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Re: Pain Clinics

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Just ask your primary care physician for a referral to that pain clinic, get the

name of the clinic the doctors there and the address and phone number. Write a

letter to the doctor asking to be referred, date it and keep a copy for your

records. 

These days, all specialists require referrals, even if your insurance doesn't.

Jennette

> wrote:

>I don't know if I asked this once before but has anyone tried to go to a Pain

Clinic only to be told

>

>1. You need a referral

>2. You need to be " approve " to come here

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Yes, I encountered the same thing. I was not even allowed to bring in my

own records from 2 floors up. My spine orthopedist had to send my records

and make the recommendation.

It took a month for me to get in.

My GP never did want to do pain management.

I took a copy of my contract with pain management to GP and we agreed that

GP would do anti-depressants and leave anything pain related to pain

management.

When I temporarily relocated, I sent a letter for the reason for my

relocation and a copy of my new pain management contract to the first pain

management. When I get to return home, I will resend the letters.

Drug addiction is apparently a huge problem and the pain docs want to limit

their liability. I didn't like it, but do understand it.

Ellen

> wrote:

>I don't know if I asked this once before but has anyone tried to go to a Pain

Clinic only to be told

1. You need a referral

2. You need to be " approve " to come here

The pain clinic asked me some questions and then said they would get back to me

after reading all the reports I would send to them. Not sure how I would get a

second opinion out of that?

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,

Yes most pain clinics require you send your records to see if they can treat

your condition. One of the doctors said they cannot treat me as my prognosis is

poor for recovery.

One doctor took six weeks for me to get accepted. Most doctors require records.

I would look at the pain doctors websites and they usually list the conditions

they treat and the services they provide.

Some will state they only provide intervention services (spinal injections,

blocks, ablation, etc) and do not do medication management. That is what you

need to ask.

I have a condition in that this is all that is left for me so I have to manage

that with my pain conditions.

My PCP does not prescribe narcotics and requires I go to a pain manage

specialist. I hope that helps but I would be looking for another pain

management doctor and I have sent my records to several before and asked for

recommendations. I recently called a pain management clinic as I go to a single

doctor and I worry about what I would do if she got sick and the other Doctor

said come right in. So the doctors are out there.

You have to get one that will provide you some type of relied and you have to

keep a level of pain medication in your system to fight it off and most

prescribe a timed a pain medication if you hurt daily most of the time. Good

Luck and let us know what you find out. Hope you get some relief.

Bennie

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Amazingly, one of the clinics and not sure if it was a pain clinic as much as a

naturalistic place. They saw my friend first, then took one look at my records

and said they couldn't see me based on my records.

I was so PO'd about it I was going to write a nasty letter to them. Just

because they see my chart doesn't mean that I am not open minded enough to

handle something different that they could offer to me that may work. I am still

not happy about it and word of mouth speaks volumes especially if I tell at

least 10 people about the place.

For someone to say to you that your prognosis is poor for recovery to me is the

doctor assuming they can't fix what you have.

This one has all the stuff and I do have to drive a good 2-3 hours away to get

there. I just don't understand what I am to do in the meantime when my regular

PCP won't give me anything stronger than Diludid.

Here is there website:

http://www.painclinic-nw.com/Home/tabid/36/Default.aspx

> Bennie wrote:

> Yes most pain clinics require you send your records to see if they can treat

your condition. One of the doctors said they cannot treat me as my prognosis is

poor for recovery.

> One doctor took six weeks for me to get accepted. Most doctors require

records.

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  • 2 weeks later...

M.G.,

I looked at the website and in my opinion, this is an interventional pain clinic

that does not do medication therapy but does have outside physical therapists

etc.

If you look under services : These are all invasive procedures and there is no

pain contracts listed where pain clinics usually have this that administer

medication.

Caudal Epidural Steroid Injection

Celiac Plexus Block

Cervical Epidural Steroid Injection (CESI)

Coccyx Injection

DAS Pump Placement

Discography

Facet Injection

Intercostal Nerve Block

Ischial Bursa Injection

Lumbar Epidural Steroid Injection

Lumbar Sympathetic Block

Medial Branch Block

Occipital Nerve Block

....

http://austinpainassociates.com/#/home/ was a clinic I went to and this part is

under some of their treatments to include interventional therapy, alternative

therapies, counseling, physical therapy, and other treatment listed on the

website. I always ask if I have to have injections to keep my medication program

in place and most doctors who are anesthesiologists do interventional

procedures.

Check out the site and you can see the difference. Below is the description they

have under treatments:

Medication Management

Due to rapid advances in medicine, a wide variety of medications and treatments

are available for acute, chronic and cancer pain. At Austin Pain Associates we

take the use of pain medication very seriously. We realize there are appropriate

times to use medication, and your therapy plan will be tailored to your specific

needs and circumstances. We will closely monitor the progress and compliance of

your treatment plan and make necessary adjustments along the way.

I hope you find a good doctor that will treat you well. Dilaudid is very strong

but you might be tolerant and need to be changed to other medication. I am not a

Doctor but this has been my experience. Bennie

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