Laura asks…
How is a pain management center different from just seeing a regular dr?
for your pain meds? I have arthritis and severe knee problems and after seeing me for a few months my dr has referred me to a pain clinic. What exactly do they do there that is so different?
DJ answers:
Many of these so called pain management clinics are also very good at getting you addicted to high dose narcotics and then dropping you like a fly after you’ve been going every month for a year or two and are physically addicted to the pills. Be very careful. I would get on-line and do some research on which pain clinics in your area are good places to go for someone who wants help with their pain.
Thomas asks…
Pain management for knees?
Hi! I used to have recurrent knee dislocations from having my tibia bones externally rotated. (I was born this way, and have a Q angle of 30 in each leg, normally it should be less than 22.) From age 8-18 I had knee dislocations once a month. I had a fulkerson TTT on each knee to fix the problem. It worked perfectly (no more dislocations!), but now I have Patellofemoral arthritis. I also have foot tendinitis and back problems which are also related to my knee problems. I am a 21 yr old full time college student with a part time job and I don’t have a car, so I have to bike/walk everywhere. I can’t take Non steroidal anti-inflammatory drugs because they have given me gastroenteritis in the past. I alternate between bike riding and walking, since the bike aggravates my arthritis, but walking hurts my foot. I can’t decrease my activities any more than I already have. What are some other pain management suggestions? I will be very grateful!!!!
DJ answers:
Special custom made orthotics that actively change and disperse the weight your knees have to bear, if you are 15 pounds over weight make moves towards a diet change to unload the knees, there is a type of shoes that when you wear the change the length of the ligaments and re-train the muscles to bear the weight easier.
Jenny asks…
Can anyone help me with pain management ideas?
I have osteo arthritis. I was on morphine based pain killers but suffered serious side effects. My GP took me off the tablets but i am in terrible pain. I have a tens machine which helps during the day but the problem is lack of sleep at night.
My mattress is not a problem as i sleep ok sometimes. But when i get a flare up the pain wakes me and keeps me awake..
I have regular injections in my spine and hips and am having knee surgery on Wednesday.
Can anyone suggest alternative ways to help with the pain?
I attend a pain clinic.
I would rather not take any more pills.Thanks to those that suggested that, but it is not what i want.
DJ answers:
If tens or morphine aren’t working then you really are on the technology edge. Try alchohol if it’s allowed. There’s more than one flavour electric pain management machine and some of them are programmable. Worth hassling you GP for more details.
Mark asks…
What are the different types of pain patches?
Not as strong as Duragesic, not sure on the spelling.
heres my problem
I have severe Patella Chondromalacia, for about 5 years, and I am only 16 years old.
I have had 6 knee surgeries, I have gone to physical therapy, religiously, I have been on tons of medicines, I have tried pain management, natural rememdies, and I am developing arthritis in my knees now.
Do you have any suggestions on medicines or doctors in the New York, Pennsylvania or Ohio area.
Any suggestions
Because what I have been doing is not working.
My knee is structural okay for now, but I have severe pain.
Vicodin, and Tylenol with Codeiene do not help me, but a Duragesic patch is very strong.
Are there other pain patches that can be used, that arent as strong, and will they even help me, if pills dont?
I have tried almost any alternative remedy I can think of.
I am to the point where I need medication. Although I dont want to be on medication, I have to.
I am going to talk to my doctor about this.
DJ answers:
Have you tried alternitive measures such nikken. I tried some magnetic insoles for my shoes because I am on my feet 12 hours a day and was getting alot of cramps in my legs and once I used the nikken magnetic insoles the cramps went away. They were suggested by my doctor. Your pain sounds very painful but they have products for the knees it might help decrease your pain.
William asks…
I have a problem with a pain management Nurse paractioner.?
Hello,
I have a 5 year history of chronic pain. I was found to have peripheral neuropathy with Allodynia, herniated cervical discs (C3- C5 that impinges upon the thecal sac) Inflammatory Arthritis in my knees, and Fibromyalgia. I have been going to a pain management clinic and have been Rx’d Oxycontin 60mg every 12 hours, Oxycodone 15mg 3 x day for BT pain and lidoderm 3 x day.
While this has not stopped all my pain it has reduced it from a 8-9 to a 4-5 on most days. I could not live a decent life without these meds.
Recently I was tested for Lyme disease and the tests came back positive, I am now on Antibiotics. I have been going to a pain clinic for a few months and I see a Nurse Practitioner there and she was the one who ordered the Lyme testing and told me to see a Lyme doctor.
She recently told me that narcotics do not work for Lyme pain and that they don’t work on me. I tried to tell her differently but she would not listen. She said that my meds need to be tapered and stopped. When I again mentioned my bad discs she said that Lyme is causing it. Everything I have is now due to Lyme disease at least according to her. If she stops these meds I do not want to think about how bad my life will become. I have tried just about everything under the sun from NSAIDS to Biofeedback and everything in between and nothing else has reduced this GOD Awful pain.
How can someone act like this and work for a pain clinic? Am I missing something here? The pain I have has not changed. I have been lead to believe that Lyme can be as painful as cancer pain, yet cancer pain is treated.
Does anyone have any suggestions? Would it be a wise idea to speak to the actual Doctor and tell him what is going on? I saw him before I saw the NP and he was very understanding.
DJ answers:
I wonder why the NP is saying that your pain is caused by Lymes Disease. Lymes Disease is caused by a being bitten by infected blacklegged ticks and symptoms include fever, headache, fatigue, and skin rash. None of the symptoms should increase your pain, or really even give your body the type of pain you are talking about.
Did you have any of these symptoms for her to request a Lyme test? If not, then I would seriously consider going to see another doctor as well as talking to the head doctor at the pain clinic.
I do think pain clinics do a wonderful job. I attended a course about 5 years back now and learned different ways to adapt my life around my pain, meditation techniques and many other helpful things.
I’m not saying that a pain clinic is for everyone. It’s not.
I’m surprised that the NP can change your medications. I would have thought that would be entirely up to the MD.
Definately talk to the MD about your concerns and if you are not happy, then go to another MD.
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