Pain Appointment Results

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Regular Member

Date Joined Mar 2009
Total Posts : 25
   Posted 5/15/2009 6:38 AM (GMT -7)   
Hi all,
As promised, here is what happened at my Pain Management Docs appt yesterday. The doctor that I saw was an orthopedic doc who now only treats patients for pain management. His nurse came in and did the initial and asked the how would you rate your pain today? So I paused and was thinking....ok, what scale am I supposed to use? SO I said, well for ME I would rate it as a 10. (keep in mind I haven't taken anything for pain in 2 weeks and my GP would not prescribe anything for pain).

The doc came in and we talked about my symptoms and he started doing the exam, which was almost identical to what the rheumy did with a few variations. He asked if any of the pain radiated anywhere. He said that while he agrees that I have fibro, its not the only thing I have going on.
His diagnosis:
1. Fibromyalgia
2. Myofascial Syndrome (upper back, shoulders, neck)
3. Osteoarthritis (hands, lower back, SI joints and hips)
4. Bursitis (hips)

Treatment plan:
1. For the myofascial, he did lidocaine injections in my upper back, shoulders and neck to start relieving the pain.
2. Bursitis, I go next week for injections in my right hip, which is the worse one.
3. Osteoarthritis, SI joint injections which requires a guided xray procedure so he can ensure the needle goes into the joint. He will put me under general anesthesia and we are doing one hip at a time. Those appts are in early June.

1. Celexa for depression (an on-going problem for me)
2. Vicodin (finally! something for pain!)
3. Muscle relaxers. Was told to take these every 8 hours no matter how I'm feeling
4. Sleep aid (forgot the name, the pharmacy had to order it - not ambien)

Overall, I was very happy with the appointment. I'm a little upset that the rheumy didn't recognize the arthritis issues?? The pain doc said that if he can replicate the pain, he can treat it. took me awhile after I left to get the joke. I'm overwhelmed at all the issues he uncovered, but am feeling that I'm on the right track.

Veteran Member

Date Joined Feb 2009
Total Posts : 843
   Posted 5/15/2009 7:11 AM (GMT -7)   

Sorry you have so many pain problems but how wonderful that you were dx and treated.  Sounds like this is a great doctor. 

Good luck with the future treatments. :-)



Fibromyalgia, arthritis in spine and hips, IBS, Raynaud's syndrome, hypertension
On the eighth day God created Golden Retrievers.

Forum Moderator

Date Joined Apr 2005
Total Posts : 17497
   Posted 5/15/2009 7:48 AM (GMT -7)   
I'm glad you like  your new doctor.  That's half the battle!  I, too, am surprised your rheumy didn't mention arthritis and bursitis.  I hope these treatments do help you.
Forum Moderator/ Fibromyalgia
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7

Regular Member

Date Joined Jan 2009
Total Posts : 386
   Posted 5/15/2009 10:12 AM (GMT -7)   
Such a Relief! Knowing a doc cares about and especially understands you. I am happy for you. :-)

Hope your having a low pain day now.

(Gentle) Hugs,
Dx Fibro 1/2008, gastritis
300mg Gabapentin, 50mg Pristiq, Vitamin D3, Menopausal Support Multi-vitamin, Ultracet and/or Fentanyl patch as needed

Regular Member

Date Joined Nov 2008
Total Posts : 33
   Posted 5/15/2009 10:34 AM (GMT -7)   
WoW Dana sounds like good NEWS..Yeah!!
I'm so happy for you sweetie!
Have a Blessed and pain free day!!

Hugs, Pod
God Bless- Hugs Pod
Fibromyaliga- Chronic Fatigue- Oct. 2008
Cymbalta- Lycria- Ultracet

Regular Member

Date Joined Mar 2009
Total Posts : 25
   Posted 5/15/2009 10:57 AM (GMT -7)   
Thank you all!! Yes, today my pain level is significantly lower.


Regular Member

Date Joined Nov 2008
Total Posts : 263
   Posted 5/15/2009 2:52 PM (GMT -7)   
Great to have someone competent, eh? I'll bet you start getting your energy back once you've got your pain under control!
I have Fibromyalgia, and nothing else!
I take Lyrica 225 mg/day and Tramadol (150mg time-released) and amytriptilene 7.5mg

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