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Tish

United States

#1 Mar 18, 2014
I have pain in my back from bulging disks and I have been to the ER and they tell me to call my family physician and my family physician tells me to get the pain med from the ER. Why should I do?

Since: Jan 12

Location hidden

#2 Mar 18, 2014
Tish wrote:
I have pain in my back from bulging disks and I have been to the ER and they tell me to call my family physician and my family physician tells me to get the pain med from the ER. Why should I do?
Ask your family doctor for a referal to an MD specializing in pain management that's your best bet and my advice. Not too many GP's are willing to write prescriptions for pain meds long term these days and an ER can't help you in the long run either. Good luck...

“how far down are we in”

Since: Apr 11

the rabbit's hole?

#3 Mar 19, 2014
Tish wrote:
I have pain in my back from bulging disks and I have been to the ER and they tell me to call my family physician and my family physician tells me to get the pain med from the ER. Why should I do?
First, get a new family physician. Bulging discs tend to be a "chronic" problem, not an emergency. It's very weird and against standard accepted protocol for a primary care doc to tell a patient "go to the ER" as an answer to managing chronic pain. Most, if not all, of the medical field frowns upon "misuse" of the emergency room.....a lot of people with no insurance tend to use the ER like a free walk in. Which causes a hike in insurance premiums, which causes a drop in insured people, which creates a cycle.
Start asking/calling around for a pain specialist. Depending on where you live, this may not be easy, actually it most likely won't be easy, but most of us had to go thru it at some point. I actually had ZERO issue getting into a legit pain management clinic, one of the maybe 10% that DIDN'T and WON'T get shut down.... My issue was finding a doctor(primary care) that would simply listen and order x rays / MRI s.... that's all I asked for, a diagnosis, but it took me almost a year to find a doc that didn't mind sending me for testing. Once the results came back, I didn't even ask, he just wrote up a referral for me.
So just be prepared to do some calling around, find out what's needed (typically a referral, MRI/or CT scan, and a prescription history), and try to find a doc that specializes in chronic pain. Many offer "consultations", which would be cheaper than a regular visit, and let you get a feel for the doc, and if you feel comfortable with him/her. A good doctor will usually want you to at least try methods of treatment other than pain meds - a tens unit, physical therapy, epidural block, etc.... a multi-dimensional approach.
A good doc will also be willing to listen. Things to look out for : an office waiting room jam packed with patients, a line that goes out the door, patients being called back then leaving 3 minutes later, van loads of "patients" that just happen to all know each other, all need meds, and decided to carpool from out of state. That would be a pill mill, and it would also mean it's most likely getting shut down soon, not to mention chain pharmacies like Walgreens and CVS usually know the names of these docs and won't fill your script(s).
Good luck :)
If you have any other questions or need any advice, there are a few good people around here that can probably help .(As in advice, I mean)
follow the white rabbit

Ashburn, VA

#4 Mar 19, 2014
Snafu_ wrote:
<quoted text>
Ask your family doctor for a referal to an MD specializing in pain management that's your best bet and my advice. Not too many GP's are willing to write prescriptions for pain meds long term these days and an ER can't help you in the long run either. Good luck...
In FL, primary care docs aren't allowed to prescribe even 5mg hydrocodone for more than one month. It's a relatively new law, I believe from 2012. I remember seeing it on the news, and for once they were actually portraying the story on the side of the patient! They interviewed a few patients, but one stood out to me and I still remember her story. She was an elderly lady and had diabetes that caused neuropathy in her feet. Her primary care doc has her on 5mg hydrocodone - I believe 4x' s daily - and had been prescribing her that for like 20 years. He had to tell her that with the new law, he was no longer able to write her script, and that she had to go to pain management. But the thing is, not many insurances cover pain management - they'll cover procedures like an epidural block, etc, but not monthly visits). She was on Medicare& Medicaid, and couldn't even find a doc (at that time anyways) that both specialized in pain management AND took her insurance. All that hullabaloo for 5mg of hydrocodone, which, Unless you count tramadol, that's the weakest scheduled pain med!!

It's such a load of BS what people have to go through just to have their pain at a manageable level to lead a somewhat fulfilling life!

Since: Jan 12

Location hidden

#5 Mar 19, 2014
follow the white rabbit wrote:
<quoted text>
In FL, primary care docs aren't allowed to prescribe even 5mg hydrocodone for more than one month. It's a relatively new law, I believe from 2012. I remember seeing it on the news, and for once they were actually portraying the story on the side of the patient! They interviewed a few patients, but one stood out to me and I still remember her story. She was an elderly lady and had diabetes that caused neuropathy in her feet. Her primary care doc has her on 5mg hydrocodone - I believe 4x' s daily - and had been prescribing her that for like 20 years. He had to tell her that with the new law, he was no longer able to write her script, and that she had to go to pain management. But the thing is, not many insurances cover pain management - they'll cover procedures like an epidural block, etc, but not monthly visits). She was on Medicare& Medicaid, and couldn't even find a doc (at that time anyways) that both specialized in pain management AND took her insurance. All that hullabaloo for 5mg of hydrocodone, which, Unless you count tramadol, that's the weakest scheduled pain med!!
It's such a load of BS what people have to go through just to have their pain at a manageable level to lead a somewhat fulfilling life!
Most GP's can't or won't prescribe C-II drugs long term anymore because of the hassle they get from the DEA and State agencies questioning their prescribing practices, I can only imagine that in Florida things are worse! My secondary insurance has never had a problem with me changing over to a pain management physician in fact I think they prefered it. This way they have a trained certified specialist validating the need for the use of these types of medications. My primary insurance now because of the disability is Medicare and they pay the bills from my PM as they get them so it's definately not a problem with them.
Now if I try and slip a massage session in (which helps btw) they'll both bounce that back real quick! ;)

“A bad day on vacation always”

Since: Jan 14

..beats a good day at work :o)

#6 Mar 20, 2014
Snafu_ wrote:
<quoted text>

Now if I try and slip a massage session in (which helps btw) they'll both bounce that back real quick! ;)
Can you imagine if they ever approved massages?

Then you would have prostitutes billing the insurance companies.

:o)

Since: Jan 12

Location hidden

#7 Mar 20, 2014
NY Beach Bum wrote:
<quoted text>
Can you imagine if they ever approved massages?
Then you would have prostitutes billing the insurance companies.
:o)
We must use different kinds of therapists...

“A bad day on vacation always”

Since: Jan 14

..beats a good day at work :o)

#8 Mar 20, 2014
Snafu_ wrote:
<quoted text>
We must use different kinds of therapists...
Guess so...mine don't stop until you're "finished."

A $20 co-pay would be better than full-price...for sure.
follow the white rabbit

Ashburn, VA

#9 Mar 20, 2014
NY Beach Bum wrote:
<quoted text>
Can you imagine if they ever appRove massages?
Then you would have prostitutes billing the insurance companies.
:o)
Jokes aside, I think they should approve a deep tissue or trigger point massages, if a doc refers you. As far as non med therapy, deep tissue massage is the best, at least for me and my conditions. Besides the pinched nerves and permanent muscle spasm I have, the scoliosis makes it so one side of my back has muscles sorta pulled more taut than the other side. So my left side of my upper back/neck and traps are always super tight. I pull a muscle on the regular.
I haven't had a massage in almost a year! I need strong hands too, all the knots are hard to work out. Despite my spinal conditions, it's actually my muscles/nerves that cause me the most pain.

“A bad day on vacation always”

Since: Jan 14

..beats a good day at work :o)

#10 Mar 20, 2014
follow the white rabbit wrote:
<quoted text>
Jokes aside, I think they should approve a deep tissue or trigger point massages, if a doc refers you.
I agree.

Some chiro's now have masseuse's in their office for just that.

Some medical plans cover them after you use up your deductible.

Since: Apr 12

United States

#11 Mar 20, 2014
follow the white rabbit wrote:
<quoted text>
Jokes aside, I think they should approve a deep tissue or trigger point massages, if a doc refers you. As far as non med therapy, deep tissue massage is the best, at least for me and my conditions. Besides the pinched nerves and permanent muscle spasm I have, the scoliosis makes it so one side of my back has muscles sorta pulled more taut than the other side. So my left side of my upper back/neck and traps are always super tight. I pull a muscle on the regular.
I haven't had a massage in almost a year! I need strong hands too, all the knots are hard to work out. Despite my spinal conditions, it's actually my muscles/nerves that cause me the most pain.
I've had trigger point therapy, so maybe you could get that to stop the spasms. I not sure your situation though.

“A bad day on vacation always”

Since: Jan 14

..beats a good day at work :o)

#12 Mar 20, 2014
-saoirse wrote:
<quoted text>
I've had trigger point therapy, so maybe you could get that to stop the spasms. I not sure your situation though.
Remember Deez?

She did that kind of stuff.

Since: Apr 12

United States

#13 Mar 20, 2014
NY Beach Bum wrote:
<quoted text>
Remember Deez?
She did that kind of stuff.
I don't remember her. At least I don't think I did. Hope it worked for her.

“A bad day on vacation always”

Since: Jan 14

..beats a good day at work :o)

#14 Mar 20, 2014
-saoirse wrote:
<quoted text>
I don't remember her. At least I don't think I did. Hope it worked for her.
You don't remember Deezy? Or Risky Biz?

It didn't work for her...she was the therapist.

LOL.

Since: Apr 11

Chagrin Falls, OH

#15 Mar 20, 2014
Wally, my brother gets the same type of massages you do, it sounds like. He has them come to his house though.

Me love you long time!

Since: Apr 11

Chagrin Falls, OH

#16 Mar 20, 2014
When my wife worked for the state, she had the best insurance that money could possibly buy. She could, as long as there was a reason, get massages all the time. Covered 100%.

“how far down are we in”

Since: Apr 11

the rabbit's hole?

#17 Mar 20, 2014
-saoirse wrote:
<quoted text>
I've had trigger point therapy, so maybe you could get that to stop the spasms. I not sure your situation though.
Trigger point massages, or injections?
Nothing can stop the one spasm. It's literally permanent. I never knew that existed until my MRI said so, lol. But it can be temporarily tamed. The other spasms or knots however, can be loosened. When the one spasm flares real bad(I'm talking tears- actually crying, not just tearing up ), I'll have J massage it really hard, sometimes I'll bruise from how much pressure has to be applied to relieve the pain. Only problem is he hurt his hand several years ago, completely sliced through the tendons, and can only use the pressure I need for so long before his hand cramps. Lol, I left that comment wide open for jokes

Since: Feb 13

Location hidden

#18 Mar 21, 2014
I got treatment for my back pain at Corrective Chiropractic & Wellness. They did spinal decompression and it proved to be an effective treatment.

“pass it to the left”

Since: Oct 12

Location hidden

#19 Mar 21, 2014
follow the white rabbit wrote:
<quoted text>
In FL, primary care docs aren't allowed to prescribe even 5mg hydrocodone for more than one month. It's a relatively new law, I believe from 2012. I remember seeing it on the news, and for once they were actually portraying the story on the side of the patient! They interviewed a few patients, but one stood out to me and I still remember her story. She was an elderly lady and had diabetes that caused neuropathy in her feet. Her primary care doc has her on 5mg hydrocodone - I believe 4x' s daily - and had been prescribing her that for like 20 years. He had to tell her that with the new law, he was no longer able to write her script, and that she had to go to pain management. But the thing is, not many insurances cover pain management - they'll cover procedures like an epidural block, etc, but not monthly visits). She was on Medicare& Medicaid, and couldn't even find a doc (at that time anyways) that both specialized in pain management AND took her insurance. All that hullabaloo for 5mg of hydrocodone, which, Unless you count tramadol, that's the weakest scheduled pain med!!
It's such a load of BS what people have to go through just to have their pain at a manageable level to lead a somewhat fulfilling life!
I know someone who gets 90 10\325 percs from there PCP ....for like 3yrs. Not 100% sure if the Dr the person uses has any other qualifications. But the the Dr is the persons regular family Dr.

DaBain™

“A bad day on vacation always”

Since: Jan 14

..beats a good day at work :o)

#20 Mar 21, 2014
TheGuyy wrote:
Wally, my brother gets the same type of massages you do, it sounds like. He has them come to his house though.
Me love you long time!
House calls?

Sounds expensive.

And just because I was talking about them, doesn't mean I actually get them.

A man can dream though.

Another round, Joe?

:o)

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