I felt like I was gone over with a fine-tooth comb and listen to when I asked questions. They truly have some of the finest specialist when it comes to spinal conditions in the country. I've been dealing with Cervical and Lumbar pain my entire life. I've had 40 MRI at least for various body parts in my life time. 13 surgeries on neck, wrist, biceps, knees, Hermia and gallbladder. My back has had moderate stenosis, bulging l4, l5, SI and kyphoscoliosis diagnosed for over 30 years. I've done every modality possible for my back issues. while this was my first attempt with Spinal diagnostics via guided steroid injection into my Sacroiliac Joint. Which did help with the arthritis in the joint for about 4 days after the 7 or so days for it to work. Even though it didn't help with the Sciatica. For the first time in many years, I'm hopefully I have the right team of professionals to figure out what is wrong with me and why my pain is so bad for someone that doesn't show direct nerve impingement in the disk that are bulging.
I've been through the gambit of doctors that proscribed way too much pain medication after neck surgery, to doctors that wouldn’t give you a Vicodin if you were dying of cancer.
IF you are reading this don't give up there is hope. Find a Primary Care doctor that listens and understand pain medication addiction verses pain medication physical dependency. Yes, this is two different things. Take pain meds as a last resort and take it to reduce pain for quality of life, not to get rid of the pain which only causes your tolerance to pain medication to grow and leads to opioid addiction. Have a primary care doctor that understand the pharmacokinetics of pain medication and the modality of pain management. What receptor sites are being addressed by the medication they are proscribing and if the ends justify the means etc...
You can read up and determine if your doctor is full of it. Or is willing to say I don't know. Personal Opinion: "Why would I let you install a neuro-stimulator in my spine, if I don't believe in shock therapy for mental health, my brain is part of my spinal cord”
There are so many doctors out that have fear of proscribing pain meds, or the lack there of. "My license is more important than your quality of life" Do no harm doesn't mean don't take appropriate action! It's time for the government to ensure doctors are educated in Pain Management and referral services, not trained to try and interrogate patients and determine mental health status and medication seeking behaviors.
They aren't qualified to do so, you need to know someone for a least a week to make determinations that aren't snap judgments about mental health needs or addiction. Snap judgments cause more harm than good.
Grant Doctors protection from being sued for bullshit., if I sell you a gun and I'm not a psychiatrist, why would I be sued if you do something stupid with the gun because of your mental health. Primary care doctors and surgeons only can-do general assessments of patient’s mental health and or drug addiction criterion. I’ve asked doctors if they know what the DSM V is and often hear. “yeah, it’s what the Psychiatrist uses to diagnosis mental health”
You will never know if the person in-front of you is a drug addict or suicidal unless you ask and they tell the truth. D People that have horned their skills with multiple doctors via trial and error usually over many years of drug seeking are going to find what they want. Still better for them to have a dose they can measure verse dying from OD from street drugs. If you show up to a doctor’s office and your pupils are dilated or miotic, or if you have track marks etc... then a few questions about if addiction help maybe in order. Instead of doctor who remains silent and doesn't confront what is right in front of them for fear of offending the patient and getting sued.
Until doctors are protected from being sued for things out of their span of control and not in fear of losing their license at every turn by the medical board. This problem of people overdosing in the streets via illegal proscriptions will not be solved. Since doctors dramatically reduced opioid prescriptions, overdoses have gone up 30% or more.