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Thread: Do All Pain Management Doctors Require an MRI?

  1. #1
    babyjesus318 is offline Banned Reason: shilling and pushing vendors and email vendors that selectively scam board members
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    Default Do All Pain Management Doctors Require an MRI?

    I suffered a compression fracture of my L-1 vertebrae just over a year ago. after being denied SSI twice and receiving no treatment except for wearing out my welcome at several ERs. I am forced to return to work. I will self medicate for a while but I want to get with a legit pain doc. my question is in the title. I have no insurance so there is no way I can pay cash for an MRI. the x-rays are obvious as it was a serious fracture where 3 fragments migrated so the images are very clear. would x-rays be good or must I have an MRI?
    Helpful SpaceMatters Rated helpful


  2. #2
    Have you tried calling local pain doctors and asking them what documentation is required to be treated?
    If they say an MRI is needed let them know about your money issue and ask if there are any cheaper alternatives.
    Helpful babyjesus318, grammy Rated helpful

  3. #3
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    I think it depends. The first pain clinic I went to, which I loathe with the loatheing no one else can loathe, required an MRI before the doctor would come into the room! You could make an appointment (family doc made the appointment), and go in and fill out tons of paperwork and give them money and THEN when they took you to the back room they asked for your MRI. I've had 5 or 6 or 7 MRIs, all at the same place, so I gave them the name of the facility and they faxed over my MRI.

    Move on to pain doctor No. 2, who works alone, has one nurse, one receptionist and stopped taking insurance last year because it was forcing him into a large group of doctors where he would end up with thousands of patients and 5 minutes with each one....maybe. He never asked for an MRI. On my first visit we talked for over an hour about the last 18 years of my life, the number of times I've had physical therapy, what various doctors have told me, how many Xrays and MRIs I've had, etc. etc. To this day he doesn't have any of my MRIs, but he knows what problems I have and I brought my records from my last hospital stay to him on my 2nd or 3rd visit. When I offered to give him the records from my family doctor he said it wasn't necessary. But...and this is a big but, I had to be referred to him and didn't know he existed until the referral. He doesn't advertise, you can't look him up in the yellow pages and the white pages simply list him as Dr. john smith M.D. I missed his office 3 times on my first visit because it's an old house built in the 1700's (and gorgeous!) and there were no huge signs, just a small regular driveway and little sign that said Pain Clinic (very little sign).

    Unfortunately it is getting harder to get into a Pain clinic because there's a stigma attached to them now and I think the reason CVS has never given me dirty looks is because my scripts don't have Pain Management Center of East Coast Clinic or some crap on them. They simply have his name and DEA number.

    Point being? They are all different. I personally would stay away from the ones where you see people spilling out the doors because that means they take virtually anyone but you are going to be there for 7 hours every month before you see the doctor and he won't remember you well enough to know if you are having problems. Smaller practices remember everything about you and don't even have to write it all down to remember it the next month. If your Xray is showing a serious problem then it should be good enough because the point is to show them where the pain is, but some clinics are beyond stupid and think an MRI is the end all, be all when it comes to seeing pain. My doctor said that he's seen MRIs' that look like the person shouldn't be able to stand and they weren't in any pain and he's seen MRI's with slight problems where the person walks on crutches, so he feels an MRI isn't the most important thing to see in your records.

    Good luck. Your search should usually start with your family doctor and have them make the appointment. If you don't have a family doctor it might get sticky because many clinics don't accept call-ins, only referrals.

  4. #4
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    @juniperpansy @Lynx4 thanks for the info. I guess I will start with a PCP doc as soon as I can. it shouldn't take long because I will get paid daily and the place i'm going is very busy. I rarely start threads but this is a big help.
    Like djrick liked this post

  5. I think you will be hard pressed to find a place that doesn't want an MRI. Some places don't care if you just had an MRI done 4 months ago, they want you to get a brand new one when starting with them. Pretty crazy if you understand MRI's. Something like 75% of the population would show some type of injury on an MRI and not be in any pain. Like Lynx4 stated, some people's MRI's make them look crippled even though they are getting along just fine, have no pain, and have no idea anything at all is wrong.

    IMO it is just another way for docs to CYA. It also justified over prescribing in the FL pill mills and current pill mills in action. A few red flags to watch out for is a jammed pack waiting room, having to like 4hrs to see a doc, in house dispensing, and blatant advertising.
    Helpful Lynx4, djrick Rated helpful

  6. #6
    Although most would prefer to have one, I've found that more and more physicians understand there are so many people out there with cicumstances similar to yours that they will accept x-rays, ct scans, mri's, as well as other medical testing procedures that have to do with your condition. Just remember to bring any and all records including lab work etc... to your appointment. It's always better to have too much than not enough.

  7. Clinics usually want the paper work that came with the mri done every year...My doc went as
    long as a 4yr old mri before I had to get a new one!

  8. #8
    Gman is offline Banned Reason: Sent the administrator delerious PMs threatening to try to hack this site
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    Gman has a reputation beyond reputeGman has a reputation beyond repute
    Quote Originally Posted by Lynx4 View Post
    I think it depends. The first pain clinic I went to, which I loathe with the loatheing no one else can loathe, required an MRI before the doctor would come into the room! You could make an appointment (family doc made the appointment), and go in and fill out tons of paperwork and give them money and THEN when they took you to the back room they asked for your MRI. I've had 5 or 6 or 7 MRIs, all at the same place, so I gave them the name of the facility and they faxed over my MRI.

    Move on to pain doctor No. 2, who works alone, has one nurse, one receptionist and stopped taking insurance last year because it was forcing him into a large group of doctors where he would end up with thousands of patients and 5 minutes with each one....maybe. He never asked for an MRI. On my first visit we talked for over an hour about the last 18 years of my life, the number of times I've had physical therapy, what various doctors have told me, how many Xrays and MRIs I've had, etc. etc. To this day he doesn't have any of my MRIs, but he knows what problems I have and I brought my records from my last hospital stay to him on my 2nd or 3rd visit. When I offered to give him the records from my family doctor he said it wasn't necessary. But...and this is a big but, I had to be referred to him and didn't know he existed until the referral. He doesn't advertise, you can't look him up in the yellow pages and the white pages simply list him as Dr. john smith M.D. I missed his office 3 times on my first visit because it's an old house built in the 1700's (and gorgeous!) and there were no huge signs, just a small regular driveway and little sign that said Pain Clinic (very little sign).

    Unfortunately it is getting harder to get into a Pain clinic because there's a stigma attached to them now and I think the reason CVS has never given me dirty looks is because my scripts don't have Pain Management Center of East Coast Clinic or some crap on them. They simply have his name and DEA number.

    Point being? They are all different. I personally would stay away from the ones where you see people spilling out the doors because that means they take virtually anyone but you are going to be there for 7 hours every month before you see the doctor and he won't remember you well enough to know if you are having problems. Smaller practices remember everything about you and don't even have to write it all down to remember it the next month. If your Xray is showing a serious problem then it should be good enough because the point is to show them where the pain is, but some clinics are beyond stupid and think an MRI is the end all, be all when it comes to seeing pain. My doctor said that he's seen MRIs' that look like the person shouldn't be able to stand and they weren't in any pain and he's seen MRI's with slight problems where the person walks on crutches, so he feels an MRI isn't the most important thing to see in your records.

    Good luck. Your search should usually start with your family doctor and have them make the appointment. If you don't have a family doctor it might get sticky because many clinics don't accept call-ins, only referrals.
    Most pain clinics out there think you are just another drug seeker. Predisposed to their little bit of 2 weeks training.
    My Doc of many years and pharmacist, along with my specialists, do not usually RX me narcotics, except with the kidney pain, which I get OXYsomething no questions asked...thank god

    JMO
    Gman

    Very few and far between, the side effects are terrible
    Last edited by Gman; 09-19-2013 at 05:38 PM.
    Like chell55, Gullible liked this post

  9. #9
    My pain doctor prescribes narcotics but he has been studying how diet effects pain as well as mind control for years. He has given me literature and recommended some excellent books. I respect him a lot. I can tell he doesn't mind prescribing narcotics if the patient is doing all they can to alleviate their pain. He treats numerous elderly people. I have heard many patients say they don't know what they'd do without him. He is in with other doctors but by far the most popular. Not for prescribing but for caring.
    Last edited by chell55; 09-16-2013 at 08:35 AM.
    Helpful Gullible, Gman Rated helpful

  10. #10
    Gman is offline Banned Reason: Sent the administrator delerious PMs threatening to try to hack this site
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    Gman has a reputation beyond reputeGman has a reputation beyond repute
    Quote Originally Posted by chell55 View Post
    My pain doctor prescribes narcotics but he has been studying how diet effects pain as well as mind control for years. He has given me literature and recommended some excellent books. I respect him a lot. I can tell he doesn't mind prescribing narcotics if the patient is doing all they can to alleviate their pain. He treats numerous elderly people. I have heard many patients say they don't know what they'd do without him. He is in with other doctors but by far the most popular. Not for prescribing but for caring.
    All is can say is WOW..
    New docs put me on a more holistic approach...sans most narcs and other nasties. People help people..Of course I am a bit smarter than the average lamp post and some drugs are certainly necessary in most cases

    Nice post
    Gman
    Helpful chell55, grammy Rated helpful


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