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Back Problems Message Board


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Hi everyone :wave:

I had a very disappointing phone call today back from my doctor (actually the nurse). My doctor has been out of town, and left me in a messed up situtation.

To give some history of meds for reference, this is what I am taking.

Celebrex 200mg 1 x daily (worried about side effects)
Switched from Naproxen 500mg 3 x daily (did nothing)

Soma 350mg 3 x daily (helps a little bit with tension)
Switched from Skelaxin 800mg 3 x daily (did nothing)

Trazodone 50mg 2 x daily at bedtime (helps with sleep)

Ultracet 37.5/325 3 x daily (which is a joke)
Vicodin 5/500 3 x daily (doesn't help much either)

I have been seeing this new doctor "Internal Medicine" for about 4 months now and he basically has put me on these meds and sent me for X-Ray and to PT.

X-Ray shows nothing wrong "what a suprise / sarcastic" and PT didn't help and they were just trying to get me to do stretches which I already do when I can. Plus I have been seeing a Chiro for 3 years for some relief which is temporary, and all PT is was another co-payment without the adjustment. Everything the chiro does, they did at PT.

My doctor basically said he is at the end of his rope and wanted to pass me on. He mentioned pain management where we can look into meds, injections, MRI, and other tests. Also if it came up where surgery was necessary, then they would send me along the chain of commands. He also said if the Ultracet wasn't working let him know. He put in for a referral which I received from my local "Pain Management, Rehab and Physical Therapy office". This is the same place where I previously went for PT.

So I have been having problems with no relief from Ultracet and my referral came in and it said "PT Evaluation" I was confused and upset!

I called and the doctors office calls me today and asks if the Ultracet was not working? I said "YES". They asked me if I would like to pick up some Celebrex? I was like "HELLO! I am already taking Celebrex and also Soma. They help for the stiffness and muscle spasms but not the PAIN! I am in bad pain all day long" The nurse tells me they must have gotten the notes mixed up so they sent it to the Dr. again for review, and they would call again tomorrow with the answer about the Ultracet. She also informs me that my referral was for ONLY PT. I was floored with anger and disappointment!

He said Pain Management not PT, he knows I have tried that already with no help! So I cannot see the PM docs there at the office, only the PT's. Which means NO tests, NO MRI's, NO Meds, NOTHING but stupid stretches!! Which I already do!

The nurse tells me that she will look into my evaluation from being there previously, and would also get back to me on that tomorrow. She also states that the PT can send me over to the PM side. I was like they didn't before what's gonna change now, I need tests! This was so frustrating!

All I can do now is wait, which really is upsetting me. sorry for being winded, I just needed to vent. I guess if the phone call does not go the way I want it to, I will make an appt and plead my case, begging for help and the proper tests. My doc seemed concerned when I see him, but now it seems he wanted to pass me on, well pass me to a PM not a PT. GEEZ!!

I hope everyone is doing better than I am today..

Hottrodd

------------------
* 27 years old, male
*Chronic upper back pain for about 6 years, recently getting really bad, really stiff in the morning takes forever to get going, lasts all day everyday.
*Crackling sounds from rib cage area across upper and middle back when stretching.
* Pain, tightness and burning all day long, usually ranges from a 4 through 9 depending on the day and how my body wants to react. Usually it's at least a 6/7 all day recently, used to be an annoying 3/4 all day, which I lived with but hated.
*Problem areas are mainly around breastbone area of chest, across shoulder blades, dead center upper back, upper shoulders and back of neck. Feels as if it's muscles and bones/joints, possibly ribs.
*Muscles spasms, had a couple that were severe enough to go to ER, felt like I was having a heart attack, pain radiated through upper back to chest area.
*Taking Vicodin 5/500 Soma 350 and Celebrex 200, which also helps somewhat but not to where I am not bothered by the pain, burning, tightness ect..
*Chiropractic 3 years, PT on and off again, all of which produces results that do not last for more than the day I have them.
*Can't remember any trauma I had that would have caused all this. Don't understand how it's getting worse.
*Can't really do anything, lifting, heavy physical ect.. Try and walk and stretch when I can.
*Still undiagnosed and waiting


[This message has been edited by hottrodd (edited 07-29-2003).]
Hi Everyone :wave:

Thanks for the replies...


I was and still am upset and frustrated about the whole situation. I have still not heard back from my doctors office. They said they would get back to me the day before yesterday. I called today and the nurse said the message was still in my doctors inbox. When he reads it, I will get a response from the nurse who handles referrals, or I will hear from the doctor directly.

So basically I am sitting here in pain because they have not gotten back to me, and the pain meds are not working. He told me to let him know if it does not help, we will see what he says when I finally hear back. And the whole PM mixup with PT, well I don't know, I guess I am just going to have to make "another" appt. and spend another co-pay to get this mess straightened out.


jdlfmc
Thanks for your advice. I am going to wait this out a bit longer , just because I didn't want to lose any time invested with my doctor already. He seems cool and willing to help, but it also seems very slow paced. To answer your question, no I have not had any other tests besides an X-Ray. I know it sounds like I am defending my doctor, which the way things are going, doesn't sound like a very good judgement call. I am just so tired of trying to build a relationship with my doctors, you know? I guess I will wait a bit longer and see..


Bcorica
I totally agree about doctors mostly giving the cold shoulder to their patients and not "REALLY" understanding about the pain we go through everyday. I am going to follow your advice and my own as well. I am so frustrated, just have to keep my cool and push, push, push for a different med till we find one that "DOES" work. I am also going to "DEMAND" and "PLEAD" that more tests be done, I would love a diagnosis because it's like I am in limbo land waiting for something. If I am in pain it's more confusing because you can't tell yourself, yeah it my "BLANK" acting up. I need to fill that void and place a title of some sort in it's place. Maybe it's just me, but being un-diagnosed is really not cool at all. Understanding it may take some time to figure exactly what is wrong?, what causes the pain?, where did it start?, how do we manage it?, can we fix it? I just would feel better knowing, instead of myself and others confused about the pain I am in.


BackWoes Lisa
I have been reading about these pain diary's, trying to figure out how they work. It sounds like a good idea and I will try and do some research on the proper way to format it so my doctor will understand to the best of his ability what my pain is like. Then maybe I can get on the right treatment plan. Thanks for your advice.


To conclude to the confusion...

I clearly remember my doctor stating on my last visit that he was sending me to a pain management clinic that does meds, tests such as MRI's, and injections. And if they found out a surgury was needed in any case, they would further refer me to someone who specializes in the type of surgury I would need, if needed at all.

Now I know that this "SAME" place does PT because I have been there before when he sent me, but it does have a pain management side. I was totally expecting PM but instead get my referral for PT evaluation "AGAIN" When I called there was no mixup, the nurse said it was supposed to be for PT not PM. I am still in utter amazement because PT does not consist of "ANYTHING" my doctor mentioned to me on my last visit. I wanted to scream at the top of my lungs. Not only I am un-diagnosed with chronic pain, but I really thought I was on my way to finding answers finally. I am just going to keep going..

co-pay after co-pay, until I can finally frustrate my doctor enough to where he will write the correct referral. I will be the person he hates to see in the morning because I will be there EVERY" morning if I have too.

Geez, here I go again.. Calm down and beathe *lol

Hottrodd

------------------
* 27 years old, male
*Chronic upper back pain for about 6 years, recently getting really bad, really stiff in the morning takes forever to get going, lasts all day everyday.
*Crackling sounds from rib cage area across upper and middle back when stretching.
* Pain, tightness and burning all day long, usually ranges from a 4 through 9 depending on the day and how my body wants to react. Usually it's at least a 6/7 all day recently, used to be an annoying 3/4 all day, which I lived with but hated.
*Problem areas are mainly around breastbone area of chest, across shoulder blades, dead center upper back, upper shoulders and back of neck. Feels as if it's muscles and bones/joints, possibly ribs.
*Muscles spasms, had a couple that were severe enough to go to ER, felt like I was having a heart attack, pain radiated through upper back to chest area.
*Taking Vicodin 5/500 Soma 350 and Celebrex 200, which also helps somewhat but not to where I am not bothered by the pain, burning, tightness ect..
*Chiropractic 3 years, PT on and off again, all of which produces results that do not last for more than the day I have them.
*Can't remember any trauma I had that would have caused all this. Don't understand how it's getting worse.
*Can't really do anything, lifting, heavy physical ect.. Try and walk and stretch when I can.
*Still undiagnosed and waiting

[This message has been edited by hottrodd (edited 07-31-2003).]
Hi Everyone :wave:

I had a doctor appointment today and it went, i'm gonna say "okay". I am pretty satisfied because I am headed in the right direction, hopefully!

I got the Physical Therapy referral worked out, that was actually supposed to be for Pain Management. My doctor seemed upset :mad: that the lady's in the office messed up. So I am finally on my way to a Pain Management Clinic and Rehab Center. My referral should be here within a week. I am one step closer to a diagnosis so we can treat this problem/pain. [img]http://www.healthboards.com/ubb/t_up.gif[/img]

My doc said they would do an MRI, also check for muscle and joint diseases, blood tests, as well as a Fibromyalgia check, he was putting in the notes to them.

The only downfall to my appointment was he wants to keep me on the Vicodin for a bit longer, he says it was not a concern unless I am taking over 6 a day for Tylenol problem intake (I'm currently taking 4-6 pills with pain). He "DID" mention though if I reach that point or do not see any more pain help from the Vicodin, that there are other stronger meds we can try with little or no Tylenol. So we are going in the right direction I think. [img]http://www.healthboards.com/ubb/dance.gif[/img]

He was also pretty sure the PM doc would kinda take over meds and tests and give me whatever I need to manage the pain. He was also concerned about my work and even mentioned that if I find myself not working he could put me on temp disability. I'm not to that point (still young) and I still want/determined to work (I am an Information Technology Manager), but it's nice to know he was being really cool about something like that.

So I am happy and look forward to finding what's going on :)

You guys give me so much encouragement and support, I really appreciate the concerns and advice.

Even though I love talking with my wife who is my supportive back bone and best friend (don't know what I would do without her), it's always nice to speak with others who are going through similar or same situations.

I hope everyone has been well and pain free!

Hottrodd

------------------
* 27 years old, male
*Chronic upper back pain for about 6 years, recently getting really bad, really stiff in the morning takes forever to get going, lasts all day everyday.
*Crackling sounds from rib cage area across upper and middle back when stretching.
* Pain, tightness and burning all day long, usually ranges from a 4 through 9 depending on the day and how my body wants to react. Usually it's at least a 6/7 all day recently, used to be an annoying 3/4 all day, which I lived with but hated.
*Problem areas are mainly around breastbone area of chest, across shoulder blades, dead center upper back, upper shoulders and back of neck. Feels as if it's muscles and bones/joints, possibly ribs.
*Muscles spasms, had a couple that were severe enough to go to ER, felt like I was having a heart attack, pain radiated through upper back to chest area.
*Taking Vicodin 5/500 Soma 350 and Celebrex 200, which also helps somewhat but not to where I am not bothered by the pain, burning, tightness ect..
*Chiropractic 3 years, PT on and off again, all of which produces results that do not last for more than the day I have them.
*Can't remember any trauma I had that would have caused all this. Don't understand how it's getting worse.
*Can't really do anything, lifting, heavy physical ect.. Try and walk and stretch when I can.
*Still undiagnosed and waiting

[This message has been edited by hottrodd (edited 08-05-2003).]

[This message has been edited by hottrodd (edited 08-05-2003).]





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