Here's one I wonder if anyone has ever seen before. Today I was booted from a pain management clinic because I would not consent to an injection without meeting the doctor first. I have received no pain medications from this clinic. I was told point blank by the office manager that unless I let the doctor do an epidural injection that I was no longer welcome at the clinic. At this point the clinic has provided no service for my pain. They did order a new MRI and NCS. Very strange behavior. Makes absolutely no sense to me.
I dont know much about pain management, but i have always had a concern that doctors are compensated by drug companies for the amount of the product the doctors prescribe to patients.
(by compensated i dont just mean in money form, but also perhaps in discounted products...ect)
I believe 99% of doctors would never do anything to hurt a patient purely for profit, but in most cases a shot like that would not be seriously threating.
By no means am i suggesting your pain managment clinic was doing this, nor am i suggesting that this is a practice of any/all doctors, it rather is just a concern i have had for a while.
Get another opinion by seeking another pain management clinic.
Best of luck and do let us know how it turns out.
BB
I know what you mean, I had a pain management clinic that strongly advocated for lidoderm patches. I mean to them it sounded like everyone could be cured with these things, and that I would never get any pain relief without them. I started to use them and they helped with maybe about 5-10% of the pain when it got bad, but once I started these and said it helped alittle it seemed like the doctors were much more willing to work with me.
That is pretty strange. I can see them saying they won't help you unless you TRY the injection first, but to be that way when you just wanted to talk to the doc. before consenting? My experience with pain management centers hasn't been good either. I used to go get those shots just to follow the docs. plans and show an effort to cooperate. I have had those shots and not only did they not work, but the pain the following days was allways worse. Last time the doc. did the injection and gave me some free samples of "neurotin", a seizure med, and said it might help the leg pain. He said if it didn't work or I had problems call and he has free samples of soething else I could try. That night I got a headache. The following day my pain was about 30% worse than berfore I went and had a headache. He told me to take 2 alleve and a motrin. That was my 4th experience with different pain management center. I will NEVER go back to one. They say they will help more if the shots don't work, then get upset and wash their hands of you when you say it didn't. And to be in worse pain after?
This clinic is obviously aware of the complications that come with Rx ing schedule 2's.
They choose a path the patient must follow and prove failed before they ever get near schedule 2's.
Doc
I AM NOT A DOCTOR OR PHARMACIST. I HAVE GAINED MY KNOWLEDGE THRU EXPERIENCE AND/OR RESEARCH.
That being said, you were correct to leave. They are trying to sort out the abusers before they even see MD!
You should never submit to Rx(treatment) without a physicians direction.
Doc
Here's an interesting report from the American Acadamy of Neurology that says Epidurals are worthless.
http://www.aan.com/professionals/practice/guideline/index.cfm
Quahog,
Thank you for that post. I found it extremely interesting, and plan on using it here in the next few days to help prove a point.
Gtrplayer
Interesting? Maybe.
Correct? No
Ask any mother who is postnatal and started as natural childbirth and then begged for the epi. They work. As they are intended to. Not to get anyone "High".
Doc
non doc mason........I don't think postnatal injections were what the thread starter was referring to.
mason,
Who ever claimed that patients receiving epidurals were trying to get high? The medicine used in the steroid epidurals aren't even narcotics.
Gtrplayer
There is a big difference in the Epidurals given for labor pain versus the injections given for low back, neck pain, etc. The main reason epidurals are given to women during labor is to block the nerves which cause pain and yes this does work or so I have been told by many women. Sure other meds can be given but usual the nerve block is enough to control pain.
Providing there are no complications the pain does not become chronic or long lasting.
When an epidural injection is given for low back, neck pain, etc. there is on going and recurring pain. Not only is a nerve block given but there is also an injection of a steroid medication to help with any swelling and inflammation. It is this type of injection that is in question. The majority who have these done including myself have never had an lasting results. This type of injection does not and will not cause you to become, "High" as narcotics or more specifically opioids and opiates because they are not used.


man, i wonder about these doctors sometimes. i will not go to one if they are rude especially when i am paying out of pocket. i think they forget about where all there money comes from. i am blessed to have a wonderful pain management doc. if i were you i would look for a compassionate doctor. after all, you are paying them, right? good luck on your quest!! let me know how it goes, k?