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Re: question for Dr. Whitworth

Re: question for Dr. Whitworth

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Posted by MLWhitworth, MD on March 03, 2000 at 07:20:21:

In Reply to: question for Dr. Whitworth posted by Shawn on March 03, 2000 at 04:11:34:

Pain is a very subjective thing. It may be due to nociceptive (tissue injury), neuropathic (nerve injury), windup (firing of spinal neurons without injury secondary to rewiring within the spinal cord that occurs after an injury), etc. It is shaded by cultural, behavioral, emotional, and psychologic phenomina. Suffering is the result of pain and is still more difficult to quantify but may result in depression, anxiety, compulsivity, somatiform disorders, etc. We assess the patient where they are in their own pain, emotional, psychologic, and cultural mileu and devise a treatment plan. If a patient states to me that they hurt, I believe them. I try to find how they hurt, how it affects daily function, social, positional, etc, and try treating them accordingly. We use a variety of methods including interventional invasive, psychotherapy, medication therapy, physical therapy, exercise, etc.

: I have a question for you, since you are a pain managemnet doctor. I have an appointment with a pain management doctor this Sunday, and I am kinda nervous. I dont have one BIG problem but a few little ones. I have 2 bulging disks, slight scoliosis, and a minor neck problem, all of these give me great pain. What I want to know is would you treat me with these symptoms or would you think that I do not have a big enough problem to treat with pain meds. I had a doctor who treated my pain who retired, and now I am scared that this new doctor might not think I am in as much pain that I am in, I just keep praying that he will understand. Anyway how would you feel about a patient like me? Thanks for any response
: Shawn

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