how to talk with a pm doctor.. thoughts or member

do compessions cause major pain?
yes - 100.0%
no - 0.0%

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New Member

Date Joined Apr 2011
Total Posts : 1
   Posted 4/29/2011 2:28 PM (GMT -6)   
hi, im a new memeber problem is i have had chronic pain for 11 years.
my family doctor used to prescribe me 4 lortab 10 mg per day and 3 soma per day ..that used to control my pain .my doctor told me that was the max he would write as far as narcotics went.he suggested i go to pain management .so i did. I saw the doctor 1 time the he handed me off to his nurse practitioner. i have been going to this doctor 9 months he said he would not write somas right off the bat because they are bad on the liver .anyway after months months they started giveing me 4 lortab a day and 2 family doctor would do this. but i have moved so i need to get a new primary care doctor.the p m doctor i go to has way too many patients and sometimes even when you go to your appointment you may wait up to 6 joke.  i have told the nurse practioner the reason i came there was to help my pain more than what i was getting.they gave me 3 percocet a day..that didnt work any better than the 4 lortab.i cant understand why they take what i tell them that i need something longer acting or 1 0r 2 more loratb a day.every time ive brought up my pain is the same as it has been ,the nurse prac says let me go see what the doc wants to try ,she leaves then a couple minutes later a aid comes in with the same presriptions..i dont think the nurse practioner really even talks with the doctor.i know the simple thing would be to just go to another pm doctor but i takes a long time to get into one where i live. also i have been declared disabled due to spinal deformities and on a fixed income now.i have scoliosis in my upper back and multiple compession fractures from my neck down to t8 vertebrae that is where most of the pain is .my lower back has multiple bulged disk i can handle that pain with the meds but in between my shoulder blades  radiating off to the right hand side to the question is what r any thoghts on what to say to these docs.thanks

Backpain Sara
Regular Member

Date Joined Apr 2011
Total Posts : 30
   Posted 4/29/2011 3:32 PM (GMT -6)   
Hi and Welcome-I would tell them the pain meds wear off and you're not able to sleep or walk or do anything because of the pain. I would even call before the month is up and say the pain is awful and wondering if the Dr. or NP can review your meds. I had to return to my Dr. frequently to get the right amount of meds to make the pain tolerable.Have you ever had any injections to help with the pain? I also wouldn't mention what you were on before except the soma and just talk about your treatment now. You have a right to have your pain treated and can't understand why they would give you less pain meds then you were on before. I would even travel back to your old Family Dr. or ask them to send records of your previous meds and treatments if they don't help with your pain meds.

Even my Family Dr. who gives my meds will never give me any breakthrough meds but only slow release ones but at least gives me enough for pain relief. It's awful having chronic pain and being on disability and not get enough pain relief. Let the NP or Dr. suggest what you need but let them know the pain meds wear off or that you're not able to do anything with so much pain. They like to be in control and decide what's best for you. I hope you get some pain relief soon. Sara
Chronic back and leg pain. Degenerative disc disease for 3 years and unable to work since injuring my back. EMG/nerve test shows peroneal sciatic nerve is being irritated from L4-L5 disc area. Meds-Oxycontin, Cymbalta, lyrica, flexeril,Wellbutrin, Oxazepam for sleep. TX-facet joint, trigger point, nerve block and epidural injections every year x 3 years with temporary relief only. Did PT.

Forum Moderator

Date Joined Feb 2003
Total Posts : 15875
   Posted 4/29/2011 3:53 PM (GMT -6)   
Hi Warmonger and welcome to Healing Well's chronic pain forum. I am sorry that you have to be here but glad that you have this forum.

You really do have some problems with proper pain mgt from what you are telling us. Not only are you being under treated as a patient, your pain is being under treated. it happens more than a lot realize. I am not sure where you live and you mention it is difficult getting in to a pm dr, but I am afraid I would have to take the big jump and get myself another PM dr. Waiting 6 hours to be seen is not acceptable under any terms. Your situation sounds bad all the way around. As a patient you are entitled to good decent medical care and you are not getting that. Even if you had to drive a little distance to see a good PM dr it would be well worth the drive.

Of course, its your choice and like to you say nine times out of ten that NP is not speaking to the dr, she is simply walking out the door pretending to go speak to the dr. That would just make me furious. I am sorry but I cannot imagine keeping myself in that situation. Many times patients do have to advocate for their medical care and there is sure nothing wrong with that. It sounds like this is what you are going to end up having to do if you want any kind of relief. Other than, perhaps going into CP101 at the top of this page and printing off a pain journal and completing it before you next appt and sharing it with the NP I don't see anything changing. I have a feeling a pain journal is not going to help much either, they seem pretty set in how they operate. I would get on the computer and start looking for a new dr and checking out some better options. The ball is really in your court on this you know.

Anyway, I wanted to pop on and tell you welcome aboard. Keep us posted on how you are doing.
Moderator Chronic Pain Forum

Screaming Eagle
Forum Moderator

Date Joined Sep 2009
Total Posts : 5005
   Posted 4/29/2011 4:16 PM (GMT -6)   
Hello warmonger!

We welcome to the Chronic Pain forum!

It looks like you have already received some very good advice by a couple of our members.

I see you are taking poll at the top of the page here "Do compression fractures cause pain" Certainly compression fractures cause pain, and can be treated successfully. There is a procedure where thy cement the fracture, and I have heard that the relief is almost instant in some cases. Have you looked into this, or has your Dr talked to you about this? I'm guessing you suffer from osteoporosis or osteogenesis and may be causing the fractures? At any rate, it sounds like your back is a mess, and I sympathize with you. We have a ton of members here with these same problems, and I'm sure they will be happy to share their experience and suggestions with you.

Were glad you found this forum, and I'm sure you will find the members warm and friendly. Feel free to visit us anytime!


SE wink
Moderator Chronic Pain Forum

"The clock is running. Make the most of today. Time waits for no man. Yesterday is history. Tomorrow is a mystery. Today is a gift. That's why it is called the present."

Post Edited (Screaming Eagle) : 4/29/2011 4:44:41 PM (GMT-6)

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