courtney: let's answer your opening question honestly and directly. the pain management doctor probably doesn't want to talk with you about medications. you could discuss hydrocodone but will most likely be dismissed. there is a reluctance by most pain management doctors to prescribe pain relief medication due to potential law suits (yes some patients actually sue the doctor and win for causing a drug addiction) unscrupulous patients who are actively addicted or those scoundrels who will sell the drugs. my orthopedic doctor referred me to a pain management physician. for severe sciatic type pain and lower back pain. a bulging disc was confirmed through mri studies at l and s1. during my first pain management visit i was given a spinal injection of cortisone. the doctor told me that it might not work so upon leaving the office i asked the r. n. if there was something else that could be prescribed if the procedure failed. she flippantly told me to take an advil as the practice didn't prescribe medicine and that narcotics would not work on nerve pain. what an uncaring incompetent statement by a registered nurse or more likely it was just an outright lie. on the 2nd visit i underwent a spinal epidural process. both treatment modalities failed miserably and left me in excoriating pain. i tried physical therapy ice packs a heating pad motion 800 mg 4x's a day and slept on an 18" wooden board without relief. i returned to my orthopedic surgeon who prescribed hydrocodone 5 w/325 tylenol. taking three pills at bedtime actually helps. additionally he scheduled me to see an orthopedic surgeon (at the first available appointment during the end of august 2014) to evaluate my condition for surgical consideration. i am relating my story to confirm the facts outlined in your question. in 2014 many doctors are fearful of prescribing narcotic medications to a 24 year old person or even a 65 year old person. something needs to change in the practice of pain management. doctors take a sacred oath to do no harm. i suggest that sending a patient away in severe pain without an adequate treatment pain is causing harm and goes against the principles and spirit of causing no harm. i suggest that you find a doctor willing to treat your pain with medication sufficient to relieve the pain. at the same time seek out a cause for your pain and have the appropriate treatment completed to resolve your condition without continuing to take pain medication. no legitimate pain suffer should be forced to jump out of their skin cry in agony or find a drug supplier on the street. there are surgical remedies acupuncture and implanted pain control pumps to alleviate even the most torturous pain. .
what medications can i talk to my pain management doctor about to help with my sciatica and constant migraines? . i am 24 years old with really bad sciatica and migraines. i am seeing a pain management doctor and for now he has me on a compound cream (which does nothing). he talked about doing steroid shots and from everything i have read it's all been negative because they aren't fda approve for the use of epidural pain relief. i hate that my doctors look at me like i'm a drug seeker because of me age. i want to play with my son again without pain. thanks in advance! courtney