An Overview of Drug Testing by Arizona Pain Doctors

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Almost all pain management doctors in Arizona drug test their patients.The vast majority  utilize urine drug testing for the screening of patients, and some also use saliva drug testing as well. Let’s take a look at the reasons why pain clinics in Arizona drug test their patients and what exactly is all.

While treating pain, doctors often prescribe narcotic medication along with performing interventional procedures. These medications can have significant complications associated with them and it is best to use them judiciously and appropriately in both acute and chronic pain situation.

urine drug test

Urine Drug Testing

While the vast majority of pain management patients are on the “up and up” so to speak, there are some who abuse narcotics and divert them in order to sell the medication. This is one of the reasons that pain management doctors often drug test their patients. Another reason is that doctors across the country including Arizona are under increasing scrutiny from regulatory agencies regarding writing prescriptions for narcotics. For instance, the Arizona medical board actually has a written policy that recommends drug screening for patients receiving chronic pain medication with pain management in Phoenix clinics.

On an initial visit to an Arizona pain management clinic, a new patient will receive a baseline drug screening test. Typically this is a urine test, and looks for multiple different types of medications of abuse. Usually this includes opiates, oxycodone, PCP, ecstasy, amphetamines, methamphetamines, and others.  Also the drug test looks for heroin and often cocaine.

What this baseline check will do is to give the pain doctor an indication of exactly what kind of patient is potentially being accepted for care. If the drug test is positive for illicit substances,that is obviously a warning and a red flag that this may be a difficult patient. In addition, if the individual is under treatment by another pain doctor and switching care, for instance if they’re moving from a different state, it can show the exact levels of the medication to see if they’re consistent with what is being prescribed.

So the baseline drug test is extremely important and just know that if you are a new patient at pain clinics in Arizona it will most likely happen. It is because of those individuals that have abused the system that pretty much everybody gets an initial test these days. So it really is not a good idea to get too upset about being subjected to a drug test, as it pretty much levels the playing field for everyone involved.

Once you are an established patient, the drug testing typically continues. Studies have shown that over 20% of those receiving chronic pain medication will divert those medications for non-personal use.

Often times the individual pain contract will call for random drug testing either at scheduled visits or with random phone calls where the individual has to show up and submit to a test. With random drug testing at scheduled visits, the person may be able to stop taking illicit substances a few days before the visit to get them out of the system. What patients often do not know is that drug testing looks at metabolites of both prescription medications along with illicit substances and can pick up their existence quite a bit longer than one may think.

Another way that patients will try to fake out the system is to take their narcotic medication the night before the visit or the morning of the visit. The newest drug testing methods specifically look at the metabolites from the latest pain medications being prescribed. If the patient tries this deception, often times the testing results will show the metabolites do not match with the levels of medication being prescribed with how often they’re supposed to be taken. For this reason, patients should not try and deceive the system at Phoenix pain clinics but simply take the medications as prescribed.

Getting caught with a dirty drug screen can ruin the patient-physician relationship. Pain management in America affects over 30% of the population, and trying to get in with a new pain doctor after being fired from one for a dirty drug screen may be extremely difficult. So it is in your best interest to comply with the pain contract and the medications being prescribed.

If you need a pain doctor in the Phoenix metropolitan area, Arizona Pain Specialists has double Board Certified providers who are the best at what they do. This includes both medication management and interventional procedures along with having chiropractic services at all locations throughout the valley, such as providing Scottsdale pain management services.

Call 602-507-6550 to make your appointment today.

Facet Injections Can Provide Excellent Back Pain Relief

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Facet injections give  pain relief that has resulted from facet joint inflammation or arthritis or injury. It is not fully understood how the pain comes about in the facet joint, but it is thought to result from several causes which could be arthritis, injury, degeneration.

The injection into the facet joint only gives  relief that is temporary, which could be from a day to upwards of a few months. Usually the injections are done along with PT  or potentially along with Gilbert chiropractor adjustments as well.

The injection introduces a long-acting steroid, along with a numbing medicine like Lidocaine into the painful joint. This is either placed into the capsule of the joint or potentially alongside the area – the injection may also serve a diagnostic purpose along with a therapeutic purpose.

The facet block inhibits signals going to the brain by numbing the nerves in the region. If the person benefits from a facet block they also may turn into a candidate for a radio-frequency thermal, which is a procedure that kills the nerve endings in the area and provides pain relief with pain management doctors in Arizona.

Those who benefit from facet injections are people suffering from back pain, leg pain, neck pain, or arm pain. This pain is coming from inflammation and typically response to the steroids. The injections are also recommended for those who attempted treatments including Tylenol, anti-inflammatories,  PT, or a back brace.

The facet blocks may be used to treat arthritis, herniated disc, sciatica, or spinal stenosis. Those who have an active infection or  bleeding problems should not have facet injections. Also those with diabetes or hypertension should use caution as injections into the facets may raise blood sugar levels for a brief time or slightly raise blood pressure.

These shots are administered  in an outpatient setting such as an AZ pain center by either anesthesiologists, radiologists,  or Arizona pain doctors utilizing a real time x-ray machine. Typically the individuals feel a pressure sensation but not too much pain as long as the numbing medicine is placed prior to putting in the longer injection needle.

Certain patients they may need a Valium or some other medication to help for the injection. Most folks are able to walk right after the injection  The person should notice pain relief within a few days  after the procedure and if only minimal pain relief is achieved then additional injections may be necessary. Over 75% of individuals get excellent relief from the  injection.

Patients who are on blood thinners should make sure to stop these when their AZ Pain Management physician tells them to.

Facet blocks are an great choice in pain management Phoenix to try prior to an invasive spinal surgery. They have less complications and  risks  than surgery.

Preferred Pain Center is a comprehensive Arizona pain center. We have chiropractors Phoenix AZ and pain doctor Arizona who can help. We have a 24 hour Guarantee and a free massage for new patients!

Call (602) 507-6550 today.

How Do I Avoid Surgery With Sciatica From A Pinched Nerve?

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At times a low back disc herniation pushes on a nerve root leading to sciatica. The sciatic nerve is a compilation of several nerve roots including L4 and L5 and S1 nerve roots coming together.

When the sciatic nerve is being pinched from a disk herniation, this is called a pinched nerve (in layman’s terms) and in medical terms it is referred to as sciatica. Typically when the sciatic nerve is pinched the individuals will have pain based on which specific nerve root is being pinched. If you want to avoid surgery with sciatica, what are the therapeutic options available?

One of the primary options that helps a lot is going to see a Phoenix pain management clinic. Physical therapy along with potentially narcotics and a muscle relaxer typicall help a lot. Also it is prudent to start some anti-inflammatory medications and Tylenol. When these are being taken a medication like Zantac should be included to prevent a gastric ulcer.

Physical therapy may help substnatially along with chiropractors Scottsdale AZ treatment including spinal decompression treatment to unload the pinched disc. The various medications along with a back brace can help make life tolerable.

Opiates a lot of the time do not work great for the sciatica. If this is the problem then Lyrica or neurontin may help with the nerve pain.

Along with the medications,  interventional pain treatments may help a lot. This would include an epidural shot or series of injections which consists of steroids being injected under fluoroscopy around the area of the compressed nerve.

This will not fix the region of the pinched nerve, it will simply flood the area with soothing anti-inflammatory medication to help decrease pain.

Some folks are under the impression that it is a good idea to stay in bed when you have a disk herniation. This is actually a significantly bad idea as it can be worse for your lower back. Getting out of bed as much as tolerable and walking is much better for your overall recovery.

So, the combination of treatments which includes back bracing, physical therapy, chiropractors Mesa AZ treatment,  and spinal decompression along with medications have often times been able to permit patients to avoid surgery which may include epidural injections.

A lumbar discectomy procedure has some small risks associated with it, but it will be better to avoid those risks if possible. It is understood that one year after a disc surgery, the outcomes are equivalent to the individual if they avoided surgery.

If you are having significant arthritis pain and exercise is not providing complete relief, Preferred Pain Center is a comprehensive Phoenix Pain Center. We have chiropractors Phoenix and Arizona pain doctors who can help. We have a 24 hour Guarantee and have award winning doctors!

Call (602) 507-6550 today.