New here - neck / shoulder / back ?

QUESTION:
I've been lurking for about a week and I'm so glad I've found this group. I've already discovered a ton of information. I wanted to introduce myself and ask for some advice or just words of wisdom.

I've remembered some slight neck pain with breakthroughs periodically for the past 6 or so years. When it got bad, I would seek treatment from my primary. We would do a round of anti-inflammatories and muscle relaxers. These episodes were at least once each year, increasing in frequency as time passed. The treatments would ease the pain, but never take it away completely, and I would just carry on, figuring that some people just have to live with aches and pains, and I must be one of them.

Fast forward to this past summer. I am a school teacher and just before school started, I had an 'episode'... this consists of extreme neck pain, like a 'crick', that just doesn't let up... nothing makes it better and many things make it worse. I chalked it up to stress and managed to get the school year off and running. I had some muscle relaxers and NSAIDs from previous treatments and took those to *try* to get through.

It didn't let up and in September, I went to my doctor. Again with the anti-inflammatories and muscle relaxers. Pain was worse after two days, so I went back. This time I was given a steroid pack, another NSAID and amytriptiline. I waited it out, thinking there *had* to be *some* relief at the end of this course. (I couldn't take the elavil... I was a zombie the next morning after the first night, so I went back to Flexeril) So, after I finished this round of meds, I went back to my primary. He sent me to a chiropractor. (I should add that primary did x-ray of neck and didn't see anything)



ANSWER:
I have herniations at C4/C5 and it's causing pain in my left shoulder/forearm and both hands go numb without warning. Due to no insurance, my only relief so far has been my pain clinic whom I am currently "at war" with.....

I'm suprised that your Doctor didn't refer you to a Neurosurgeon. Not to advicate being cut on, however everyone I know personally have had great results with cervical problems...now backs, that;s another thing!

Pain Doc will more than likely want to perform some "procedures" on you to alleviate your pain....end thing will be drug therapy.....do your homework on the pain clinic though before committing to one....it's hard to change once you "pick" one....

I was surprised, too, that I was referred for pain management before an (I was expecting) orthopedist.

Any idea what type of 'procedures' are common with pain management clinics? Would just like to kind of have an idea of what to expect.

I don't know if my primary is trying everything *before* exploring surgery, or if it's possible that surgery is not an option. Either way, I'm a little confused at the referral to pain doc before a surgeon. I don't know if I should request a second opinion or if I'll see what the pain management doctor says first (I'm leaning towards the latter, as the pain is getting worse each day!)

I phoned my primary's office today re: the worsening pain. He's told me to double up on my Lortab. I'll try that and hopefully get *some* relief. This is so frustrating!!!

 


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