Where to find a good PM in Massachusetts

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Chris25
New Member


Date Joined Feb 2009
Total Posts : 9
   Posted 2/26/2009 6:41 PM (GMT -7)   
Hello, I am trying to find a good PM doctor in Massachusetts. Recently had an MRI which revealed bulging discs in my lumbar spine and my PCP is not willing to help me with the pain, it seems as if he is scared to perscribe something that I tell him works for me. The orthopedic surgeon i saw said surgery wasn't a good idea right now since I am only 26 years old. But i he said i should get an epidural shot and see how that goes. My only problem is that i have heard mixed reviews about those and I have pain everyday which hurts my ability to show up to work and be productive at work. I was recently laid off from my job because of my attendance. I know I am young, but I don't want to live in pain for the rest of my life, just want to get better but if i have to be on pain medication to get by everyday i am willing to do that..Does anyone in Massachusetts know of any good PM's or if not does anyone have any advice of what i should do. Please help. Thanks
 

Chris25
New Member


Date Joined Feb 2009
Total Posts : 9
   Posted 2/27/2009 7:44 PM (GMT -7)   
anyone? noone has any advice?

Chris25
New Member


Date Joined Feb 2009
Total Posts : 9
   Posted 3/6/2009 6:37 PM (GMT -7)   
wow still no advice huh?

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 3/6/2009 6:52 PM (GMT -7)   
Chris,
I don't live in Massachusetts, but Boston has some excellent medical facilities. I would recommend you search for a teaching hospital in your region, even if you have to drive a bit. Someplace that could do a thorough evaluation, and recommend options for you.

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13481
   Posted 3/6/2009 6:54 PM (GMT -7)   
Hi Chris,
 
Sorry I just read your post. I am so sorry to hear you are having such a time with your back. Doesn't it just gripe you how drs act like scared rabbits at times when the P word is mentioned? But, if you have read many posts here you will find few PCP every prescribe pain meds. Chronic pain does not have an age limit, it can strike at any age.
 
Epidurals can go one of three way, either help, no help or make the pain worse. There is no quarantee on how you will do too. No one can predict whether you will get a good result or not. Its a roll of the dice.
 
Now for a pain mgt dr. Most of them require a referral from a dr. So, that means you will need either a referral from the PCP or ortho as last result. Alot depends too on what your ins requires. One source of referrals is to call your local hospital and ask for the referral dept and get some names and numbers from them. Another thing is get online, google your city and state and put in pain mgt. Some places may even have web sites set up about their office. Be sure when calling any pain mgt dr ask if the dr prescribed medications and does procedures or does he do procedures only. Yep, some of these guys will only do procedures. When seeking care from a pain mgt dr be prepared for him to want to do some procedures on you. Alot of them do epidurals. Another thing I will caution you about is never walk into a dr offices and ask for a certain medication by name. That will send a red flag up with the dr and he will think you are nothing more than a drug seeker. Thats a big prblem for us people with CP, trying to get the drs to try medications on us to see if we can get help rather than lumping us all into one category.
 
Other than this I cannot think of any other sources of locating a pain dr. I hope I have helped you some. Please let us know how you are coming along.
 
Susie 


fatherjohn
Veteran Member


Date Joined Feb 2009
Total Posts : 999
   Posted 3/6/2009 8:04 PM (GMT -7)   
Chris, I don't live on that side of the country so I can't make a recomendation. What I found interesting is that I have been waiting 6 months to get into a Pain Management Specialist as I can't find one in the state I live who will handle an out of state work comp claim. I was told that there was a new one moving into the state and he would be here in November. I called again this last week and he has still not opened his practice here due to legal or ins. issues. Thge assured me that he would be open in the middle of March and I am on the list of patients he has shceduled as soon as he opens. The interesting thing is he is moving here from Mass. I guess Mass. just lost one but there has to be more.

Danimal
Regular Member


Date Joined Mar 2009
Total Posts : 80
   Posted 3/9/2009 7:55 PM (GMT -7)   
Hi Chris,

I am also young (29) and have had great success with the pain management center at Newton Wellesley hospital. I see a nurse practitioner there and she is wonderful..so sensitive, creative and just great. She was single-handedly responsible for finding out that one of my pain meds had caused me to develop what can be a life-threatening heart problem.

I've also been followed by the pain mgmt. center at Brigham & Women's hospital. I went there over the summer for a consult about a spinal cord stimulator. I had two trials and ended up getting the perm. implant at BWH on 1/16/09 (although I ended up having a neurosurgeon do the surgery). Anyway, BWH pain mgmt. is also very good but it gets a lot more traffic and I feel that the patient attention isn't quite as individual (but there are more resources there and the center itself is a little nicer). But I still love NWH and highly recommend it. Both would serve you well, imo.

As for surgery..I had my first back surgery on l4-5 at BWH when I was 18 and my second on l3-4 when I was 20. It didn't help, unfortunately, and I still have great pain (hence the stimulator I just had implanted and the strong pain meds I have to take daily). The ESIs didn't work for me but they do help many people. What is your problem, by the way? Who is your ortho? If you have disc problems or a problem with your facet joints, the ESI is prob. worth a shot. I'd try to get a referral to either BWH or NWH (maybe BWH if you are really thinking of doing the ESI and NWH if you aren't interested in that and what to do medication management and complimentary therapies). At BWH, I saw Ed Ross and I liked him. He's an anesthesiologist. He is very VERY busy but is basically a nice guy. For pain management via medication, I'd go to NWH and see Cheryl Marks. Like I said, she is wonderful.

If you ever do consider surgery, go to a neurosurgeon rather than an ortho.

Please let me know if you have any more questions and hang in there. I know what it's like...

Danimal
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