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  • BDD Moderators: Keif’ Richards

Primary Care Physician Refusing To Treat Extreme Pain

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Update: I've completed the first phase of pt and my abdominal tear is almost completely healed! While that is great the knee problem is still a great concern of mine. I can't even look for employment right now bc I can't stand for very long.

I know this has been covered a bit earlier in this thread, but what opioid or adjunct would be best for me considering that I have neuropathy, especially associated with sites of previous surgeries?
Methadone has been mentioned, but I very highly doubt that my surgeon will give me a script for it, even though I've gone through most generic medications for nerve pain.
I won't have the money to see a pain management doctor for quite awhile so I'll really need to stick to my surgeon.
Besides the hydro, oxycodone, and tramadol what are my options? I've recently learned a bit about compound such as orphenadrine, would something like that help?
 
If you are given the choice of Neurontin (gabapentin) or Lyrica (pregabalin) definitely go for the Lyrica (pregabalin). Lyrica (as it's known here in the USSA) is by FAR a superior medication for neuropathy. It's almost like when they invented gabapentin, they said, "Oops..." Then they got it right with Lyrica. In other words, gabapentin is like horrible American (non-microbrewed), mass produced piss-water beer, whereas pregabalin is like Grey Goose (or insert you favorite type of fine, tasty, well made distilled liquor here). Just my $0.02 on the subject of the huge (IMO) in vivo difference between the quality of gabapentin vs. pregabalin. Pregabalin wins by FAR...
 
I most definitely advise against telling him/her that you took/have to take 5 hydrocodone to get relief. That could get you in trouble with the doc for not taking meds as prescribed. I'd just tell the doc that you've been taking them as prescribed, and you MIGHT feel just the tiniest bit of relief, but most of the times it doesn't really do anything noticeable for the pain. And yes, either of your docs (PCP or Sports Medicine doc) can get you a referral to a PM doc. Good luck! I hope the best for you...your PCP refusing to treat pain on "religious grounds"??? I'm a CCRN (critical care/life-flight RN) and that's the first time I've heard a doc say ANYTHING like that...If my doc would've said that to me I would've asked him/her, "I'm in great pain here sir/ma'am. What "religious grounds" do base this off of? Do you enjoy seeing people in agony? What are you, a Satanist?" Again, good luck!
 
This thread has crossed the line into how to acquire prescriptions and what one should and should not say to a doctor in order to reach a certain end so I am closing it.

OP, send me a PM if you want tit re-opened to continue discussing your recovery, or feel free to startanother thread.

Closed.
 
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