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Opioids Pain Management Clinics

ericwarheim

ericwarheim

Greenlighter
Joined
Sep 30, 2010
Messages
3
Location
Cleveland, Ohio
This is my first post to bluelight and i would just like to say that i have so much respect for the people on here and it gives me hope everyday knowing there is at least some semblance of counterculture intelligence out there today. Anyways here is my question..i am 19 and have been prescribed 5/500 vicodin for the last couple years from my family doc for jaw pain and migraines. I really do have jaw pain and think it is TMJ but am not sure..anyways my doc recently told me that he cannot continue writing my monthly script and referred me to pain management. I have a vague idea of what it will be like, but i need some inside info. My main concern is that a clinic will be expensive(even though i have insurance), suspicious of my motives, and all around not an opi-friendly place. What are some other ppl's experiences with switching from regular doc. to pain management? I have no real x-rayed documentation that my jaw is fucked up..so i am worried that they will force me to do an MRI and then see that it isnt bad enough to warrant treatment..at which point i am fucked because i still experience pain everyday. I am a recreational user but that doesnt mean i cant use for pain relief as well. Anyways please help..any info or insight would be nice.
 
well, first of all, i doubt the pain management clinic will be "non-opi-friendly"....opiates are the primary medications they prescribe at places like that. Opiates are the best pain killers known to man at this point in time, so it only makes sense that a pain management specialist would prescribe them often.
And since you are being reffered to the pain management specialist by your previous doctor who was treating you with opiates for your pain issues, i see no reason why they wouldnt keep you going on some form of pain medication. They are doctors, if you actually have legitimate pain, they will do there best to prescribe you the correct medication.
Also....you didnt make it clear as to why your doctor told you that he couldnt prescribe you the vicodin anymore.....that could make a big difference. If he found out that you were abusing opiates, then you more than likely will NOT be getting any narcotics from this new pain management doctor.

But anyway, if you truly have a medical issue that causes you pain, the doctor will take care of it. I see no reason to worry. The only reason to worry would be if you actually were addicted to opiates and in denial, and were worried about getting cut off. Trust me, that happens all the time. In fact, I think atleast 4 times a week someone comes on BL and asks questions similar to yours, and the things they say and the way they talk usually points to "addicted and in denial".

Of course im not saying your an addict....i dont know you. Im just saying that it is a possiblity....and it is extremely common. And behavior like yours(getting worried when your doctor stops giving you opiates) is behavior that opiate addicts show. I would know, i was a heroin addict for over 4 years and an opiate addict for even longer.
 
The DEA is tightening up and depending on where you live, doctors are coming under scrutiny when it comes to prescribing pain meds. That's why he referred you to a pain specialist. Just have your records forwarded and hopefully this new doctor will be able to help.
 
yea my mom has tmj and she has NEVER had any pain medication for it. Its not really considered a condition that needs narcotics to manage. I think you just got lucky with your doc and now your gonna have to get off the pills.

Also, side note, I cant fucking stand sitting in the same room with my mom when she is eating something....her jaw is constantly popping so fucking loud!!....i cant stand it its so annoying!!'
sry....ive been waiting over a decade to get that off my chest.
 
yea the clicking is bad but the pain comes and goes so much you kind of just have to deal with it...
 
My experience with the PM clinic was so bad when I had to see a new Dr. (my old one left) that it inspired my to try and get on bupe maintenance like for long terms of time.

you have to know your medical records really well. Like she asked me when I started on the Opana's and how many I was taking... well that was like 3 years ago and I honestly don't remember so I said 3 to 4 a day. WRONG. 2 a day as my record shows. From there on it was her berating me and treating me like a doctor shopper. Also they are expensive, a pain in the ass, and generally uncomfortable. Also, you will have to take UA's.
 
Just to make it clear i definitley am psychologically addicted to opiates and have been for about 6 years, but i have never developed a substantial physical dependence on them. This is because I respect, study, and know drugs and how they work. I know i can binge on any opiate for about two weeks before withdrawl becomes a big concern. So i have this ongoing love affair with opioids that is constantly in the background of my life but not an every day thing. I will commonly go weeks (because of the unfortunate rarity and price of upper-tier pharms) without anything, but i always end up getting something before too long. I have been doing opioids in this manner for an entire 6 years, and i can still get off on 30 mg oxycodone pretty good. Only once have i fallen into a true every day addiction and when it happend i quit with nothing but weed to help me through it. The withdrawls from my 150 mg a day oxycodone habit taught me a valuable lesson and led me to take opioids the way i do now..with decent chunks of time in between use. Just wanted to clear up any notion that i am in denial or not looking at my habit in it's true light. I certainly love opiates and cannot imagine wanting to live my whole life without them being a part of it, but i can still control myself enough to function in the world.
 
ericwarheim said:
Just to make it clear i definitley am psychologically addicted to opiates and have been for about 6 years, but i have never developed a substantial physical dependence on them. This is because I respect, study, and know drugs and how they work. I know i can binge on any opiate for about two weeks before withdrawl becomes a big concern. So i have this ongoing love affair with opioids that is constantly in the background of my life but not an every day thing. I will commonly go weeks (because of the unfortunate rarity and price of upper-tier pharms) without anything, but i always end up getting something before too long. I have been doing opioids in this manner for an entire 6 years, and i can still get off on 30 mg oxycodone pretty good. Only once have i fallen into a true every day addiction and when it happend i quit with nothing but weed to help me through it. The withdrawls from my 150 mg a day oxycodone habit taught me a valuable lesson and led me to take opioids the way i do now..with decent chunks of time in between use. Just wanted to clear up any notion that i am in denial or not looking at my habit in it's true light. I certainly love opiates and cannot imagine wanting to live my whole life without them being a part of it, but i can still control myself enough to function in the world.
Click to expand...

You still didn't tell us WHY your first doctor cut you off from your vicodin. For some reason I feel that I need to know that before I can give you anymore advice.
 
Few doctors without specialized training/certification will be willing to prescribe opioids for chronic pain patients indefinitely. Most will eventually refer to pain clinics. I doubt that this is due to some recent DEA crackdown as this has been standard procedure for a long time. In fact, its inappropriate for a GP/PCP to treat chronic pain for extended periods much like a non-psychiatrist Rx-ing psychotropics, a non-rheumatologist Dx-ing fibromyalgia, etc

Pain clinics vary considerably from pill mills to near-unwillingness to prescribe narcotics.

Let me tell you from experience, you can not use opioids recreationally and for pain, it is absolutely unsustainable. If you legitimately have pain and you continue to abuse them, eventually you WILL get cut off or have to start doctor shopping/acquiring them illicitly because as sustainable as you think this is, in time its a near certainty that your pain will increase and/or your cravings will increase and you won't be able to satiate either with what a doctor is willing prescribe to a 19 year old will self-proclaimed TMJ (which is the name of the anatomy, not a specific disorder, despite popular misconception).

I am not trying to come off preachy, but I get pain in the pit of my stomach when I read about fellow chronic pain patients with any sort of opioid habit- it never ends well.

My best advice is to go to the pain clinic and be a good patient- the most effective treatments are multidisciplinary usually encompassing medicine and non-pharmacological interventions. There are lots of types of medications and numerous different treatment modalities with demonstrable efficacy that you shouldn't just write off. If you genuinely believe narcotics are all that will work for you, I'd be worried because you're already substantially rationalizing and if that continues, it won't end pretty.
 
^ great post C2TL..

OP have you tried a few NSAIDS? like the obvious ibuprofen, naproxen, asprin? or better are RX ones, celebrex(not sure how well it works, my grandmother takes it for arthritis pain) but IME toradol (sp?) is the best one out of the bunch and i think would be worth a try to be on that (or another) instead of narcotics if you can help it.. and i will repeat the one most important thing said if you do continue on opiates- don't use for pain AND abuse them as it will not turn out well.
 
^thanks, hood.

I thought celebrex was a great NSAID myself, as a cox-2 inhibitor its great because unlike most NSAIDs it doesn't inhibit cox-1 which reduces stomach lining production predisposing patients to GI complications.

I also wanted to plug the Chronic Pain mega thread where there is copious discussion of pain clinics and a convenient link in my signature.
 
My rheumatologist was going to refer me to a pain clinic when I tested possitive for marijuana. I was able to convince her to perscribe me my opietes again. I really did not want to go to a pain clinic, since my insurance wouldnt cover it, I don't want access to more pills than I need concidering my curent mental state, it would make more of a hassel going to one doc for my opietes and another for my other meds, and she would still be drug testing me anyway to recieve any form of treatment.

I think the OPs doc refered him to PM cause of all the DEA scare tactics against the doctor.

My nuerologist explaining to me how much he agrees that all these regulations are just makeing shit harder and worse off for the legit doctors and patients.
 
phenethylo J said:
My rheumatologist was going to refer me to a pain clinic when I tested possitive for marijuana. I was able to convince her to perscribe me my opietes again. I really did not want to go to a pain clinic, since my insurance wouldnt cover it, I don't want access to more pills than I need concidering my curent mental state, it would make more of a hassel going to one doc for my opietes and another for my other meds, and she would still be drug testing me anyway to recieve any form of treatment.

I think the OPs doc refered him to PM cause of all the DEA scare tactics against the doctor.

My nuerologist explaining to me how much he agrees that all these regulations are just makeing shit harder and worse off for the legit doctors and patients.
Click to expand...

Yup^^^^....and to think....it would have been even worse if we were still under the Bush administration.
 
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Obama is no better of a president. And while im no fan of bush, anyone calling him dumb or a 'tard' is severely mistaken. You have to be a very intelligent person to be elected president (twice). He's just not the best public speaker lol
 
^yeah yeah yeah.... i have CHOMSKY as an avatar but this isn't OD subject matter, gents. Take it to CE&P if you want to debate this shite.
 
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