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Need Endo/Pelvic Pain Specialist referral Need Endo/Pelvic Pain Specialist referral

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Unread 05-08-2003, 09:04 AM
Need Endo/Pelvic Pain Specialist referral

Anyone know of a good endo or pelvic pain specialist in Texas? Prefer Houston, San Antonio or Austin ... but could go as far as Dallas.

I love my current and I truly believe he is doing everything that is in his skill set. I just feel the need for an additional opinion and was wondering if any of you knew of anyone.

I will ask my doc for a referral when I see him again in June. I really would like the most independent opinion possible, so I would like to have someone in mind (also start researching his/her credentials, check insurance coverage, etc).

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Unread 05-08-2003, 06:12 PM
some good links that may help:)

Managing Chronic Pain:

Additional Resources for Patients and Patient Advocates:

Battling Back: Overcoming the Undertreatment of Chronic Pain:

Questions You Should Ask About Pain & Pain Treatment:

Pain Management:

Pain Clinics - a personal view:

Women and Pain:

Texas Pain Society:

Barriers to seeking pain relief:
Many people with chronic pain don't seek pain relief or even tell their doctors about their pain. Why not?
Fear of being labeled a "bad patient." You won't find relief if your doctor doesn't know about your pain.
Fear that increased pain may mean your disease has worsened. Regardless of the state of your disease, the right treatment for pain may improve daily life for you and your family.
Fear of addiction to drugs. Research shows that the chance of people with chronic pain becoming addicted to pain-relieving drugs is extremely small. When taken properly for pain, drugs can relieve pain without addiction. Needing medication to control your pain is not addiction.
Lack of awareness about pain-therapy options. You may believe there is no hope for your pain, so why discuss it? Be honest with your doctor about your pain, and ask about pain-therapy options available to you. Often, if one therapy isn't effective in controlling your pain, another therapy will be.
Fear of being perceived as "weak." Some believe that living stoically with pain is a sign of strength, while seeking help often is considered negative or weak. However, this perception prevents people from having access to available therapies and, ultimately, relief from pain. Don't let fears and misconceptions keep you from talking about pain with your doctor and other members of your health care team. Help and relief are possible, but only if you discuss your symptoms honestly and openly.

Treating Chronic Pain:

Pain Treatment Team

Developing the right treatment for your diagnosis is often the work of a multidisciplinary team of medical professionals. This team may include pain specialists, clinical psychologists, physical therapists, spine surgeons, neurosurgeons, oncologists, clinical nurse specialists, and various consultants (for example, specialists in general surgery or internal medicine). This team develops a care plan and then works together to deliver treatments appropriate to your needs.

Steps To Relieving Your Pain

Pain relief is personal, and treatments vary from one individual to the next. The choice of treatment depends on the type and severity of pain, and how you respond to your pain therapy. The following are explanations of therapies your doctors may consider when treating chronic pain.Drug therapy is often the first therapy doctors use in managing chronic pain. Initially, patients usually try common oral pain relievers (pills) such as aspirin, acetaminophen, and non-steroidal anti-inflammatory drugs (NSAIDs). Some of these medications are available without a prescription, while others require a prescription from your doctor.If these medications do not control your pain, your doctor may try opioids. Opioids either replace or combine with what you have been taking. Weak opioids such as codeine are usually given orally (as pills). Strong opioids such as morphine or fentanyl are commonly given orally, but they can also be given through skin patches (fentanyl only), suppositories, or via an external infusion system. Some people with chronic pain may worry about becoming addicted to these medications. However, studies show that addiction is rare for chronic pain patients who take these medications.Doctors combine other types of drugs with pain relievers. These drugs include anti-inflammatory steroids, anticonvulsants, and antidepressants. While pain relief may not be the primary purpose of these drugs, they are still effective treatments for specific types of pain. For example, your doctor may prescibe antidepressants to help relieve certain types of neuropathic pain. Your presciption is for pain and doesn't necessarily mean your doctor thinks you are depressed. Similarly, steroids often are effective in relieving pain associated with inflammation. Because each person is unique and responds to medication differently, doctors may try a variety of doses and drug combinations to determine what is most effective. The exact choice of treatments depends on the type of pain, how bad it is, and how your pain responds to that treatment method.Physical therapy can be passive or active. Passive therapies such as massage and applying heat and cold are typically effective in relieving pain only in the first two to four weeks after an injury. Patients typically do active physical therapies such as exercise and posture/gait correction for up to 12 weeks. These active physical therapies help people with chronic pain build or recondition muscles so they can function more normally.

[i]Psychological therapy[i]

Chronic pain can be stressful in that it strains relationships and affects your ability to work or take part in other daily activities. In addition, you, your family members, and significant others bring a unique mix of feelings, expectations, beliefs, personality traits, experiences, support systems, and skills to treatment. Psychological therapy can help you sort through this unique mix and reduce the stress of chronic pain. Often psychologists work with people on relaxation techniques, coping mechanisms, and self-monitoring skills.

Corrective surgery is appropriate for certain people with chronic pain. A doctor can do diagnostic tests, such as an MRI or a CT scan, to find out if structural problems such as herniated discs or pinched nerves are causing pain. If surgeons find a problem, they may then perform the appropriate procedure to relieve the pain. Therapeutic nerve blocks are injections at the site of pain of a local anesthetic and/or steroids. These injections affect the nerve that serves the painful area. Nerve blocks typically achieve temporary pain relief. Some people may benefit from a single nerve block, while other people with more complex pain conditions may require several blocks. If nerve blocks do not manage your pain within four to six months, your doctor often considers other pain treatments.

Medtronic Pain Therapies include two types of pain relief therapies:
Neurostimulation uses a small neurostimulation system that doctors surgically place under the skin to send mild electrical impulses to the spinal cord. The electrical impulses travel through a lead (a special medical wire) that is also surgically placed. These electrical impulses block the signal of pain from reaching the brain. Peripheral nerve stimulation works in a similar way, except doctors place the lead on the specific nerve that is causing pain rather than near the spinal cord.
Intrathecal drug delivery uses a small pump that doctors surgically place under the skin of the abdomen. The pump delivers morphine directly to the fluid around the spinal cord (this fluid is in the intrathecal space). The medication travels through a small tube called a catheter that is also surgically placed.
TEXAS PAIN SOCIETY ~ Membership Directory by City:

Find a Physician or Hospital / Texas:

Dallas Chronic Pain Management:
Specialize in chronic pain, diagnosti assessment, psychological evaluation, physical evaluation, physical therapy, rehabilitation, modalities, work injuries, stress management, depression, wellness.check....

Patient Physician Network

The Pain Management Clinic at Methodist Medical Center - Pain Management - healthcare providers in the Dallas Fort Worth Arlington areas:

Hope this is of some help Pls keep us posted..
Unread 05-08-2003, 07:51 PM
Pelvic pain specialist

I found a pelvic pain specialist on the International Pelvic Pain Society web page (If I recall correctly).

I live in New MExico but traveled to see Dr. C. Paul Perry in Birmingham, Alabama in 1999. I thought he was great and helped tremendously. Since my pain has now returned I am seeing a collegue of his in Denver (john slocumb). The good thing about the doctors in the IPPS is they are GYNs who also have studied pelvic pain and pain management extensively.

Before seeing Dr. Perry I went to two local pain clinics. They were both staffed by Anesthesiologist who made the basic assumption that if my GYn didn't know what my problem was I must have nerve/neuropathic pain... so that is how they treated me and it did not help at all because I did not have neuropathic pain at the time.

The good thing about Dr. Perry is he ran several diagnostic tests to try to find conclusively where my pain was coming from... the pelvic pain mapping did the trick for me since it showed that I had terrible pain coming from the vein leading to the right ovary. A pelvic venogram later showed that the blood pooled in several areas in that vein. Since he found the cause he could come up with a treatment that actually worked.

Anyway, just another source to look in to.

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Unread 05-08-2003, 09:39 PM
Need Endo/Pelvic Pain Specialist referral

Hi Michelle.

Where in Texas are you? I am from Texas between Houston and Galveston. I wish I was still there to give you a referral or had a family member going through the same things we are, but I am the only unhealthy on in the family still alive. Yes, the odds are definetly against me on that one..

I pray that you find one close by as I know how big of a pain it is to have to drivemiles to see a good one. I go next friday for testing and the following Monday for appts and the hospital is 45 minutes away and that is with NO traffic. Lord help me if I get caught in it coming home from my next surgery!!

Let me know how your search goes. How far south are you willing to go? I know you had Austin and San Antone or possibly Dallas, but I have a sister that sees wonderful Dr's a little south of Houston..

Unread 05-09-2003, 12:36 PM
Need Endo/Pelvic Pain Specialist referral

I am in Victoria, Texas. I will most likely look for a specialist in Houston. I had a great doctor in Houston years ago that first treated my endo, but he developed latex allergy and is no longer in practice.

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