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D., et al. (2006 ). Surgical vs. nonoperative treatment for back disk herniation: The spine client outcomes research 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 back disc herniation: Four-year outcomes for the spinal column patient outcomes research trial (SPORT).

6. Peul, W. C., et al. (2007 ). Surgical treatment 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 Review] 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). Surgical treatment for cervical radiculopathy or myelopathy. [Cochrane Evaluation] In Cochrane Database of Systematic Reviews, 2010 (1 ). Retrieved November 25, 2011, from The Cochrane Library, Wiley Interscience. 9. Arden, N. K., Cost, C., Reading, I., Stubbing, J., Hazelgrove, J., Dunne, C., Michel, M., Rogers, P., & Cooper C.

A multicentre randomized controlled 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 infiltration in chronic radicular pain: A randomized, double-blind, regulated trial. Spinal column, 30, 857-862. 11. Staal, J. B., de Bie, R., de Veterinarian, H.

( Updated March 30, 2007). Injection therapy for subacute and persistent low back discomfort. 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 invasive treatment methods in low neck and back pain and sciatica: A proof based evaluation.

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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 neck and back pain: A randomized, double-blind, sham lesion-controlled trial (my hospital is charging me 1727.00 for a urine test when i see pain clinic). Medical Journal of Pain, 21, 335-344.

Leclaire, R., Fortin, L., Lambert. R., Bergeron, Y. M., & Rosignol, M. (2001 ). Radiofrequency aspect joint denervation in the treatment of low back pain: A placebo-controlled clinical trial to examine efficacy. Spine, 26, 1411-1416. 15. Chou, R., Atlas, S. J., Stanos, S. P., & Rosenquist, R. W. (2009 ). Nonsurgical interventional treatments for low pain in the back: A review of the proof for the American Pain Society scientific practice guideline.

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Spine stimulation for clients with failed back syndrome or intricate local discomfort syndrome: An organized evaluation of effectiveness and issues. Discomfort, 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 review of efficiency and complications.

19. Patel, V. B., Manchikanti, L., Singh, V., Schultz, D. M., Hayek, S. M., & Smith, H. S. (2009 ). Organized review of intrathecal infusion systems for long-term management of chronic non-cancer discomfort. Discomfort Physician, 12, 345-360. 20. Passik, S. D., Heit, H., & Kirsch, K. L. (2006 ). Truth and responsibility: A commentary on the treatment of discomfort and suffering in a drug-using society.

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21. Von Korff, M., Kolodny, A., Deyo, R. A., & Chou, R. (2012 ). Long-lasting opioid treatment reconsidered. Annals of Internal Medicine, 155, 325-328. 22. Chou, R., Ballantyne, J. C., Fanciullo, G. J., Fine, P. G., & Miaskowski, C. (2009 ). Research study gaps on usage of opioids for chronic noncancer pain: Findings from an evaluation of the proof for an American Discomfort Society and American Academy of Discomfort Medicine scientific practice guideline.

23. Ballantyne, J. C. & Shin, N. S. (2008 ). Effectiveness of opioids for chronic discomfort: A review of the proof. Clinical Journal of Discomfort, 24, 469-478. 24. Martell, B. A., O'Connor, P. G., Kerns, R. D., Becker, W. C., Morales, K. H., Kosten, T. R., Fiellin. D. A. (2007 ). Organized evaluation: Opioid treatment for persistent back discomfort: Frequency, efficacy, and association with dependency.

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K., Tookman, A., Jones, L. & Curran, H. V. (2005 ). The result of immediate-release morphine on cognitive working in clients receiving chronic opioid treatment in palliative care. Pain, 117, 388-395. 28. Chen, J. J. (2006 ). Outpatient pain rehab programs. Iowa Orthopaedic Journal, 26, 102-106. 29. Flor, H., Fydrich, T. & Turk, D.

( 1992 ). Effectiveness of multidisciplinary discomfort treatment centers: A meta-analytic review. Discomfort, 49, 221-230. 30. Gatchel, R., J., & Okifuji, A. (2006 ). Evidence-based clinical data recording the treatment and cost-effectiveness of thorough discomfort programs for chronic non-malignant discomfort. Journal of Pain, 7, 779-793. 31. Turk, D. C. (2002 ). Medical efficiency and cost-effectiveness of treatments for patients with chronic pain.

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How do u set about getting ... Asked 2 Sep 2013 by BonniekKaye Updated 4 September 2013 Topics pain, medical professional, discomfort management got thrown out 2nd story window onto conCrete have crack in my back that Will never heal and in my task very hard on my back how do I ask my medical professional for help without Soundng like a tablet freak BU 2 Sep 2013 Bonnie, It depends upon your insurance coverage as a lot of insurance coverage Co.

Are you being dealt with presently by Main Dr.for your discomfort currently? As most Discomfort Management expert choose that you have attempted the "fundamentals" through your Main Dr. first. Best of luck, Kathy KA 2 Sep 2013 Hey BonniekKaye, Yes, you need a recommendation due to the fact that they concentrate on discomfort management for chronic conditions/pain.

Your primary care medical professional can refer you. It also depends on the dr you wish to see. I've gone to pain management drs who didn't require that they have a recommendation and ones who did. AN 3 Sep 2013 My existing pain management doctor asked me for basic medical information over the telephone prior to he would accept me as a patient.

Neither of those physicians did a background check; nevertheless, they did request specific records from my previous doctors such as office check out notes, MRIs and x-rays. Annie FA 3 Sep 2013 It depends what state you remain in and their requirements. My father had to have a specific diagnose prior to anybody would accept him.

They are very extensive in NJ. He needed to see a minimum of 3 professional in order to get a recommendation it's an insane procedure here. To enter into a Pain Management center at a significant University, I needed to have actually a letter sent out from my PCP. The pain clinic took numerous weeks to review it first to see if they would even schedule me for an appointment.