D., et al. (2006 ). Surgical vs. nonoperative treatment for lumbar disk herniation: The spine client outcomes research study trial (SPORT). Journal of the American Medical Association, 296, 2441-2450. 5. Weinstein, J. N., Lurie, J. D., Tosteson, T. D., et al. (2008 ). Surgical vs. nonoperative treatment for lumbar disc herniation: Four-year outcomes for the spine patient outcomes research trial (SPORT).

6. Peul, W. C., et al. (2007 ). Surgery versus prolonged conservative treatment for sciatica. New England Journal of Medicine, 356, 2245-2256. 7. Gibson J. N., & Waddell, G. (Updated January 6, 2007). Surgical intervention for lumbar disc prolapse. [Cochrane Evaluation] In Cochrane Database of Systematic Reviews, 2007 (2 ). Retrieved November 25, 2011, from The Cochrane Library, Wiley Interscience.

Nikolaidis I., Fouyas, I. P., Sandercock, P. A., & Statham, P. F. (Updated December 14, 2008). Surgery for cervical radiculopathy or myelopathy. [Cochrane Review] In Cochrane Database of Systematic Reviews, 2010 (1 ). Obtained November 25, 2011, from The Cochrane Library, Wiley Interscience. 9. Arden, N. K., Price, C., Reading, I., Stubbing, J., Hazelgrove, J., Dunne, C., Michel, M., Rogers, P., & Cooper C.

A multicentre randomized regulated trial of epidural corticosteroid injections for sciatica: The WEST study. Rheumatology, 44, 1399-1406. 10. Ng, L., Chaudhary, N., & Sell, P. (2005 ). The efficacy of corticosteroids in periradicular seepage in persistent radicular discomfort: A randomized, double-blind, controlled trial. Spine, 30, 857-862. 11. Staal, J. B., de Bie, R., de Vet, H.

( Updated March 30, 2007). Injection treatment for subacute and persistent low neck and back pain. In Cochrane Database of Systematic Reviews, 2008 (3 ). Obtained April 22, 2012. 12. van Tulder, M. W., Koes, B., Seitsalo, S., & Malmivaara, A. (2006 ). Outcomes of intrusive treatment strategies in low back pain and sciatica: A proof based review.

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13. van Wijk, R. M., Geurts, J. W., Wynne, H. J., Hammink, E., Buskens, E., Lousberg, R., Knape, J. T., & Groen, G. J. (2005 ). Radiofrequency denervation of back facet joints in the treatment of chronic low back discomfort: A randomized, double-blind, sham lesion-controlled trial (how to get into a pain management clinic when pregnant). Scientific Journal of Discomfort, 21, 335-344.

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Spine stimulation for patients with stopped working back syndrome or complicated regional pain syndrome: A methodical evaluation of effectiveness and issues. Pain, 108, 137-147. 18. Turner, J. A., Sears, J. M., & Loeser, J. D. (2007 ). Programmable intrathecal opioid delivery systems for persistent noncancer discomfort: An organized evaluation of efficiency and problems.

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21. Von Korff, M., Kolodny, A., Deyo, R. A., & Chou, R. (2012 ). Long-term opioid treatment reassessed. Records of Internal Medicine, 155, 325-328. 22. Chou, R., Ballantyne, J. C., Fanciullo, G. J., Fine, P. G., & Miaskowski, C. (2009 ). Research spaces on usage of opioids for persistent noncancer pain: Findings from an evaluation of the proof for an American Pain Society and American Academy of Pain Medicine medical practice standard.

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How do u set about getting ... Asked 2 Sep 2013 by BonniekKaye Updated 4 September 2013 Subjects pain, doctor, discomfort management got thrown away 2nd story window onto conCrete have fracture in my back that Will never recover and in my task really hard on my back how do I ask my physician for help without Soundng like a pill freak BU 2 Sep 2013 Bonnie, It depends upon your insurance as most insurance Co.

Are you being treated currently by Main Dr.for your pain presently? As the majority of Discomfort Management specialist choose that you have attempted the "fundamentals" through your Primary Dr. first. Best of luck, Kathy KA 2 Sep 2013 Hello There BonniekKaye, Yes, you require a referral due to the fact that they concentrate on discomfort management for persistent conditions/pain.

Your medical care doctor can refer you. It check here also depends on the dr you wish to see. I've gone to discomfort management drs who didn't need that they have a recommendation and ones who did. AN 3 Sep 2013 My present discomfort management medical professional asked me for fundamental medical info over the telephone before he would accept me as a client.

Neither of those doctors did a background check; nevertheless, they did request for particular records from my previous doctors such as workplace visit notes, MRIs and x-rays. Annie FA 3 Sep 2013 It depends what state you remain in and their requirements. My papa had to have a specific identify prior to anyone would accept him.

They are really thorough in NJ. He needed to see at least 3 specialist in order to get a recommendation it's an insane procedure here. To get into a Pain Management clinic at a significant University, I had to have a letter sent from my PCP. The discomfort clinic took a number of weeks to examine it initially to see if they would even arrange me for a visit.