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So what exactly does pain management involve?

Jul 08, 2016 11:16 PM

My PCP has referred me for pain management. What exactly does that involve, for degenerative disc disease specifically? Anyone have any experience with it? Does it mean injections, nerve blocks, epidurals, etc.? I have no clue. Is it generally the last resort before surgery? Any help would be appreciated. 😃

Jul 09, 2016 12:06 AM

Well, it really means what the doctors think pain management is. I would really like my own definition, a little this, a little that...etc including massages, friendlier office staff (Ones that actually smile at you, encourage you, and get things done quickly for my treatment.) Now , it does depend on the clinic and the doctors who own it. Hope this is an okay answer. I would go every week for the extra care stuff. We need comfortable pain management office furniture that is not so low to the ground. Anyway, I am rambling right along here... someone tell blue what it all means, like epidurals, nerve blocks, counseling, etc....

Jul 09, 2016 3:02 AM

In my experience it quite literally means what it says, pain management. When my pain levels could no longer be handled adequately by over-the-counter meds or my PCP alone, I was referred to a pain management clinic where there are more options available to address it. Options such as nerve blocks, long-acting steroid injections, more detailed imaging (than a standard x-ray) etc were made available by having that referral.

Jul 09, 2016 4:54 AM

Hey Blue 🌹
It gives u the access to a consultant, a dr.. & pain management nurse... a physio, an osteo... acupuncturist... occupational therapist, a psychologist... or physical therapist. They all work under pain management together to manage ur pain. It is really good for me but i am lucky. They can do everything from cordal epidurals, facet joint blocks to radio denervation... (ive had all that thru mine over the past 10yrs for DDD ) unfortunately it is not always as good for others sadly... but go with an open mind aand u will be ok 🤗

Take any pain diary u may hsve ...or this app logs daily so show them that. Ask for help, there is no shame in that... and tell them the little things u r trying to put in place to ease ur pain... but u need help because its impacting ur quality of life now 🐫

Hope this helps hunni 🌹
Good luck for ur appointment x

Jul 09, 2016 7:52 PM

The only thing I can add to the other's descriptions is that I received epidural steroid injx, facet blocks, and foraminal block; all worked pretty well for me. Oh, they also took over any and all pain related meds, including ointment rubs & muscle relaxers. I wish you the very best results, with hugs & prayers! 🙂💕🙏🌼

Jul 09, 2016 9:34 PM

I tell them FIX the reason for the pain instead of manage the pain. They aren't the ones in constant pain like I am, so they don't know what they are talking about when they say "wait". The Neurosurgeons here are awful!!
I've done every possible treatment for back pain many many many times. I even did traction on lumbar back area (disastrous). They know me by name @ 🏥.
True, I'm not making this up. This is all true!!!!! I love HELP!!!!! I'm tired, way way tired of pain !!!!!!!!!!!

Jul 10, 2016 12:32 AM

Pain management is a way of self managing yourself, You know when you're in more pain than other days,so you learn about how to pace yourself, we all push ourselves way too much and then pay for it later, so learning about pacing is 1 thing, they'll tell you how the brain perceives pain when our bodies are normal compared to being in a chronic state of pain. Among other things. Don't go thinking they're going to have a miracle cure to hand out, truth is, they only know through lots of studies over the years, but until they actually have a Doctor,physio or Psychologist who has chronic pain, some people find it difficult to hear what they have to say, so I say to you, please go with an open mind, they're there to help us, but the biggest point from pain management is to be able to go home and know there are a few different things you can try, to help yourself with your pain. If it doesn't help, well that's ok, but learn to stop and rest,then come back and try again at a different time instead of trying to over work your mind and body. 😊

Jul 11, 2016 7:26 AM

Jahmac, you are so good at explaining things! Pacing & learning our limited & boundaries are very important.

KScott, my pain specialist worked great for 2 years, but then things changed. I felt like they were just putting bandaid patches on me. I told my pain specialist I wanted to know what the cause for my pain was and fix the cause. He sent me to an Ortho surgeon who said I needed surgery but he wouldn't do it because of the risk. I'd already had 2 Neuro surgeons say the exact same thing. Then this year I threw up twice in 2 months, something I'd been unable to do since abdominal-pelvic surgery in 2010. I knew it did something to my neck but i was fed up with all the docs saying I needed surgery but the risks were too high. I found a new Ortho-neurosurgeon and got the referral from my PCP. He immediately identified my C3 disc was pushing into the spinal canal, which wasn't that way in 2015 x-rays. Now they have no choice because of the risks the disc's doing. Surgery is next month, and I'll be glad because my neck is really hurting.

Bluegypsea, I think everyone's pain management experience is different. Some have had to change to new facilities because the old one wasn't listening or helping. Go in with an open mind. Ask question of what types of treatment options they offer, and what they think would be the best way for you. If you don't understand what they're talking about then ask them to break it down more. Hug & prayers you will have good experience & help! 🙂💕🙏🌼

Jul 11, 2016 12:50 PM

Thanks Flappy!!! I appreciate the advice. ❤️

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