It is your part to tell your MD about your pain, your current meds, what helps and what makes the pain worse.
Of course, be brutally honest, because the more information that you can share with the MD, the better he or she can do his or her part, which is evaluating your answers, probably ask you more questions, and decide which opiate may be best suited for you.
Brutal honesty included your concerns about the cost of brand- name medicines. Many of the most- widely used opiate meds are available in generic form.
OxyContin was, on the recent past, available as a generic, but is not now. There is a reason for this, but it's a long and somewhat boring narrative, so I'll leave it at this for now.
There is also a rather recent blood test that can assist pain management MDs to identify which opiate agent has the best chance if being effective for your genetic make up.
I had plantar fasciitis once, years back, and my MD attributed it to running without warming up.
I took anti- inflammatories, took some time off from running, and it got better.
I recall being somewhat surprised that inflamed fascia could be so painful. I don't remember what it felt like, but I do remember that it was very, very painful.
JMHO, but you have a diagnosis and a treatment plan.
You've had recent blood studies, and, as you said, "all is well".
I don't see any reason to consult with a neurologist at this point, nor should you suspect spine problems, or fibromyalgia.
Please wait until you try the orthotics, rest your feet while the inflammation subsides, and take anti- inflammatory meds to reduce both pain and inflammation.
If, after the time frame suggested by your podiatrist, your symptoms don't subside, become worse, or other symptoms emerge, then you're primary care MD and/ or podiatrist recommend that you should have further medical care.
Since you have a diagnosis and a treatment plan, should you go to a neurologist with a diagnosis of plantar fasciitis, what would you wish the neurologist do for you?
Please be patient with the current treatment plan, and give yourself a little more time to heal.View Thread
I'm wondering if you're being treated with PT because you're still in the post- op recovery from either of the fusions.
Unfortunately, whatever the reason, albeit appropriate, violating our med contract or agreement (I'm going to suspect that you had a contract as you were probably urine tested and this commonly means contracted) can be this proverbial "kiss of death".
It sounds as if you realize that taking the Valium was a mistake, but, opiates and benzo mix can be dangerous, so your MD wasn't out of line for refusing to treat you.
Of course, you need to find a new pain management MD.
If you're recent post- op, you may experience less pain as you heal.
Please stay in touch with us and tell us how you're doing, if/ when you've found a new pain management MD, etc.