New PM DR. (very strange Dr.)

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Michael8466

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Here are the things he doesn't believe in:
1. Drugs (vicodin, muscle relaxers, ibuprofin)
2. Physical therapy
3. RFA
He said I didn't need the surgery I had. The problem was with my muscles. I don't know, but when an MRI and tests show herniated discs, severe spinal stenosis, nerve damage in my legs he might be wrong. My recorRAB are about 5 inches thick, which he didn't start reading till I got to my appointment. He said my muscles were too tight in my back and we needed to losen them up. He then gave a shot on each side of my shoulders. It gave my back relief for about 30 minutes. It took me roughly 18 months to get a doctor from workcomp and now it seems I need to find another. Any input would be greatly appreciated.
 
I would get back on the list for a new doctor if it was me. Is he a physiatrist? Even if your muscles are tight you might need PT to loosen them up. It doesn't sound like he knows much about your case.
Keep us posted!

Blessings,
Michelle:angel:
 
is this an actual pain clinic doc or what the above poster mentioned, a physiatrist? that would make much more sense if it was the phys. any real doc that treats pain HAS to believe that PT can help, geez, pretty basic ya know? find out just what 'type" of doc this is and his credentials. honestly, pain has to be managed according to what the underlying generators are/were. i would seriously lose this doc despite the fact you had to wait wayy too long to even get him. any doc who is not willing to actually look at ALL factors that just make up anyones real pain, or just use all options/modalities that are actually KNOWN to really work is not even worth seeing. my PM uses many many different modalities to at least try and keep my pain intensities down. there ARE many many really good pain management facilitys out there that would be able to really help you the most.

i just realistically cannot see this man even remotely being able to help manage your pain at all. not with THAT kind of additude. i would see about getting to another clinic asap. the sooner the better. is there any way your primary doc can actually manage your pain til you can find someone who can? you just deserve much better care for your pain generators and you. marcia
 
If he is a workman's comp doctor forget about it. I've been trying for 8 months for workmans comp. since I got hurt twice in work and still got denied. I was diagnosed with spondyliolisthesis and a blown disc at L3-L4 and doctor told me it was degenerative. I even had my spine specialist tell them it was from a tramatic injury but still no. I had 1 fool workmans comp doc tell me I was in a "black hole of deep depression from taking perocet". They work for your company so whenever they can say no, it's for the best of the company you work for. Good luck. I also have severe muscle spasms from the spondy.
so what I am saying is that it is possibly from your muscles but that its a secondary pain coming for somewhere else.
 
Thanks for the replies, his card reaRAB.

Diplomate, American Board of Family Practice
Fellow, American Academy of Family Physicians

Comprehensive Family Health Care
Personal Injury and Pain Management
"The Best Medicine is Preventive Medicine"

He's not a Workcomp Dr., they're doctors did not want to see me so I told my attorney I'd find one on my own or were going back to court. After around 18 months of not having a doctor and dealing with ER for medications I took the first one that would see me. My primary doctor would not touch, talk about my back because it's a workcomp case. I even had trouble at the ER talking about. They would tell me to go to my primary dr. and I would tell them he won't treat my back. They told me doctors will not touch me because they don't want to get involved with the workcomp court system. This ER Dr. actually told me to settle my case if I want to be seen by a dr. I really don't think he had any right to talking to me about this situation. He told me my blood pressure was rising. I told him the more I talk to you the more it's going to go up.
 
I think you may have a problem with your attorney as well. What do you mean when you say "back to court"? In Florida, you do not get to court until you have gone through arbitration, which the attorney (if he knows what he is doing) will delay until all of your medical problems have reached what is called MMI or maximum medical improvement. You have to have a doctor make a statement on whether you have any permanent disability, then you go to arbitration and cut a deal with the WC insurance company and sign a waiver for a cash settlement or agree on what they will pay going forward for the rest of your life if you have permanent disability. Your doctor also sucks, but it is hard to find a doctor that will take workers comp cases because their reirabursment rates and also the rate your attorney is paid are set by the GOVERNMENT. The next move you make neeRAB to be pretty well thought out, because there are also limits on how many doctors you can see for the same problem. Try to get a referral from someone else with similar problems that has found a doctor who will actually treat your problem. The injections he gave you pretty much proves his diagnosis of muscle spasm, because the anesthetic wears off in about half an hour, but the cause of the muscle spasm is likely a pinched spinal nerve, which will need to be diagnosed by an MRI, where you are going to run into the same reirabursment rate problems as with the doctors. On a political note, this is what ALL medical care will be like when Obamacare comes in.
 
I have been thru arbitration and one of the conditions was I would receive medical for my back for life. My medical is still open because my back is still getting worse. Their QME has has confirmed the lack of progress and has raised my disability 25% in the past two years.They also took my dr's away and said to pick one from their list. The dr. I had was on their list, but they said he was to far away. I then picked 4 more dr's from the list and was told they couldn't see me. This is when I started going to the ER for medication til they finally gave me one. I agree my attorney has been lazy lately, but was excellent during court. The judge even praised him on his efforts. Since then it's been pretty bad. I don't know if it's even worth getting another attorney. I asked this new dr. about an MRI and sleeping pills and he said not yet. I am now on SS Disability and really want find a way to get workcomp out of my life and move on. Thanks
 
I must report I was wrong about the shots and my new doctor. I did not believe him because I've had shots before with little relief, but these shots seem to have helped me the most. Here's some info on the injections:

Trigger point injection (TPI) is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.

What Happens During the Procedure?

In the TPI procedure, a health care professional inserts a small needle into the patients trigger point. The injection contains a local anesthetic that sometimes includes a corticosteroid . With the injection, the trigger point is made inactive and the pain is alleviated. Usually, a brief course of treatment will result in sustained relief. Injections are given in a doctors office and usually take just a few minutes. Several sites may be injected in one visit. If a patient has an allergy to a certain medication, a dry-needle technique (involving no medications) can be used.

When Is Trigger Point Injection Used?

TPI is used to treat many muscle groups, especially those in the arms, legs, lower back, and neck. In addition, TPI can be used to treat fibromyalgia and tension headaches. TPI also is used to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounRAB muscle) that does not respond to other treatments. However, the effectiveness of TPI for treating myofascial pain is still under study.
 
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