I just recently switched to a new pain management specialist. I was a litlte surprised by our first appointment. I talked to him about all of the things that I've tried to manage my pain, including taking Vicodin, trying Elmiron, doing DMSO installations, and physical therapy. The Vicodin helps temporarily, the Elmiron did a little, the DMSO installs did not when I last had them done and the physical therapy caused me to have a horrible flare that lasted over a week. I still ice every day and use TENS therapy, which also provide temporary relief. My doctor said that I've pretty much tried everything that he can think of for the pain so, he suggested that I try Hypogastric Plexus Block with IV sedation. I was confused because I had no idea what this was. He said someone will have to drive me to my next appt. because I will be heavily sedated and he will put a few needles into my lower back. It sounds like it may be painful and I wouldn't be able to work that same day. The thought of getting this done scares me so I need some advice. Have any of you ever heard of this kind of procedure or ever tried it? I guess the shots are supposed to block the pain that leads to my bladder. It blocks the nerve sensation to my bladder and I will have to get one series done one week, then the following week, and then possibly a few months later. I am scared. This is not what I had in mind. If they don't work, then I miss out on being at work, especially when I need the money. I don't want to miss any work and I'm just scared of the thought of a needle going into my back. He said he's willing to prescribe Vicodin if this procedure does not work and I'm also reconsidering going back on Elmiron. Elmiron did work somewhat in the past but... my husband had a skin reaction to this medication so I stopped taking it. My doctor also suggested that I see a psychologist. I used to see one a few years ago and it helped a lot but I'm to the point now where I don't feel like I need to see anyone, especially when my doctor is the one who chooses the psychologist for me. I don't like this idea. Part of me wants to give this entire thing a try... the series of shots and seeing the psychologist one time just to show that okay, I didn't like my last doctor's advice but I'm willing to try this one. It's just not what I had in mind. I'm still hopeful that PT will work again and that the Vicodin will work for the days when I have severe flares. I'm just don't feel like talking to a psychologist about this because in my mind, it's not necessary but my doctor said that all of his pain patients are required to see the pain psychologist. I'm a very happy and positive person and it took years for me to get to this point. I always try to turn the pain that I have into some positive. I love my job because the pain is very minimal while I'm working and that helps me maintain a great attitude. I really need your advice... do I go through with the shots and see the psychologist (which may not be covered by my health insurance) or do I give up on my 2nd pain management specialist and try to find a new one? My honest opinion is...I know he wants to help me and I think he is afraid of prescribing Vicodin on a monthly basis. I do not take this medicine every day, but lately the flares have been pretty bad and I was honest with my doctor about taking it almost every day in the past month. What do you think? Also, have you ever seen a pain management specialist? Thank you for taking the time to read this! I need some help!
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