". It drives me crazy. I'm a Medical Assistant (not working right now) and I NEVER treated people like that. I had my suspicions about people all the time but that's NOT my job to decide. Everyone deserves to be treated with the same amount of respect and friendliness.

Don't even get me started on the DEA. This might not be a popular opinion so I'm sorry if I offend you. However they need to keep themselves OUT of my medical care and on the streets busting the real criminals. 95% of doctors give out pain medication in good faith. The the other 5% are in for it for the money and don't care if the medications they are prescribing are getting sold.

The DEA needs to find a different way of tracking down this 5% and leave the doctors who are trying to help people alone. It's crazy to me to think that I was a teenager in the 90s (NOT saying this is all teenagers, not by a long shot) and I lived with my grandparents. They had TONS of Rx medication in the house. I never thought once to touch any of it. I don't know where I am going with this other then the DEA are handling this "crack down" in a totally wrong fashion.

Last edited by MissCherrie78; 07-24-2012 at 04:17 AM.

 
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