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What should I expect at pain clinic

Jul 06, 2014 4:48 AM

Hi all, finally after many years my gp referred me to the local pain clinic. My first appointment is on August 8th.

Its a nurse led clinic, and my gp suggested they might offer injections and/or an epidural. Neither of which I'm happy about. Having read on this forum that they are painful, don't work, or do for a short period, I don't see the point? I don't feel my pain levels are bad enough for such treatment either. Since gp put me on slow release Tramadol a couple weeks ago things have improved enormously.

So what should I expect at the clinic? What should I take with me?


Jul 06, 2014 4:55 AM

it really depends on two things as to what is the most relevant treatment you should consider. What is causing your pain and how much can you function with your pain. Regarding what caused your pain. For some people if they're injury is related to inflammation in the joint space epidurals can be a wonder treatment for them with great results. However there are also people like myself that they were a temporary fix but that was because I needed to have a disc entirely removed. So it depends. You also say your not in that much severe pain? You know your body best and if you feel your current level of function is sufficient that I would consider NOT doing an injection. Even tho, yes they are very routine and generally safe, there is always risks when you are sticking a needle into a joint space. If you do decide to get an injection I personally didn't really think they were a big deal. I even drive myself. hope this helps

Jul 07, 2014 4:31 AM

Yup that was great Jash thank you. Think I'll avoid a needle for now, keep that decision for later when I may really need it.

Jul 07, 2014 12:07 PM

I tried the injection ions most painful process I've ever had if I'm honest the process of it was much too painful for what little short term relief it gave I'm now on buspan patches and amatryptaline but still struggling :-(

Jul 07, 2014 4:04 PM

Thanks for that dawn, the gp increased my amatryptaline and started slow release Tramadol which seems to have stabilized me, he said if that didn't help then patches are next on his list.

This whole pain management malrky is a minefield!

Jul 09, 2014 12:36 AM

Hello Lizashaw,
As far as what to expect at a Pain Management Clinic, read my post under"Welcome to the Community". I describe a little of my experience with the Pain Management Clinic. I was referred to the Management Clinic when my Primary Physician stopped prescribing Pain Meds to me after 4 years. Primary Physician said she stopped dispensing narcotics because she found out that one of her patient was doctor shopping, so she decided she didn't want to risk the potential fall out. So one A**ho** patient ruined it for everyone else. My Primary said more and more Primary Physicians were stopping prescribing narcotics because of the strict regulations for the Government. So, really, you would be better of going to a Pain Management Clinic. Read what I posted, if you have any questions, just post them. I've been going to the Pain Clinic for 6 years and have been on Pain Meds for approx. 10 years.

Good luck,

Jul 09, 2014 6:13 AM

ha my experience with a pain clinic was only drugs!
it's only since I've left I've got my sanity, yes, some pain, and a real spirit back.
the person in charge only wanted to prescribe ever increasing amounts of one drug I'm sure there was a kick back for, and yes since stopping them I'm in more pain but I can function better.
I guess there's always a trade off.
drugs aren't always it, I find meditation, relaxation and yoga/stretching do wonders

Jul 09, 2014 4:01 PM

Thanks, I'd rather try to find non chemical solutions, but they seem few and far between. Although had a successful course of acupuncture that don't seem to want to repeat on NHS (I'm in UK) I find meditation works sometimes.

Although, one thing I've found interesting... I'm studying for a computer science/psychology degree and the harder I concentrate the less pain I feel, until someone asks me how I am, then I hurt again. So there's definitely something about the mind having an influence.

Jul 10, 2014 4:58 AM

lizashaw- I'm also a psych major (going to masters program next year). Don't know if you've studied it yet but look into ACT which is called acceptance and commitment therapy. it's a form of CBT that gas been great for pain management.

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