I don't want to hijack poor Haze's thread any further, so I thought I'd start this as a new topic.
We don't know all the specifics here but if there was not an overuse issue that violated the physicians directions on taking the meds, then there are several things that could be done: refer to physical therapy, use of home ultrasound, refer to a specialist, labs or xray studies, etc. There are certainly ways other than narcotics to deal with increased pain, and in some cases increases in narcotics can be ultimately more harmful. It is possible the physician's office had no more viable options to offer, however instead of telling the patient this, the staff gave curt terse and what appears to be flippant advice.
I agree completely about
other options - I'm a total advocate of a multidisciplinary approach to pain management, whether it be through a formal pain management clinic, or as I do it - I have my GP, my PM, my physio, self-taught form of CBT and mindfulness training. My issue was with your general statement earlier in the piece -
If there is overuse of medications (both percocet and xanax) more than prescribed, most doctors and their staff take a very dim view of this behavior and equate it to a loss of control over the medications, and will frequently tell patients to just deal with it.
Particularly the statement that staff with frequently
tell patients to deal with it. I'm not trying to pick an argument. I can appreciate that you (= medical profession) do sometimes get tired and frustrated with patients, just as we get tired and frustrated sometimes with our medicos. I just feel that in ANY circumstance it's highly inappropriate for staff to tell a patient to deal with it. When I was talking earlier about
maybe pain relief needing to be addressed better - it SHOULD include all those things you mentioned. They can be terribly effective, and I'm the first person to acknowledge that - I had CRPS for 6 years before I was diagnosed, and I was able to largely control my pain with physiotherapy and my own forms of distraction therapy. It's only in the last few years as it's become more aggressive and more widespread that we've had to look much at medications at all, never mind narcotics. I'm also the first to acknowledge that narcotic medication is a real pain in the proverbial, and comes with a whole range of difficulties in its use. I have gastroparesis and poor intestinal motility (preceding any narcotic medication use) that was so severe at one time it nearly cost me my life...just imagine what fun I have with narcotics... But - I'm also lucky that I have a great 'team' of specialists - used loosely because I don't know that any of them have ever met each other, but they all look after me, all communicate well with each other, and I know that I can approach any of them with anything.
CRPS since 1999, diagnosed in 2005 and since spread to full body, spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bone spurs, bursitis, carpal tunnel syndrome.
On Oxycontin/Endone, Topamax, Mobic, Magnesium, Florinef, Midodrine, Somac, Cipramil. Have a spinal cord stimulator, intrathecal pump with baclofen & bupivacaine and doing physio.