Great to hear of the appt with the neuro on Monday. I suggest you make a list of questions to ask the dr. That way on the way home from the appt you won't be going oh, I wish ai had asked that question. In addition make a list of your current meds and how well they are working, along with a list of meds in the past and how they affected your pain.
Yes, many people do in fact make a pain journal. Its one of those things some drs will look at them and read them, then on the other hand you may get a dr that will not take the time to look at it. Its a mixed bag so to speak. I think they are a very good idea, it gives a good picture of what your day is like.
Nascially it will be like any other ppt with a new dr. You will have a physical exam, checking reflexes and looking in your eyes with a light and such. You will be asked questions about when the pain started and so on.
I really don't much else to tell you other than be honest with the dr about your symptomd and how you are feeling. Good luck on Monday and let us know how it goes. Be sure to have all of your x-ray films and written reports with you at the time of the appt.
I have been going to neurologists for years. Your initial appointment will involve a complete neurological exam. The doctor will be checking your gait, arm swing when you walk, muscle strength (pushing & pulling) in your arms and legs. They will also check how your eyes track. They will feel how your joints move -whether rigidity or stiffness is present. You will be asked to do some repetitive movements - stretch your arms out - close your eyes - touch your left and the right fingers to your nose. They will have you do finger tapping - where you tap you thumb and index fingers together as quickly as possible. You will be asked to walk one foot in front of the next in a line. The neurologist will also stand behind you while you are standing up and pull you backward - to see how well you recover your balance. Then they will probably use a tuning fork and touch it to different areas to see if you can feel the vibrations. Your reflexes will be checked. Sometimes they do a light pin prick to the bottom of your feet to assess what sensations you can feel. The physical exam and your medical history will determine if additional tests are needed. An EMG might be ordered to test muscle conductivity. CAT scans or MRI's are used to look at soft tissue. EEG's are used to determine if seizure activity is present. Sometime sleep studies are ordered is restless legs syndrome, sleep apnea or insomnia is a problem. There are several different types of neurologists. General - do everything. Others special in stroke, movement disorders, cognitive problems and epilepsy. A pain journal would be very helpful. They will also be interest in family history. Also bring a list any medications that you might have taken for a long time. Some meds have odd s/e that can last long after you stop taking them. Also document any head injuries you might have had during your lifetime, as well as exposure to toxins and industrial chemicals. They will throw in a brief mini mental - a few questions to make sure you do not have memory problems.
Good luck with your appointment, Let us know how it turns out. Let me know if I can answer any other questions for you.
That's about it.
Co-Forum Moderator for Chronic Pain
Rare neurodegenerative /movement disorder called “Multiple System Atrophy”. Mobility issues,, neuropathic pain, spasticity, central apnea, collagenous colitis, pain, swallowing and respitory involvement, Implants: intrathecal pump & neurostimulator. Extra features: O2 & wheelchair
Post Edited (Stella Marie) : 7/2/2009 4:52:44 PM (GMT-6)
Chronic Pain Moderator
Dx-Gallstones at age 14 that caused Fibromyalgia in 1998. Chronic Pancreatitis at age 15 from Pancreatic Divisum. Fell down cement basement stairs on my bottom in 2001. Got severe migraines after the epidural from my 2nd childbirth in 2002. Was rear-ended by a lady doing 55mph in 2004 then 2 months later rolled my car down a hill and did even more damage to my back. Depression caused by having chronic pain. Asthma from allergies.
meds- Suboxone for pain, Cymbalta for pain and depression, Lyrica for pain and migraines, Imitrex for migraines, Ibprofen for migraines, Ventolin Albuterol inhaler for asthma. Phenergan for nausea, Seroquel for sleep.
"I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." -Mother Teresa