Is steroid bad for you? Are there any side effects? Problems with steroid are rare. Corticosteroids, the kinds used in pain management, is not the performance-enhancing anabolic steroid which has caused so many probems, especially in the sports world. Corticosteroids (like prednisone) are more likely to cause problems when used chronically, like when treating rheumatoid arthritis or asthma. A short series of injections rarely causes any major problems. If a person were to have too much steroid chronically, they may develop side effects such as problems with their endocrine system (thyroid hormone, adrenal gland, pituitary gland, sex hormones), fat deposition in the neck, chronic edema and sugar problems. Patients who use injections for intermittent injections or an injection series are not likely to have those adverse effects, but may experience temporary water retention for a few days, possible increased appetite causing increased weight gain for several days, a flushing sensation in face. Diabetic patients may notice increased blood sugars for several days after injections and must watch their blood sugars after injection treatments for a week and treat any abnormally high blood sugars. Patients with hard to control blood pressures, may notice their blood pressure to be higher after injection treatment and they should closely monitor blood pressure.
Why do I need a primary care physician to be referred to your practice? Pain management is only a portion of of the full spectrum of your medical care. It is important we work in conjuction with your primary care provider. We provide expertise in pain management while your primary care physician integrates the pain treatments with the rest of your medical care.
Why do I need a referral from my doctor if my insurance does not require referrals?
The medical information provided to us by your referring physician will be evaluated to ensure we are an appropriate place for you to receive treatment.
Why is an agreement for controlled substance pain medications needed? Your health and safety is our primary concern. This agreement outlines important safety and regulatory issues concerning proper medical use of controlled substance pain medication. Among other expectations, we stress the use of one pharmacy and one physician for all your pain medicines. We require you to take your medications as prescribed and submit to drug testing on a regular basis. If you are impaired in any way, you should not drive or operate machinery. You can not give or sell your medication to others, nor take other people's medications.
Why to I have to make an appointment to get my prescriptions? As stated in the agreement you sign, regular office visits are required by the Georgia Medical board, as part of any pain treatment with controlled substance pain medications. Us of controlled substances has to be monitored very closely. For your health and safety, we require regular appointments to monitor your response to your pain management program. There may be a need to change or adjust your medications, recommend other therapies. As a general rule medications will be changed between appointments.
Can I fill my medications early? No. You must take your medications as prescribed. Taking more of your medications than prescribed breaks part of your agreement you sign with this office and you could be discarged as a patient if that it the case. We do not filled lost or stolen medications. You need to take the proper safeguarding of your medications and make sure they are locked up and secure.