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Thread: Pain Management Specialist???

  1. #1
    Join Date
    Oct 2019
    Location
    Washington state
    Posts
    104

    Pain Management Specialist???

    Hi all, my PCP is referring me to a pain management specialist for pain management. I was doing well for the first year after healing with pain management when I had it and then no pain for quite a while. However, over the last few months the nerve pain has ramped back up, except this time peripherally more so than focused on coming directly from my pelvis. For the past month I have been on the following regimen which has worked well:

    OxyContin 10mg X2 in the morning for all day relief
    Oxycodone 5mg X2 in the evening for end of the day pain relief so I am able to fall asleep

    I am not familiar with pain management specialists, what they do, or what their M.O. is and what pain relief options they have at their disposal.

    Here are my biggest concerns:

    1. Being stuck with someone too conservative and not willing to be open minded about different options
    2. Being forced onto a medication or a combo of meds that donít work as well as what is working for me right now. Where I am at now is the most pain relief I have had post fusion for quite a while.

    Anybody have any thoughts? And yes, I have tried gabapentin, tramadol, etc. all of which dulled the pain very slightly but more so gave me ridiculously abundant side effects.
    Feb 2003 - Diagnosed C (35) T (45) L (25)
    Dec 2003 - T2-T12 Fusion correcting to C (8), T (14), L (20)
    Oct 2019 - Lumbar curve progressed to 40
    Nov 2019 - Thoracic curve progressed to 31
    June/July 2020 - T10-S1 Fusion with SI fixation correcting to C (8), T (14), L (8)

  2. #2
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,443
    Here is an educational video on pain and pain management doctors by Dr Jay Joshi. (Illinois)

    https://www.youtube.com/watch?v=8Qcw...nalPainCenters

    It's not easy to pinpoint pain....I had a CT verified Kidney stone, they knew EXACTLY where it was, and it felt like a truck was parked on my abdomen. Renal Colic. That was the most painful thing I have ever endured and I could not tell you where the pain was coming from.

    I hope this new doc can figure out what is going on.

    Funny, He mentions 2 minutes and when my GP wouldn't even see me, I decided to change my PCP to my scoliosis surgeon and have him call the shots. That saved all the trips and the $400 each time at the GP who knew nothing about scoliosis and wanted to do other things that make money.

    You have to have a doctor sit down and take the time with you.

    Ed
    49 yr old male, now 62, the new 63...
    Pre surgery curves T70,L70
    ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  3. #3
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    1,079
    My experience is it you can find a good pain doctor, it is totally worth it. They have a good understanding of medication and I do believe most of not all are anesthesiologists. Their under is much higher than a regular PCP. Where do you live?
    T10-pelvis fusion 12/08
    C5,6,7 fusion 9/10
    T2--T10 fusion 2/11
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16
    Broken neck 9/28/2018
    Emergency surgery posterior fusion C4- T3
    Repeated 11/2018 because rods pulled apart added T2 fusion
    Removal of partial right thoracic hardware 1/2020
    Removal and replacement of C4-T10 hardware with C7 and T 1
    Osteotomy

  4. #4
    Join Date
    Oct 2019
    Location
    Washington state
    Posts
    104
    I live in eastern WA. I have been referred to a clinic in Yakima WA. Do pain management doctors simply prescribe pain medication? Would they likely keep me on the meds I am already on?
    Feb 2003 - Diagnosed C (35) T (45) L (25)
    Dec 2003 - T2-T12 Fusion correcting to C (8), T (14), L (20)
    Oct 2019 - Lumbar curve progressed to 40
    Nov 2019 - Thoracic curve progressed to 31
    June/July 2020 - T10-S1 Fusion with SI fixation correcting to C (8), T (14), L (8)

  5. #5
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    1,079
    I think they will spend a good bit of time with you and discuss the medication and any other options. And should include your thoughts in this discussion. Medication and any other options.
    T10-pelvis fusion 12/08
    C5,6,7 fusion 9/10
    T2--T10 fusion 2/11
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16
    Broken neck 9/28/2018
    Emergency surgery posterior fusion C4- T3
    Repeated 11/2018 because rods pulled apart added T2 fusion
    Removal of partial right thoracic hardware 1/2020
    Removal and replacement of C4-T10 hardware with C7 and T 1
    Osteotomy

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