Do pain management doctors have problems prescribing narcotic pain medicine?
December 21st, 2009 | by Michael |supermomof4boys asked:
My doctor referred me to one for my rib fracture because I’m still having pain. I was just wondering what to expect from them.
HUBERT
My doctor referred me to one for my rib fracture because I’m still having pain. I was just wondering what to expect from them.
HUBERT

7 Responses to “Do pain management doctors have problems prescribing narcotic pain medicine?”
By reneem1954_2000 on Dec 21, 2009 | Reply
Mine doesn’t even though I get the shots too. Mine monitors me closely, working with my regular doctor. My regular doctor put me on some pain killer when he was gone and he told her to take me off because it was very addictive, I have to go to him every 3 months even though I think 6 would be enough.
By GramNegative on Dec 23, 2009 | Reply
I haven’t encountered a pain management doctor that had a problem with prescribing pain medicine. They are specialists in dealing with extremely painful mostly uncurable diseases. They don’t just prescribe narcotics, but use a wide range of other pain management techniques (e.g. biofeedback etc) in order for the patient to receive some sort of quality of life. I would suspect the doctor wouldn’t prescribe anything they don’t feel 100% comfortable prescribing.
By anoldmick on Dec 24, 2009 | Reply
A pain management specialist has a surprisingly wide armamentarium of tools with which to approach this problem. Narcotic analgesics are only a few of said tools.
By Tom on Dec 27, 2009 | Reply
Yes, some doctors have problems prescribing certain medications for administrative reasons. They want to help you with the minimum amount of drugs needed, but are subject to Federal review if they prescribe certain things more often than some D.E.A. agents think they should.
They will find something to help and that something may include medications, exercise, physical rehabilitation, biofeedback and/or acupuncture.
By sexyfun2007 on Dec 28, 2009 | Reply
what to expect from pain managment- they do have problems prescribing certian medication also its very important to work out the side that you have problems with because in some cases the rib will not heal properly pain managment docs will highly recommend that you do this as well as other things they are highly trained to help you and wants the best thing for you in advance do the research on your pain managment doctor also very important do not go in there without doing research i failed to do research and went to a doctor that my pysican recommend and ended up getting felt up and it was a female that had no liscense and some imposter so follow these instructions and you will do very well
By justjan on Dec 30, 2009 | Reply
Narcotic based medication is rarely prescribed for short term pain related to a condition like yours.
The reason is that they need receptor sites in the body that requires that level of intervention. You wont have them. And that is how people get hooked on narcotics. Using them when alternative medications would deal with the pain just as well.
If you have a rib fracture, you will also have bruising, whether you can see it or not. As that resolves itself, the pain will lessen. But good old, garden variety paracetomol, taken 4 times a day faithfully will manage the pain for the most part.
The reason so many people think it is useless is that they wait until they are climbing the walls before they take any.
And then don’t follow up with it.
So unless you have liver problems or some reason you cant use paracetomol, just try it. Breakfast, lunch, dinner, bedtime.
Do it for 3 days and be amazed at the difference.
But seriously, you don’t want to go down the narcotics path at this point for this kind of pain. You have nowhere to go after that!
Pain management teams do more than give prescriptions.
They are going to look in to your life history of pain experiences; show you how those experiences influence how you perceive your pain now; teach you techniques to turn off the pain and teach and monitor how you use your pain medication.
What goes on in the brain when we experience pain has as much to do with the severity we perceive as the injury itself.
In other words, you will live out your expectations.
If you expect this to go on forever with no end in sight, it probably will. Because you are programming your brain to embrace it. Whereas if every day you tell yourself ‘today I feel better than yesterday’ you will live that out.
There are a lot of pay-offs to pain. People don’t expect as much of you; you get to opt out of things you’d rather not do without question; you get a lot of sympathy; you get time to process whatever the trauma was that caused the injury.
Think about what your pay-offs are. Acknowledge them. And then decide whether or not they are worth trading off a pain free future for.
Hypnotherapy is very useful to teach yourself how to turn the pain off.
Best of luck, hope something here has helped or at least got you thinking.
By thesweeteststar on Jan 2, 2010 | Reply
YEP. I have had fibro for YEARS and YEARS and it basically all comes down to THIS…too many quacks out there
too many online pharmacies with false meds (fake meds)
and too many LAWSUITS!!!!!!!!!!!!!!!!!!!!
I was referred by my Neurologist to get a medicine from my CPS yesterday and he was hesitant to do so even though its a LEADING FIBRO med!!……and he gave me another one instead , to which is not as effective, so i hear
I just need something to motivate me off the couch and ease my pain and tiredness.