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Does Pain Management For Chronic Neck And Back Pain Vary From State To State?

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Posted on Tue, 6 May 2014
Question: Hi, I just moved to Arkansas from California back in January. I had been seeing a Pain Management doctor prior to my move here for chronic neck, back, pelvic, and fibromyalgia. In August my mom passed away, and I was seeing pain management in California. I had a ct scan done, and am getting another one because I took a bad fall and and tore two ligaments in my hand, and having severe pain in my neck and lumbar. The CT showed severe arthritis, bulging and herniated discs, and am not functioning due to the pain. I am set up for physical therapy. My question is that my California Pain Management doctor told me I could no longer see him because there was no Percocet in my system, and they found tramadol, and XXXXXXX in my system which were meds I found in my drawer. My doctor saw me and saw the previous CT scan and said my neck is in real bad shape, and now is affecting my arm and shoulder. I also have to have surgery on my hand to repair the ligaments. Does Pain Management vary from state to state? My doctor gave me Norco, and wants me to see a pain specialist. Will they prescribe me medication if I have been dropped in California, if my symptoms have gotten a lot worse?
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Answered by Dr. Chobufo Ditah (2 hours later)
Brief Answer: You would need to do a lot of explaining! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this mess that you have found yourself in. It would be a very difficult situation to dig yourself out of it. I understand that severe pain can push a client to go extra lengths too try just any pain medications. This is unfortunately what you found yourself in. You have two chances, if these states do share medical records, then it would be known and am sure able that you would really need to do some explaining to get out of this. However, because your primary care doctor didn't figure this out, it may be possible that they do not share health information and this would actually work in your advantage. Your condition necessitates pain medications. Unless they find reasons to deny you this, you would for sure receive pain medications. In any case, you would get this drugs finally even after a lot of explaining because you would not otherwise die in pains because of a mistake you made out of desperation because of your pains. I really hope it turns out sooner than later. I will however advise that you always stick to your prescribe drugs. This is because with increased regulation on pain medications, you can get a urine analysis any time to check whether you are taking the drugs correctly or taking any other drugs illegally. This is one of the most common reasons why pain medications prescriptions are being interrupted nowadays. Always take just the prescribed medications at the exact dosages. If you think you need more medications to get your pains well controlled, please talk to your doctor and not act on any left overs or accept any offers from friends. This would cost you so much later. In all, it seems they d not share information and you would be able to escape this. Even if it were to be discovered, you would definitely be offered some help somehow after a lot of explaining. I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more clarifications and information if need be. Dr. Ditah, MD.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Does Pain Management For Chronic Neck And Back Pain Vary From State To State?

Brief Answer: You would need to do a lot of explaining! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this mess that you have found yourself in. It would be a very difficult situation to dig yourself out of it. I understand that severe pain can push a client to go extra lengths too try just any pain medications. This is unfortunately what you found yourself in. You have two chances, if these states do share medical records, then it would be known and am sure able that you would really need to do some explaining to get out of this. However, because your primary care doctor didn't figure this out, it may be possible that they do not share health information and this would actually work in your advantage. Your condition necessitates pain medications. Unless they find reasons to deny you this, you would for sure receive pain medications. In any case, you would get this drugs finally even after a lot of explaining because you would not otherwise die in pains because of a mistake you made out of desperation because of your pains. I really hope it turns out sooner than later. I will however advise that you always stick to your prescribe drugs. This is because with increased regulation on pain medications, you can get a urine analysis any time to check whether you are taking the drugs correctly or taking any other drugs illegally. This is one of the most common reasons why pain medications prescriptions are being interrupted nowadays. Always take just the prescribed medications at the exact dosages. If you think you need more medications to get your pains well controlled, please talk to your doctor and not act on any left overs or accept any offers from friends. This would cost you so much later. In all, it seems they d not share information and you would be able to escape this. Even if it were to be discovered, you would definitely be offered some help somehow after a lot of explaining. I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more clarifications and information if need be. Dr. Ditah, MD.