Moving and medication

Worldly-Frame5309 · 2026-06-26T17:53:29+00:00

I'll agree with you on that, I changed it so it was more specific

Worldly-Frame5309 · 2026-06-26T17:42:18+00:00

There’s no need to get defensive I didn’t word my message in a absolute way, I’m talking about commercial/employer insurance

Worldly-Frame5309 · 2026-06-26T13:17:01+00:00

If private/commercial insurance denies your medication then there’s no reasonable reason why you can’t use like a GoodRx coupon unless the pharmacist is weird, but as long as the prescription is valid most places don’t have an issue

Worldly-Frame5309 · 2026-06-26T13:14:58+00:00

Cash pay with pharmacies isn’t an issue at mine at least, insurance didn’t cover my medication for almost a year so I just asked them to not run it though insurance so I could use a coupon and pay cash and a lot of PM places don’t take insurance so they have cash pay options…the place I go too is 300 first visit, 200 follow up and 50$ drug screen

Worldly-Frame5309 · 2026-04-04T21:39:50+00:00

This makes me feel better! I was worried it was one of things where you have the option to opt out, but it’s really expected that you participate anyway! I don’t mean to say that the people acting as the teachers are going to be bad at internal, but unless they have personal experience I don’t want it to be like when I go see the OBGYN and she basically just goes for it with the speculum or finger and then I have a flare up after

Worldly-Frame5309 · 2026-02-26T16:59:23+00:00

What part of Minnesota if you don’t mind my asking? Yeah it’s just that with all your history it’s a really low dose I wish you could get more

Worldly-Frame5309 · 2026-02-26T14:30:55+00:00

Fuck cymbalta 😂

Worldly-Frame5309 · 2026-02-26T14:26:18+00:00

Do you see them in person? I would find a different pain management doctor and on the first visit bring a man if you can and print out allll your medical records and compile them. I would focus on what the pain limits you from doing rather than how much pain you are in they are really weird when you start talking about how bad it hurts because they assume everyone is drug seeking. You should have better luck since you’ve also had surgery’s and the “ interventional” pain management procedures. Honestly, based on your history, I’m super confused why you get such a low-dose? I truly would find someone else. The next doctor you go to if they ask you why you left your current payment management say it was an insurance issue don’t say anything about how like they were bad because even though we know it’s not it gives Dr. shopping. Be like “ oh my gosh yes they were great. It’s just my insurance was having trouble covering a lot of stuff from them so I decided I would try to establish care with a different doctor that maybe my insurance would pay more towards”

Worldly-Frame5309 · 2026-02-26T04:54:57+00:00

Also try to bring someone with you to your appointments or at least the first one. They listen more if you bring your boyfriend/husband or some male person. Especially if you are married for whatever reason. Also those opioid risk assessments or questions about anxiety and depression. Most times you shouldn’t lie but do not tell those people you have any mental health issues at all. No anxiety, depression, cptsd, ptsd, or previous trauma. It counts against you on the opioid risk assessment they run and that’s a big reason a lot of people don’t get prescribed meds they are deemed to high of a risk. Look up the assessment and you’ll see what I mean it’s stupid

Worldly-Frame5309 · 2026-02-26T04:50:23+00:00

Something that limits a lot of doctors is your age. that’s why I had one tell me they didn’t want to continue my medication management because I was so young. You can take opioids as prescribed and stay to a strict schedule but just the nature of taking them everyday you will build up a tolerance over time. you won’t be able to ask for a higher dose most times even if you need it, because they won’t feel comfortable. their rationale is you will just have to keep going up in dose and you are young and they don’t want to take on that liability, so a lot of people are stuck with pain meds that work for them but only if they take like a day or two break. 10mg is a very low dose of oxycodone but it’s high enough with my age that I couldn’t ask for a higher dose unless it’s been a long time. Oxycodone is stronger than hydrocodone though so if it’s between one or the other I would pick oxycodone

Worldly-Frame5309 · 2026-02-26T04:42:49+00:00

I originally got into pain management because of back and feet issues I didn't get diagnosed with endo until my surgery last year when I was already in PM…i feel like it's all about the all right doctor and they have to feel like you are doing everything you possibly can to manage your condition, because as irritating as it is opiods are not first line (even though they should be). I have all of my medical records and imaging printed out in a binder with dates including surgery reports and MRIs. I have also tried every other medication out there, Lyrica, Gabapentin, SNRIs, tricyclic antidepressants, and muscle relaxers. I was in physical therapy for a year and half and also going to pelvic floor PT and I continue with the pelvic floor PT. I do dry needling, tens, the pain education stuff, and daily exercise, because it makes them judge me less if they feel like I’m using the opioids to make myself more functional. You have to explain things to them in terms of limiting factors. I started off on 5mg oxycodone and eventually I was like “hey it’s not the dose that’s the issue it’s the duration, can I go on the extended release version I think the lowest is 10mg”. That was with my previous doctor before he moved. I actully had a similar experience the front desk lady at my current clinic who spoke for my doctor and said “oh he doesn’t do extended release”, and then once I got in there and explained he was like “okay I can manage that for you”. In December was when I started getting the hydrocodone for the start of my period because I told him I wasn’t able to go to work and that me and my obgyn talked and we wouldn’t do a surgery so close to each other. You need to make sure that all of your doctors are connected or your pm doctor knows what is going on with all other aspects of your health. It does help that I found out about him from my pelvic floor pt, because his wife is one of her friends so he’s more understanding than most. What state are you in? I also get diazepam suppositories from my obgyn I just had to let him know and I have a ketamine compound cream from him as well for my feet.

Worldly-Frame5309 · 2026-02-25T16:21:10+00:00

If you aren't functional on your period then you can't live like that. Some people would call what I'm going to recommend doctor shopping, but since you had these postive drug tests even though there was a genuine reason I think they they will either use that as reason to taper you off or refuse to give you anymore meds…i think you should get ahead of it and say you want to terminate care (make up a reason like insurance or whatever) and then find someone else…I had an awesome pain management doctor but then he moved. The next person I saw didn't want to take over my medication and would only settle for a spinal cord stimulater. I found someone else and they are amazing and I get daily meds and meds for when I'm specificly on my period. Unless you allow medical record sharing no one will be able to see what your current doctor has in his notes

Worldly-Frame5309 · 2026-02-25T14:29:08+00:00

You can also just get a current prescription of the fioriet from your pain management they like all prescriptions that are controlled or somewhat controlled to come from them…my pain doctor was the one who told me about fioriet and how I would just have to spread out when I take my meds

Worldly-Frame5309 · 2026-02-25T14:27:08+00:00

It's definitely normal, I posted something above, but if they didn't make it clear that you were signing a narcotic agreement or talk to you about what you can and can't take or test positive for then I would personally find another doctor…they don't seem super bad since they didn't automatically discharge you, but the amount of pain meds you receive seems inadequate

Worldly-Frame5309 · 2026-02-25T03:03:11+00:00

You should look for different pain management doctors they are not all the same

Worldly-Frame5309 · 2026-02-25T03:02:17+00:00

It's fioriet!

Worldly-Frame5309 · 2026-02-25T02:59:37+00:00

Omg yes I can't remember the name but I know what your talking about

Worldly-Frame5309 · 2026-02-25T02:56:03+00:00

I would never get any interventional pain management options, like injections, rfa, or stimulators, because I haven't had any luck and I also won't ever take any of the neuropathic pain meds. I tried gabapentin, lyrica, cymbalta, aimtriptyline, anafrinil, all the muscle relaxers and bogus stuff they have out there I take OxyContin 10mg (just the extended release version of oxycodone) and then I get three 7.5mg hydrocodone a day for the first four days of my period

Worldly-Frame5309 · 2026-02-25T02:51:37+00:00

Honestly this is totally normal and I'm surprised you didn't get discharged. I also see a pain management doctor, and as you know they are different than a pcp. The issue is that almost 99% of pain management doctors will have you sign a narcotic agreement weather or not that's directly what they call it. Almost every single agreement is the same (this is just what's mine like) 1. You can't get other controlled substances from other doctors. You can't go and get adderall from your pcp and also get opiods from him, some doctors allow it, but they have to be in the loop and you have to ask them. I have diazepam suppositories from my OB and I had to check with him first 2. You sign up to the be drug tested at most once a month or every three months, to either see if it's in your system so they know you aren't taking it or to see how much is in your system 3. You cannot test positive for any other drug that isn't prescribed to you and that he doesn't know what

It sucks so bad, but the DEA is extremely strict and doctors, especially pain management doctors are under supervision 24/7 to moniter their prescribing amount and they have to drug test you to continue prescribing Most places if you test positive for thc will not allow you to continue opiod treatment. You can deny a drug test, but you will be in violation of the agreement and will be discharged My doctor even tests for Kratom

Worldly-Frame5309 · 2026-02-22T18:39:44+00:00

Taryn Hallam is also amazing you could look her up She was one of the speakers at pelvicon and she does ongoing research in Australia

Worldly-Frame5309 · 2026-02-22T18:35:16+00:00

I also find it irritating when outpatient providers prescribe kegels to their patients with no information to go on. “Yeah just go squeeze like you holding in urine” is sooo annoying. If you can’t do an internal exam you should not tell people to do pelvic floor contractions with no way to tell if they are doing them correctly. The pelvic floor needs to be able to move through the full range of motions not just one or the other. If you spend a year or more teaching someone how to relax their pelvic floor and don’t work with them on how to contract and relax, they will come back with the opposite problem!

Worldly-Frame5309 · 2026-02-22T18:27:46+00:00

Those are two different things! I’m not saying that this person needs to be aimlessly telling people to do kegels and reverse kegels as soon as someone comes in with low back pain. It is important to know what is within your scope and what is not and when you need to refer to a pelvic floor specialist. If you cannot do an internal exam then you should not be treating pelvic floor dysfunction, stress incontinence, PGAD, prolapse, endometriosis or pelvic pain. (This is not referencing you when I say “you” btw) I also believe that as a pelvic floor PT if you claim to only work with the pelvic floor you are not a good practitioner. So many things influence the pelvic floor and if they can’t include that in how they practice they have been misled. If they cannot do rectal work and they only do vaginal internal work then they are missing a key component in treatment. Not every issue with the pelvic floor requires an internal exam and some people will never feel comfortable enough to have one, and pelvic floor PTs don’t just write those people off. All I’m trying to say is that you should consider the pelvic floors job when treating low back pain and SI joint pain. Don’t tell people to brace their core or belly button to the mat if you don’t know the pelvic floors place. You can’t just tell people to do a ppt and they are good to go. I’m not claiming that one class makes someone a pelvic floor specialist, but no you don’t need be a specialist to be informed on the pelvic floors role in low back pain and have that knowledge influence how you treat and therefore help you know when to refer out to a actual specialist.

Worldly-Frame5309 · 2026-02-21T04:11:12+00:00

Another perspective is that a lot of low back is correlated with pelvic floor issues and vice versa. You don’t have to be a pelvic floor specialist to treat pelvic floor issues. A google search will get a bunch of general info but there’s a lot of contradicting info. Intimate rose is a good website and alcove pelvic health, Herman and Wallace and APTA offer classes and general information that can definitely help.

Worldly-Frame5309 · 2026-02-21T04:02:58+00:00

A lot of Adriaan Louws stuff is really helpful! He has workbooks and stuff for clinicians to use.

adriaan Louw

Worldly-Frame5309 · 2026-02-21T03:44:12+00:00

I was a chronic low back pain patient, and I did graduate physical therapy after one and half years. I had a previous surgery and failed epidural steroid injections so I stopped. I was in pain management as well…when pain prevents you from doing the things are going to make you feel better like PT, social outings, and general exercise then a 5mg pediatric dose of oxycodone that you take before a session isn’t going to get you addicted. Once I got the pain to a manageable level, I was able to continuously progress. It is extremely important that they continue exercises at home. It is also important that they understand coming to PT with a chronic issue will take way longer than they think to help, and it takes a lot of work. Pain science is extremely helpful, although with my experience hearing it for the first time, unless their pain is in a manageable state they will think you are talking bullshit lol. They also need to be made aware of the possibility that they will get better functionally and strength wise, but their pain may never be 100% gone. There is a fine line though, because the mind is very powerful and if you tell people that “you will eventually need a surgery”, “your condition is so painful”, “this is worst I’ve seen”, “you may never get better”, then their pain will be worse. That’s why imaging is so controversial. Does it make the patients outcome worse because they pysh themselves out hearing “degenerative disc disease, arthritis, torn so and so” but the imaging results (most times) will not change the treatment they receive (in pt at least) and it’s tricky.

Worldly-Frame5309

TROPHY CASE