pain management support group
For all of the chronic pain sufferers out there, whether it be from ... more
See All
Preferences
My Communities
My Discussions
My Email Digests
I recently had some dental issues which required some prescriptions for pain meds. I recently found out that my insurance company sends quarterly reports of Prescriptions issued to all providers who prescribed the meds. They indicated to me that they like to do this to keep the practitioners on the same page and it was for patient safety. Anyone else have a problem with this? The reports are so vague they don't explain to the prescribers the reasons for the prescriptions. Therefore it just makes you look like a doctor shopper and then you lose all your providers when they get the reports.
For example, if you are going to a pain clinic, they are not going to prescribe medication for oral surgeries or other surgeries for that matter. My dentist recently refused to ever prescribe me a pain med because she got this report that showed I get pain meds from a pain clinic. As I said, the report is vague and doesn't explain the whole picture. All these reports do is arouse suspicion and make your providers not trust you.
Has anyone else had this problem? I think the insurance company needs to revamp these reports so that the providers can see what EXACTLY is going on. Even if you visit an urgent care just once, they will recieve a report of all the prescriptions you have recieved in the past 3 months. Then they make notes in their computer disallowing you to recieve any prescriptions for pain meds or other controlled substances. The pain clinic is not going to help you when you go to an ER after an accident. The pain clinic even told me (because I am under contract) that you can recieve RX's for pain meds outside our clinic for Surgeries, Dental problems, or colds that can be managed by your primary care. The pain clinic really doesn't care but all your outside providers get these unclear reports and then kick you to the curb. All the reports show is what was prescribed, the quantity, the pharmacy it was filled at and the doctor who prescribed it. I really don't think it is fair for insurance companies to do this without being more clear. It almost makes patients want to fill their prescriptions without insurance.
Please let me know if this makes sense to anyone or if you have had a similar experience.View Thread
I find I must manage my time better, I will no longer be posting here or reading posts here with any regularity.
You can always find me on the regular Pain Management Board. I think that will be the only board I will read and post on regularly.
My best to everyone.
Take care, AnnetteView Thread
I don't understand how she should handle the situation because the contract she signed with her regular physician stated that "he should be contacted in the event of an emergency which required additional pain medication for HER CONDITION". Now if she is prescribed something just for the procedure by the treating doctor, is she obligated to tell the referring physician (again) even if he is already aware of what the nerve block treatment entails? How can the referring physician justify prescribing "extra" medication (in the eyes of the law) to get her through the procedure that another doctor out of state is performing? We are confused and want to do things the right way without getting either physician into trouble, but I can tell that she does require the extra medication while she is "on the tale" and up to 3 days afterwards. Any input is welcome because we are new to these supposed "Regulations". Thanks for your help.View Thread
Question:
She has intermittent pain when swallowing and I was wondering for all the folks out there who may or may not have been through this, what are the chances that intermittent pain means cancer?
I would imagine that if there was a tumor, that this would come on gradually (the pain during swallowing) and the eventually get to the point where you would need to go to the doctor. But in her case it may happen today but then not for a week or so.
Any comments, feedback or links to literature other than this site would be greatly appreciated.View Thread
I hope to see another member speak up soon ==== it's gettin' a bit lonely here...here...ere...ere...reView Thread
"The data clearly predict that targeting glial cells and their proinflammatory products will provide superior pain control," said Dr. Watkins, at the Headache Cooperative of the Pacific's 2009 Winter Colloquium. Glial cell activation has been demonstrated in every clinically relevant animal model study to date, including that of peripheral nerve injury, bone cancer, multiple sclerosis (MS), spinal cord injury, herniated disks, low back pain, and migraine, noted Dr. Watkins, Professor of Psychology and Neuroscience at the University of Colorado at Boulder. "Targeting the glial cells and their proinflammatory products doesn't make a patient analgesic, and it doesn't suppress all pain sensitivity. It simply returns the pain to normal. It removes the abnormal pain, which is a good thing. We don't want the patients walking around oblivious to all pain…. If you block these proinflammatory cytokines, you return the pain patient to being normal."
Read the entire article in Neurology Reviews here: http://www.neurologyreviews.com/09mar/C1.html .View Thread
I just wanted to share with other members in order to encourage others to write some words of encouragement and support....if we have anyone left??
Love ya Charl! And keep on top of those doctors and don't leave until you get answers that you can live with. Take care, BrenView Thread
Food for thought: if you take time to read about prolotherapy, you may discover an entire realm of possibilites that aid your body's natural healing response, and throw out your anti-inflammatory med's...I'm on board with this and truly want to share with all of you.
I am currently undergoing a round of treatment and will keep updating on my progress. I will state the facts as it pertains to my benefits (and drawbacks if any) so that maybe others can find hope!!
I have lived with chronic pain for 4.5 yrs and NO DOCTOR can pinpoint my pain...I've suffered misdiagnosis, no diagnosis, family rejection of what appears to be a condition that is "in my head". All the thousands of $$ I have spent on imaging and therapies and meeting 20 + doctors has me FED UP!!! I am even more sympathetic to those I see on this board who suffer needlessly at the mercy of physicians who cannot seem to take the time to "think outside the box".
I'm not "selling" anything, I just want to offer my experience to maybe open y'alls eyes to an alternative treatment. I hope at least one chronic pain sufferer will read this paper found on this website: www.prolotherapynashville.com
There is a plethera of info there, or you can just "Google" prolotherapy.
The following is an abstract:
Many joint and connective tissue pains defy clear and
precise diagnosis. Often patients with various diagnoses
for joint, back and neck pain are not cured by traditional
treatment regimes appropriate for their "diagnosis".
Based on observations gleaned from treatment
responses to Prolotherapy, the author describes and
characterizes the Connective Tissue Damage Syndrome.
When properly understood, the CTDS explains not
only many body pains, undiagnosed conditions, and
treatment failures, but also many muscular
malfunctions (spasms, weakness, trigger points, etc.),
and referred symptoms such as pain, numbness,
tingling, and headaches. The results of Prolotherapy
treatment in patients with these disorders suggest
that pathological change in ligaments (CTDS) is the
underlying cause of these disorders. Prolotherapy is
the most rational and effective treatment for both the
underlying cause (ligament damage), and secondary
degenerative effects.
The body is capable of healing damaged connective
tissue structures, but certain hormone deficiencies
and medical treatments such as anti-inflammatories
prevent this. Once connective tissue damage syndrome
is correctly diagnosed, then treatment is rightly focused
on initiating and optimizing connective tissue healing.
Since incomplete connective tissue healing can be
principally due to either a trauma mechanism, or due
to impairment of the body's connective tissue healing
system, the integrity of the healing system must be
evaluated, and factors that impair connective tissue
healing must be identified and addressed. These
factors explain why many people with CTDS see their
disease worsen over time, while under medical care.
Patients who present with significant impairment of
the connective tissue healing system are described,
varying from "multisite connective tissue pain without
trauma history" to full-blown fibromyalgia.
Peace, Bren
View Thread
thanks for any repliesView Thread
In this Danish review, a second tier of agents (NNTs 3-6) include SNRIs, tramadol, and lidocaine patch. Cannabinoids (eg, marijuana and related agents) were considered in some of the research trials; however, while there was a favorable level of safety compared with placebo, moderate efficacy was only evident for central pain (NNT 3.4) and mixed neuropathies (NNT 8.3).
The study breaks down the efficacy of pharmacological agents over a wide range of neuropathies (see the link at the end of this post). However, In terms of safety as indicated by NNH values, both opioids (NNH 17.1) and tricyclic antidepressants (TCAs) (NNH 15.9) exhibited reasonably favorable profiles.
Read the entire article at http://updates.pain-topics.org/2010/08/pharmacotherapies-for-neuropathic-pain.html .View Thread
Take the Poll
Poll Results
-
Anti-depressants0% (0)
-
Opioids56% (9)
-
Tramadol6% (1)
-
Lidocaine0% (0)
-
Anti-depressant and Opioid combined38% (6)
My chronic pain levels are about the same - a '6' on a scale of one to ten, with some days near '10' due to weather and activity. The weather has been hot and humid in Western New York and I am very thankful that we have central air conditioning.
My wonderful wife is working on a re-decorating project the involves most of the rooms on our first floor. She is nearing completing with the help of a very dear friend, our eldest son and even from her dear disabled husband sometimes. All walls and trim have been painted and new vinyl resilient flooring is being installed by my wife as we speak. It is looking great. Then, we decided to make one further investment in our health and get LaZBoy reclining furniture - a sectional with reclining ends and a separate recliner - that is being delivered next Tuesday. It is the best furniture I ever sat in (in the showroom) and will be great at helping to relief chronic pain. We have recliners now but after only two years they are ready for the garbage. Being that there is a lifetime warranty on the new furniture this will hopefully be our last purchase for a long time.
We've been enjoying our gardens and ponds as much as possible this summer. Our pond is actually leaking and my wife (with some help from me and our son) will be re-building them in a few weeks. The home projects never end, it seem.
I'll be checking in on a regular basis again and hopefully we can continue activity and support on this exchange.
Have a blessed and thankful Thursday, folks.
View Thread
Did you find the info you were looking for as far as the internal therapy? I hope you are doing better and having a good day. I am having a good day because I am resting a great deal and hoping tomorrow will be a great day with my husband off from work. We are planning to do a little shopping and that is about all the plans I feels up to right now. Things might change, who knows. I will look upwards. I have found so many good friends on the support groups afforded us and I think that has helped a lot. Let me hear from you.
did you find the
View Thread
Some days I keep wondering whether I can make it. But I keep putting on an act and keep going.
I am not writing much, but I just wanted to stick my head in the door and say hello. Take care to all.
View Thread
I am going to therapy every week now for a special kind of therapy. I have to drive 11/2 hours each way for the appointment. So many exercises I am supposed to be doing at home as well.
I take the Oxycodone 15mg up to one every 4 hours and a 75mg Fentanyl mcg? hr changing it every third day. It is weak on the third day. The meds are pretty well managed as long as I don't sit but a few minutes at the time, and don't tend to overdo the work as I have lately. The sitting problem does change ones life. I was asked to write my story and it very well could help someone else, and I plan to do that one morning when I am able to sit long enough to get through it.
Just trying to catch everyone up. Take care and gentle hugs to all.
View Thread
well it's been a wild roller coaster for me for the last couple of months - on 4/14 my mom went into the hospital (just for the night) to get her last stent implanted (we hope!!) - everything went very well.
The my father-n-law (we have a 5 bedroom house) woke up one night having bad chest pains and took a nitro tab - well we didn't find out about it until the 5/1 (Saturday) so on Monday I called his heart doc and told him what happened - we get him in the next day for tests and the doc said he needed to go in for angioplasty (SP) so that was scheduled for Thursday and he came home Friday afternoon - then the following Monday he started coughing up blood - so I rushed him to the hospital (at 6:30am - running stop signs and red lights when no traffic) I did have my emergency flashers on and it was amazing and so wonderful they way people moved out of our way -
he was in the hospital the entire week - they kept doing tests but could not find out where the blood was coming from - so they did the tube thing down the throat to look into the lungs (Thursday) - and while he was under he coughed - and there they found where the tear was - they catherized it (whatever u call it!) and he went home late Friday afternoon -
now my mom is having pains - went and had CT Scan done - she does have gall stones but her pains are coming from plaque in her celiac artery. Her heart doc (same as FNL) is reviewing all her stent surgeries (started in 10/09 had 5 in at one time) checking all their reports etc with the assisting Heart Doc - she is not in any danger but lots of pain and she can only take darvecets and we should hear from them today on what needs to be done -
now i had appointment yesterday with PM doc - the doc I usually see was let go the first part of May so now i'm back seeing the gal I originally saw last year -so I got her caught up on everything - main complaint is still pains in lower back, hips/knees and the nerve damage in both legs - we went over the notes from my old doc and also the surgeon I saw a few months ago and also that I can never have an steroid injections because it's causing damage in my hips/knees etc., so she asked me if I wanted this other shot? hummmm I told her that my other PM Doc said there was nothing I could have done - she looked at me and I could see the anger in her eyes - we also went over my meds - she said all he was doing was over medicating me (had me on 60mg ms contin and 15mg ms contin and 15mg oxycodone!) so now i'm just taking the 60mg ms contin and the 15 mg oxycodone - she also stepped out into the hall and spoke with the main head honcho about what was going on - she came back and said that the shot she is talking about has an anti-inflammatory med along with a numbing agent - i told her please please give me the shots - she asked where i wanted them - i said both hips and knees - so i went into another room and waited for the head honcho (owns the place) we started with the right hip - he gave me 3 shots in the main areas where it hurt and then they put a patch on it that has the numbing agent on it - OMG!! I cannot tell you how wonderful my right hip feels - I go back in on 6/1 to get shots in my left hip - then we will discuss doing the EUFLEXXA shots into my knees -it's a jell like stuff they inject into them - i cannot tell you that I am so excited and UPSET with my old PM doc that was released saying I could not have anything done - oh and also I can have the shots in my wrists too (anti-inflammatory and numbing agent) - gosh maybe even my back - this is great that I can have some relief now - will not last as long and steroid shots but IT'S RELIEF!! anyway just a long update! LOL hope everyone has a good Memorial Holiday.
Take care - Joy ~~View Thread
View Thread
Happy weekend!
Sick of the pills, doc's visits, imaging, and family disruption, BView Thread
My wonderful wife and I mowed (mostly her) the lawns at her parents house and then ours yesterday, then did some errands. Wet, rainy, painful weather for me here in WNY last night and today. I need to push through the pain and try and get a load of dishes done today. We're out of paper plates, unless I run to the store and get some. Gotta earn my keep as the Full Time Dear Disabled House Husband.

Praying you are all managing your pain as well as possible.
Have a blessed and wonderful Wednesday, friends.

-DaveView Thread
See Related Pain Management Communities
Women's Health Newsletter
Find out what women really need.
Spotlight: Member Stories
Helpful Tips
- Smoking Pot Decreases Neuropathic Pain
- Transplanted Stem Cells Prevent Disc Degeration
- Naloxone ?Reboots? Opioid Pain-Relief System
Related News
Related Drug Reviews
- Drug Name User Reviews
Report Problems to the
Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Other Member Communities
- Dieting Club: 10 - 25 Lbs Member Community Share Your Tips and Support!
- Caregiving Member Community The Support and Understanding You Need!
- Parenting Friends Talking Member Community Get Support from Members Like You!
-
More Related Communities
The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment.
Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.
Health Solutions From Our Sponsors
©2005-2013 WebMD, LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment. See additional information.

