Discussion:
Heard of this pain center???
(too old to reply)
Fruit2O
2007-01-21 18:32:32 UTC
Permalink
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.

www.cipm.com

I was wondering if anyone has any information or opinions about this
place?
Juba
2007-01-21 18:52:54 UTC
Permalink
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
I've looked over the web site and can comment on that.

It's definitely not fancy but there's a lot of information that can be
helpful in assessing their methods of pain management. i.e. It looks
like they will use opiates when it's justified.

Based on what I read on their site I would be comfortable with giving
them a try.

I also found this:
http://www.fda.gov/ohrms/dockets/dailys/00/oct00/102700/c000017.pdf
Which could be read as them trying to protect pain patients or just
trying to protect their "turf."
--
Juba
www.masterjuba.com
Fruit2O
2007-01-21 19:13:42 UTC
Permalink
Post by Juba
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
I've looked over the web site and can comment on that.
It's definitely not fancy but there's a lot of information that can be
helpful in assessing their methods of pain management. i.e. It looks
like they will use opiates when it's justified.
Based on what I read on their site I would be comfortable with giving
them a try.
http://www.fda.gov/ohrms/dockets/dailys/00/oct00/102700/c000017.pdf
Which could be read as them trying to protect pain patients or just
trying to protect their "turf."
Thank you for replying. I looked at your web site and, excuse me for
asking, but how are you qualified to evaluate pain centers? I mean no
disrespect.
No_Money
2007-01-21 19:52:20 UTC
Permalink
My only qualification is that I have been a chronic pain patient for
over three years, and I did spend a few months in a pain clinic. Based
on what I read on the website posted above, it looks to me to be a
place very much like the one I went too. In my case they pushed NERVE
BLOCKS on almost everyone I spoked too. A lot of pain clinics push the
nerve blocks over any drug treatment, and based on how their site is
layed out, thats what I would expect them to try whenever possible. It
can take many months, even years, before the proper nerves can be
located for a nerve block to work. I'm told by some doctors that many
kinds of pain can not be treated by nerve blocks. I had 3 or 4 attempts
at nerve-numbing (first step in locating the nerves transmitting the
pain) before my medical insurance ran out. It never worked for me.
However I have a friend that broke his back, and he had good results
after ten months of trying to locate the correct nerves. They zapped
out a few nerves near his spine, and it went well for him. He has been
pain free for over five years now, but recently the nerves have started
to grow back and he is back in pain again.
Juba
2007-01-21 20:48:34 UTC
Permalink
Post by Fruit2O
Post by Juba
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
I've looked over the web site and can comment on that.
It's definitely not fancy but there's a lot of information that can
be helpful in assessing their methods of pain management. i.e. It
looks like they will use opiates when it's justified.
Based on what I read on their site I would be comfortable with giving
them a try.
http://www.fda.gov/ohrms/dockets/dailys/00/oct00/102700/c000017.pdf
Which could be read as them trying to protect pain patients or just
trying to protect their "turf."
Thank you for replying. I looked at your web site and, excuse me for
asking, but how are you qualified to evaluate pain centers? I mean no
disrespect.
You asked for opinions and I gave one based on what I read on their web
site.
Should I now try to convince you that I'm qualified to render an
opinion?
I'll pass on that.
--
Juba
www.masterjuba.com
Cabbi
2007-01-24 05:03:31 UTC
Permalink
Post by Juba
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
I've looked over the web site and can comment on that.
It's definitely not fancy but there's a lot of information that can be
helpful in assessing their methods of pain management. i.e. It looks
like they will use opiates when it's justified.
Based on what I read on their site I would be comfortable with giving
them a try.
http://www.fda.gov/ohrms/dockets/dailys/00/oct00/102700/c000017.pdf
Which could be read as them trying to protect pain patients or just
trying to protect their "turf."
I am in no way qualified to respond about this suspiciously nerve block
inclined facility, so I won't.
Cabbi

Paul T. Holland
2007-01-21 21:46:00 UTC
Permalink
hey f2o


correct me if i'm reading you wrong - but you are a headache/migrainer?

if this is correct, then it is very important to simply ask 'em what
experience and/or inclination they have for this 'type' of pain.

this is a 'very' difficult area of medicine and while just as severe,
for those who have to live with it, as spinal cord injury and other
mechanical forms of pain, it [head pain] is also durn difficult for many
doc's to contend with.

many of the pain clinics are more oriented towards the mechanical end -
bad vertebrae, spine, joints, adhesions, etc...so make sure that you
know 'what' they treat, not just how...

as to these folk - they are a whole heck of a lot bigger than the
website lets you know.

the managing partner as well as several other of the docs in this
specific location are also running a multitude of surgical, outpatient,
and medical clinics thoughout the region.

one is currently Medical Director at North Central Methodist Ambulatory
Surgery Center in San Antonio, another is Chairman of the Department of
Orthopedics at Southwest Methodist Hospital, also there is one who is
clinical assistant professor at the University of Texas Health Science
Center’s Orthopaedic department in San Antonio - and there a a lot of
other equal credentials within the various staff at many locations -
several have serious sports medicine and rehab credentials - all in
all, not too shabby!

additionally, several of the docs have 'both' an md, as well as a doc.
in pharmacy, so this bodes well for multiple approaches being utilized.

at least it allows you to ask them about how 'varied' treatment options
will be.

be well

paul
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
Fruit2O
2007-01-21 23:36:27 UTC
Permalink
On Sun, 21 Jan 2007 21:46:00 GMT, "Paul T. Holland"
Post by Paul T. Holland
hey f2o
correct me if i'm reading you wrong - but you are a headache/migrainer?
if this is correct, then it is very important to simply ask 'em what
experience and/or inclination they have for this 'type' of pain.
this is a 'very' difficult area of medicine and while just as severe,
for those who have to live with it, as spinal cord injury and other
mechanical forms of pain, it [head pain] is also durn difficult for many
doc's to contend with.
many of the pain clinics are more oriented towards the mechanical end -
bad vertebrae, spine, joints, adhesions, etc...so make sure that you
know 'what' they treat, not just how...
as to these folk - they are a whole heck of a lot bigger than the
website lets you know.
the managing partner as well as several other of the docs in this
specific location are also running a multitude of surgical, outpatient,
and medical clinics thoughout the region.
one is currently Medical Director at North Central Methodist Ambulatory
Surgery Center in San Antonio, another is Chairman of the Department of
Orthopedics at Southwest Methodist Hospital, also there is one who is
clinical assistant professor at the University of Texas Health Science
Center’s Orthopaedic department in San Antonio - and there a a lot of
other equal credentials within the various staff at many locations -
several have serious sports medicine and rehab credentials - all in
all, not too shabby!
additionally, several of the docs have 'both' an md, as well as a doc.
in pharmacy, so this bodes well for multiple approaches being utilized.
at least it allows you to ask them about how 'varied' treatment options
will be.
be well
paul
Thanks very much. Yes, I have severe head pain (chronic) and the
source is NOT in my spine. I've had every test several times and had
MRI's and X-Ray's, biofeedback, massage, facet joint rhyzotomy,
epidural and occipital cortisone shots, acupuncture and a lot more. The
latest I'm going through is nerve decompression and excizing. When I'm
done with this, if it doesn't work, I have no other options but to go
to a clinic and be checked in. The clinic I go to should be on the
cutting edge of determining a course of action because I'm not aware of
any other form of tretment I haven't already had. Any other advice
woud be most welcome. I don't know how to go about finding a listing
of pain and headeache clinics. Googling, so far, hasn't cut it for me.
I need the best at this point. Thanks.......
Post by Paul T. Holland
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
Paul T. Holland
2007-01-23 00:14:44 UTC
Permalink
the part that got my attention was 'occipital' -

almost always this section of the very top cervical spine and skull
junction can create what you describe - so...what has shown up on
xray/mri/ct etc that might in whatever manner point a direction?

no spurs, on radiologic changes, no disc compression, facet, nothing
whatsoever????

with several bad cervical vert myself, i know from exper. that it can
take forever to nail it down...?

maybe i missed the post [i don't read all anymore - just can't stay up
that long] but did /can you describe the sequence of what has happened
and the order in which things have been tried/addressed - might point to
something to talk about

as to clinics - where are you? same as the one we've read here? or are
you financially able to go wherever is necessary; and stay awhile?

be well

paul
Post by Fruit2O
On Sun, 21 Jan 2007 21:46:00 GMT, "Paul T. Holland"
Post by Paul T. Holland
hey f2o
correct me if i'm reading you wrong - but you are a headache/migrainer?
if this is correct, then it is very important to simply ask 'em what
experience and/or inclination they have for this 'type' of pain.
this is a 'very' difficult area of medicine and while just as severe,
for those who have to live with it, as spinal cord injury and other
mechanical forms of pain, it [head pain] is also durn difficult for many
doc's to contend with.
many of the pain clinics are more oriented towards the mechanical end -
bad vertebrae, spine, joints, adhesions, etc...so make sure that you
know 'what' they treat, not just how...
as to these folk - they are a whole heck of a lot bigger than the
website lets you know.
the managing partner as well as several other of the docs in this
specific location are also running a multitude of surgical, outpatient,
and medical clinics thoughout the region.
one is currently Medical Director at North Central Methodist Ambulatory
Surgery Center in San Antonio, another is Chairman of the Department of
Orthopedics at Southwest Methodist Hospital, also there is one who is
clinical assistant professor at the University of Texas Health Science
Center’s Orthopaedic department in San Antonio - and there a a lot of
other equal credentials within the various staff at many locations -
several have serious sports medicine and rehab credentials - all in
all, not too shabby!
additionally, several of the docs have 'both' an md, as well as a doc.
in pharmacy, so this bodes well for multiple approaches being utilized.
at least it allows you to ask them about how 'varied' treatment options
will be.
be well
paul
Thanks very much. Yes, I have severe head pain (chronic) and the
source is NOT in my spine. I've had every test several times and had
MRI's and X-Ray's, biofeedback, massage, facet joint rhyzotomy,
epidural and occipital cortisone shots, acupuncture and a lot more. The
latest I'm going through is nerve decompression and excizing. When I'm
done with this, if it doesn't work, I have no other options but to go
to a clinic and be checked in. The clinic I go to should be on the
cutting edge of determining a course of action because I'm not aware of
any other form of tretment I haven't already had. Any other advice
woud be most welcome. I don't know how to go about finding a listing
of pain and headeache clinics. Googling, so far, hasn't cut it for me.
I need the best at this point. Thanks.......
Post by Paul T. Holland
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
Fruit2O
2007-01-23 00:40:15 UTC
Permalink
On Tue, 23 Jan 2007 00:14:44 GMT, "Paul T. Holland"
Post by Paul T. Holland
the part that got my attention was 'occipital' -
almost always this section of the very top cervical spine and skull
junction can create what you describe - so...what has shown up on
xray/mri/ct etc that might in whatever manner point a direction?
no spurs, on radiologic changes, no disc compression, facet, nothing
whatsoever????
with several bad cervical vert myself, i know from exper. that it can
take forever to nail it down...?
maybe i missed the post [i don't read all anymore - just can't stay up
that long] but did /can you describe the sequence of what has happened
and the order in which things have been tried/addressed - might point to
something to talk about
as to clinics - where are you? same as the one we've read here? or are
you financially able to go wherever is necessary; and stay awhile?
be well
paul
Going to Georgetown University Hospital early tomorrow morning to see
Dr. Ducic. Will try to respond to your request when I return (I live
in R.I.).
Post by Paul T. Holland
Post by Fruit2O
On Sun, 21 Jan 2007 21:46:00 GMT, "Paul T. Holland"
Post by Paul T. Holland
hey f2o
correct me if i'm reading you wrong - but you are a headache/migrainer?
if this is correct, then it is very important to simply ask 'em what
experience and/or inclination they have for this 'type' of pain.
this is a 'very' difficult area of medicine and while just as severe,
for those who have to live with it, as spinal cord injury and other
mechanical forms of pain, it [head pain] is also durn difficult for many
doc's to contend with.
many of the pain clinics are more oriented towards the mechanical end -
bad vertebrae, spine, joints, adhesions, etc...so make sure that you
know 'what' they treat, not just how...
as to these folk - they are a whole heck of a lot bigger than the
website lets you know.
the managing partner as well as several other of the docs in this
specific location are also running a multitude of surgical, outpatient,
and medical clinics thoughout the region.
one is currently Medical Director at North Central Methodist Ambulatory
Surgery Center in San Antonio, another is Chairman of the Department of
Orthopedics at Southwest Methodist Hospital, also there is one who is
clinical assistant professor at the University of Texas Health Science
Center’s Orthopaedic department in San Antonio - and there a a lot of
other equal credentials within the various staff at many locations -
several have serious sports medicine and rehab credentials - all in
all, not too shabby!
additionally, several of the docs have 'both' an md, as well as a doc.
in pharmacy, so this bodes well for multiple approaches being utilized.
at least it allows you to ask them about how 'varied' treatment options
will be.
be well
paul
Thanks very much. Yes, I have severe head pain (chronic) and the
source is NOT in my spine. I've had every test several times and had
MRI's and X-Ray's, biofeedback, massage, facet joint rhyzotomy,
epidural and occipital cortisone shots, acupuncture and a lot more. The
latest I'm going through is nerve decompression and excizing. When I'm
done with this, if it doesn't work, I have no other options but to go
to a clinic and be checked in. The clinic I go to should be on the
cutting edge of determining a course of action because I'm not aware of
any other form of tretment I haven't already had. Any other advice
woud be most welcome. I don't know how to go about finding a listing
of pain and headeache clinics. Googling, so far, hasn't cut it for me.
I need the best at this point. Thanks.......
Post by Paul T. Holland
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
c***@yahoo.com
2007-01-23 03:06:44 UTC
Permalink
Intractable migraines here too. Neurologist I saw last year, fourth
one, also was really pushing blocks. Said "it's not likely to work but
let's give it a try anyway." They talk very fast when asked for
statistics and hand pages and pages of information to me claiming they
occasionally work for certain migraines, ocliptical or some such. Which
I don't have.
Post by Fruit2O
On Tue, 23 Jan 2007 00:14:44 GMT, "Paul T. Holland"
Post by Paul T. Holland
the part that got my attention was 'occipital' -
almost always this section of the very top cervical spine and skull
junction can create what you describe - so...what has shown up on
xray/mri/ct etc that might in whatever manner point a direction?
no spurs, on radiologic changes, no disc compression, facet, nothing
whatsoever????
with several bad cervical vert myself, i know from exper. that it can
take forever to nail it down...?
maybe i missed the post [i don't read all anymore - just can't stay up
that long] but did /can you describe the sequence of what has happened
and the order in which things have been tried/addressed - might point to
something to talk about
as to clinics - where are you? same as the one we've read here? or are
you financially able to go wherever is necessary; and stay awhile?
be well
paul
Going to Georgetown University Hospital early tomorrow morning to see
Dr. Ducic. Will try to respond to your request when I return (I live
in R.I.).
Post by Paul T. Holland
Post by Fruit2O
On Sun, 21 Jan 2007 21:46:00 GMT, "Paul T. Holland"
Post by Paul T. Holland
hey f2o
correct me if i'm reading you wrong - but you are a headache/migrainer?
if this is correct, then it is very important to simply ask 'em what
experience and/or inclination they have for this 'type' of pain.
this is a 'very' difficult area of medicine and while just as severe,
for those who have to live with it, as spinal cord injury and other
mechanical forms of pain, it [head pain] is also durn difficult for many
doc's to contend with.
many of the pain clinics are more oriented towards the mechanical end -
bad vertebrae, spine, joints, adhesions, etc...so make sure that you
know 'what' they treat, not just how...
as to these folk - they are a whole heck of a lot bigger than the
website lets you know.
the managing partner as well as several other of the docs in this
specific location are also running a multitude of surgical, outpatient,
and medical clinics thoughout the region.
one is currently Medical Director at North Central Methodist Ambulatory
Surgery Center in San Antonio, another is Chairman of the Department of
Orthopedics at Southwest Methodist Hospital, also there is one who is
clinical assistant professor at the University of Texas Health Science
Center's Orthopaedic department in San Antonio - and there a a lot of
other equal credentials within the various staff at many locations -
several have serious sports medicine and rehab credentials - all in
all, not too shabby!
additionally, several of the docs have 'both' an md, as well as a doc.
in pharmacy, so this bodes well for multiple approaches being utilized.
at least it allows you to ask them about how 'varied' treatment options
will be.
be well
paul
Thanks very much. Yes, I have severe head pain (chronic) and the
source is NOT in my spine. I've had every test several times and had
MRI's and X-Ray's, biofeedback, massage, facet joint rhyzotomy,
epidural and occipital cortisone shots, acupuncture and a lot more. The
latest I'm going through is nerve decompression and excizing. When I'm
done with this, if it doesn't work, I have no other options but to go
to a clinic and be checked in. The clinic I go to should be on the
cutting edge of determining a course of action because I'm not aware of
any other form of tretment I haven't already had. Any other advice
woud be most welcome. I don't know how to go about finding a listing
of pain and headeache clinics. Googling, so far, hasn't cut it for me.
I need the best at this point. Thanks.......
Post by Paul T. Holland
Post by Fruit2O
My son lives in San Antonio and sent me this web site about a pain
center there. Sounds good on the web site.
www.cipm.com
I was wondering if anyone has any information or opinions about this
place?
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