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Referred pain?

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Old 09-03-2010, 03:54 AM   #1
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Referred pain?

I have scar tissue from a discectomy pressing on my sciatic nerve. The pain is terrible and chronic. I used to be on pain killers but my old PCP tooke me off them claiming the pain is "all in my head." So I got a new PCP who as a rule won't prescribe narcotics. The main problem, and my question, is that I'm getting mild to extreme chest pains. I've go to the ER so many times I've lost count and all my heart work has come back negative.

I think it's anxiety. So I was wondering if anyone has had, or is having, similar experiences. Thanks.


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Old 09-03-2010, 04:15 AM   #2
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Re: Referred pain?

Wow Pete,I've just joined this site recently and all I am reading is how people are in pain,and doctors wont prescribe.This seems to be an awful and frightening new trend doctors are picking up on.I dont by the stuff that they have to cover themselves and watch out for dr.shoppers and junkies.The people that I have seen on this site,all have ahd actual documented proof they are in moderate-severe pain.How can that warrant it is all in your head.That is so rude and unprofessional for a doctor to even suggest.Pain can go on for years and forever for that matter.When was a time cap put on the allowance of pain and suffering an individual was to have??If these doctors were in your shoes it would be a completely different story.Check around your area for pain management clinics.I'm sure there has to be a doctor willing to help you.And yes,it is very likely you are having stress related symptoms.Anxiety can come on alone from just pure pain.You need to find a caring doctor who will help you.Sending you light,comfort and healing.

Old 09-03-2010, 04:23 PM   #3
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Re: Referred pain?

I think a good Pain Management doctor may be able to help you. They will usually want to see recent specialist notes and MRI's, etc. I have been with my PM for 18 months and I go once a month to discuss pain, get refills, etc. They also do Epidural Steroid Injections. I've also heard of PM docs doing lysis of adhesions (scar tissue) or referring the patient to someone that does.

Primary Care Physicians are most often not comfortable with pain beyond the simple cases where 1-2 months of medications help someone recover from an injury or illness. Even my Orthopedic Spine Surgeon was relieved (visibly, I could see it in his face) when I told him that as of 3 weeks post op I was going to go back to PM for further pain meds.

If you haven't seen an Orthopedic Spine Surgeon lately (or Neurosurgeon if you prefer) then that may be the first step to get a full evaluation. And if he/she has no treatment recommendations they can provide then you can say "perhaps structured Pain Management is what I need, can you provide me a few names of pain management practices you recommend?"
Rt thumb fusion '13. R&L thumb arthroplasty '12 ; RT TKR & Bilat CTS' 11. Fusions: L5-S1('87), L4-S1('93), C5-C7('06), L3-S1('10), C4-C5('13). C5-C7 foraminotomy '08

Old 09-05-2010, 02:18 PM   #4
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Re: Referred pain?

I haven't had this experience, but I think it might be helpful to be put on a med like neurontin or lyrica to help with the nerve pain. The relief may cut down on the anxiety since all your heart tests are negative for problems. Also, you may want to see your family doctor and talk to him about something for depression. Most people who have chronic pain do take an anti-depressant. Some even get some mild pain relief from them.

Please let us know if you get some help.


Old 09-05-2010, 03:12 PM   #5
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Re: Referred pain?

Pain is pain, and it is ours to determine if it is too much for us to bear.

I just began seeing a pain management doctor due to the pain of endometriosis. I have been going for 2 months, and I cannot tell you the difference, the sense of relief alone is huge.

I had spent 6 months in severe pain prior to getting into the pain clinic.

Pain and anxiety are close friends, they work together, and both need attention in my case. I would discuss that with your doctor as well.

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