r/PainManagement

I’m in shock. My pain management Doctor I have been seeing for 8 years got his DEA license revoked and all his patients are left hanging with no referred doctor and none of their medication which most were on opiods. I called the hospital they were absolutely no help. I need advice what to do. That Doctor kept me working for a long time. I am grateful to him. Now I’m in severe pain and don’t know where to go. I’m in the Chicago area.

Hey guys. I’m writing this to see if these pain pumps may be the option to getting our meds verses taking them orally and getting our scripts from the pharmacies.

Need to ask if there has been anyone of the refit people on these type pumps and if they have what are the pros and cons. Like does the doctors office receive the meds each month for us to fill our pumps. Is there any procedures for breakthrough pain like an extra dose when needed or does it actually work better. I would think the dosage would be less since it’s I ravenously instead of orally right? Are they safe? Has there been bad reactions? Just all of the things all of us would be asking. I do t know of anyone that has ever had one installed.

So please guys if you have experience with the pumps please let us know. Man if this would release us from having to track down our own meds it would be a god send. If we didn’t have to depend on the pharmacies to get the meds and other doctors offices would get them. Imagine the stress alone it would take off of us you guys.

Please let us know what it’s like and do they work and how do the doctors office receive get the meds for the pumps or do we still have to get it and have the doctors put it in for us. Most of all does it work and is it the same meds just different form. It seems that it would work better because it’s going right into the bloodstream instead of our gut.

I don’t know if it would be like when they administer it in the hospital or what throgh an IV or not. Please guys I have tried to research these but there not many patients that say anything about it. It’s usually really good or really bad. So please let me know. I’m going to talk to my doctor about it so I can see what she thinks about them and how your body accepts it.

Thanks again guys you know I noticed the other day that my PM docs sign of her front door went from saying neurologist/ pain management to adding palliative care as well on it. I wonder if this is something that will help to get our scripts filled. I guess we will find out.

Thanks guys for taking the time to talk about these pain pumps. I’m going to research them a little more as well to find out all I can about them. Can’t wait to hear from you guys.

Thanks again.

Tomorrow I am finally leaving the hospital after a catastrophic semi truck accident in which I was ejected from my rig. My upper body (brain&spine) came out unscathed, however below the waist was not. I have multiple pelvis fractures, a broken femur, broken tibia, shattered both knee caps, a shattered ankle and lisfranc mid foot fracture.

Currently still in an incredible amount but of pain even with 45mg of MS Contin 4x daily with 15mg of Oxy every 4 hours. What are my chances on asking for a bump on either of those meds since I will have be forced to increase mobility being home. I can hardly get through a half an hour of PT without spending the rest of the day trying to get the pain under control?

I was originally on 30mg of methadone 4x daily for 5 weeks had to switch to MS Contin and this doctor refuses to give me the morphine equivalent dose to the methadone.

For those taking Xtampza, do you take it with or without food? If you take with food, what do you eat/how many calories, fatty or not? Trying to figure out what’s best to take it with. TIA (I take 18mg BID)

I have a messed up spine, osteoporosis, etc. Because of the strict prescribing guidelines, do you supplement your pain legally, like herbs that is acceptable with pain doctor? I only have one shoulder to lay on, my left shoulder is shot, lying on my back causes severe pain with the nerves/instrumentation. I have to get out of bed, get an ice pack & anything I can think of. I don’t sleep well. It’s fitful. Any suggestions?

Ive been in constant full body pain most around my legs and back it's getting worse and the painkillers that have ever worked given by a paternt im and aspergic pharmacologicly trained at college got b or a or it's equivalents and did all but finish the exams medicine those 3 things i get could be difficult during practice to me though have been but a joke I can't go in and not be honest because im purposely going to their to get help often prescribed essentially innert tabs like a multivitamin to be told it'd be a strong pain killer i can't afford anything but nhs and this sentiment is one shared from many patients

HI. New here but im at my wits end. I am a pain patient who is prescribed oxycontin /oxycodone for my chronic pain going on 15 + years. My pain management doctor is good where he does give me the medication that I need to function. The problem now is when I went to the pharmacy (mom and pop that I have been going to for 10 years) to pick up my prescriptions I was told they don't have the oxycontin extended release in stock and going forward they are no longer able to get either of these medications and they received notification from the DEA that they can no longer get it. I was lucky enough to get the oxycodone but have gone to multiple pharmacies and no one has the oxycontin or oxycodone in stock. I am now 2 weeks past my fill date for the oxycontin and cannot find that or the generic and will be running out of the oxycodone with no hope in sight of any pharmacy having it or if they do have it saving it for their established long term customers. I'm just told that it is on back order. I work 12 hour days and cannot take off work for the pain or the potential withdrawal from the dependency of taking these medications for years. I dont know what to do at this point. Even with the medication the pain is so bad that I can barely make it through the work day and have no life outside of work. I have 2 years before I can retire and I don't know what I will do if I have nothing for the pain. For reference, I am in NJ. Is anyone else going through this where they are unable to get their medication? How are you coping with this? Is there any place that may have a better chance of having these or getting them in stock anytime soon??

Ok guys i wanna prefice this by stating the pm clinic i go to 99 percent of the staff have been going to for the past 2 years or so have been phenomenal from providers , office manager helped me deal with 1 or 2 small issues when they arose as well as there lpn's and a majority of other staff front end and those in the back

But my the only person it seems i had problem with whether it be in person or over the phone with them and every time i talk to them to get myself checked in and to ask for help about a future appointment they always have a look of utter disgust on there face, as well as take the time to talk down to me and be what can be best described as generally disrespectful when speaking to me in particular

Every time i deal with that person as well ad the rest of the staff im always very polite and respectful and from time to time id bring in something for their whole staff to say thank you ( id always ask beforehand to see if it was ok with the office) what id brin in is essentially stuff like cupcakes or even vegetables for em

But like my title says have u guys have ever dealt with 1 person like that at a pm clinic u went to whether its current or past 1 ? And what did u do ? What my mind tells me 2 do is speak to the office manager their about that 1 prob worker privatley but i still kinda have that fear when i do then i'd potentially get booted and labeled as a bad pt....

P.s ty for reading

After taking sublingual tab for 3 years, need to switch to patch to save my teeth. Was taking ~400mcg tab (100mcg 4x per day). Tried switching to 5mcg patch but it disturbed my already poor sleep, so had to take it off after 12 hours. Put patch on again for 3 hours but dose is just too high, increasing nausea and extreme sweating. Anyone else experience this? What can I do? Some suggested putting tape down first to partially occlude the patch. Any real pharmacist have a recommendation? I’m not sure why 5mcg dose feels way too high, maybe high absorption because I’m always sweating from other symptoms? Why would the patch cause nausea and sweat symptoms that feel like I took 400mcg all at once?

I've been in pain management with the same doc for close to a decade. I was just diagnosed with POTS and put on beta blockers. I see my doctor Monday. Is this one of the conditions I tell him about or is this one of the "they don't need to know what they don't need to know?"

Express scripts is no longer shipping controlled medication and shortages/back orders in the NYC-NJ area. Wow.

First time I’ve ever encountered anything like this. It’s been a week. So many restrictions. Pharmacies won’t even tell you if they have it in stock without a prescription but it’s only sent electronically. Doctors office won’t send it without having confirmation that it is in stock. I can almost feel the change in energy when I ask and I just get the feeling that they are lying.

Anyone else experiencing the same issue?

When in the hell did this become a rule in NY. The pharmacist gave me two doctors the might work but no can say anything for sure.

To top it off MS Contin on backorder and the half of everything and I got 14 days to figure it out.

Last year I had to fully withdraw. Ther years I’ve had to. 2-3 times so I’ve had rock bottom withdrawals 10 times. I don’t know what they want from me.

Hi everyone. Has anyone had headaches, brain fog/fullness, or migraines after radiofrequency ablation? I'm wondering if this is normal. Thanks

I have been in pain mgmt for a year for pelvic pain. I am unable to sit or stand for longer than 15 mins at a time before my pain starts to flair up. I am having to travel out of town for a family emergency and the trip will be around 5-6 hours one way. I don’t know how I will manage my pain levels. My question is: should I explain my emergency to my doctor and see if they will increase my medication just for the travel there and back? Is that something that is frowned upon? I am currently on Percocet 7.5 mg x 4 a day. They have mentioned previously this was the “max” without increasing in mg. I don’t ever see them increasing to 10 mg and that is fine, I just didn’t know what they could even do, if anything? I’m open to any recommendations.

I have pain knocking me all over the place. Physical pain from a car wreck that caused severe nerve damage. I have emotional pain, lost my sister in Sept, my husband in Jan, my sister in law 3 days ago. The pain of my first anniversary without my husband 2 days ago. My pain Drs taking me off pain pills because they say I’ve been on them too long. You can’t make this shit up. This is ridiculous. In & out of hosp for 4 years. I’ll be damned if I let this beat me. Can I get some positive affirmations everyone ??

The past two times I've had my semi-annual UA, it's initially come back with problems. The first time it said the "metabolites" were there, but the "parent drug" wasn't. I don't know what that means, but they sent it off for confirmation. The second time it came up with "Opiates" as well as "Opioids" and they sent it off for confirmation.

Both times they came back perfectly fine. But the stress and anxiety it causes every time is insane. I mean, I know I did nothing wrong, but it's still stressful to have to wait for some lab somewhere to confirm that. I am very frustrated and about at the end of my rope with it.

I'm wondering if it would be a good idea to try to get an earlier appointment with my doctor so I can discuss this issue. Or if I should just wait for my usual appointment, which isn't until mid August. I don't even really know what I want to accomplish with this discussion. I feel like I want some type of reassurance that if something like this happens again, they will talk to me about it. Let me know what is going on. It would really make me feel a lot less anxious. I don't know if what I am asking is out of line, either.

What do you think? Should I bring it up? Or just pretend everything is fine and it didn't happen (twice)?

Hello fellow pain sufferers. So I've been kind of on the fence about going to see a pain management doctor for several years now. I recently however did get put into my GPs pain management program so if I need something stronger than gabapentin I can get it.

However I also struggle to see if there's a line between dependence due to chronic pain and needing it for managing it and drug addiction.

I saw a study that said most people who reported becoming drug addicts due to opioid prescriptions like oxycodone have moved to drugs like heroin because they can't get access to medications to manage their pain.

When I saw that it made me wonder, if a person is on opioids long enough, does the line between needing it for pain management and drug addiction begin to blur?

For me, I'm terrified of doing anything stronger than prednisone and gabapentin because of my family history of alcoholism (my dad is a 4th generation alcoholic).

Is our health system ultimately failing people with chronic pain by not offering physical therapy that focuses on desensitization and getting people treatment to fix their underlying health problem? I think yes because it took me years to finally get someone to believe I'm in pain and it's not in my head.

I literally got told my pain was psychogenic by a doctor who refused do an MRI, at that point I was walking around with multiple broken bones in my neck and face.

I've been lucky enough to live my life mostly pain free, and have developed my own ways to manage it at home without opioids, but I know many people don't have that ability.