re: Yet another back pain doc question? Bacas pain management centers?

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Then what the hell are you looking for?

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treatments that are non or minimally invasive. And yes a responsible prescriber so when it is bad I can have a Vicodin. Had 20 from a root canal in February last one in bottle now. So I am not to Heath Ledger status of pill mastery.

How are they supposed to treat you if they don't what the problem is?

Any reputable pain management dr or Nuero is going to require a MRI before they treat you.

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Eta: He wants a doc to prescribe him vicodin based on an old MRI and his subjective complaints.

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Excatly

I have followed your case loosely through the years......remind me again please......have you done a few weeks of PT?

Skaribas doesn't have the best bed side manner but is an excellent doctor, so is everyone else on my list, they all want to fix you minus pills if possible, they are all interventional and shots are one of the first steps in the treatment algorithm, there goal is to get you off meds. They all do drug screenings.

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Eta: He wants a doc to prescribe him vicodin based on an old MRI and his subjective

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I am willing to have another MRI. I am willing to do PT. I am willing to look into ESI's but he will have to sell it.

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I have followed your case loosely through the years......remind me again please......have you done a few weeks of PT?

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2003 cervical radiculopathy. Found and love Mckenzie therapies. And traction. Tougher to use these on lumbar and thoracic.

I hear you. You want your problem fixed once and for all. Tired of partial fixes every year or so. Surgery is way out of the question. Looking for a close-to permanent solution without going under the knife.

Go with the pain management guys who specialize in this sort of thing, who also have PT on-site. Sadly, a large portion of the people who come in to places like this are chronic pain patients, chronic work comp cases, chronic plaintiff personal injury cases. I suspect you could have a better outcome than the rest of them based on what you have told us thus far.

Good luck.

ETA: Saw your post. Keep doing the McKenzie exercises, you can do traction to some extent........by lying on your belly over a big therapy ball,....see how that works for you, but that will target mostly the low back. There are portable cervical traction units available that are very good.

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How about Marijuana?

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Bad for you. Opiates are better.

Bump to update.

Been doing pretty good. I read through thread. I have had 2 MRI's. One I mentioned in 2003 and one in 2012 or so. This one was ordered by a chiro I no longer go to. More of a workmans comp chiro. I see another chiro here who has in house massage as a standard pre adjustment treatment.