@A MyChronicPainTeam Member Putting it thar way does clarify your idea but it stii leves a gap in c9verage. You will get people who are tots

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@A MyChronicPainTeam Member No, it would be classified by drug/treatment categories. For example, listing by classification could be as follows: 1. Nonsteroidal anti-inflammatories a. COX-1 inhibitors (most of your prescription and OTC NSAIDS): b. COX-2 inhibitors ( Celebrex); 2. Antidepressants a. Tricyclic antidepressants such as Elavil (amitriptyline), Pamelor (Nortriptiline); b. Selective Serotonin Reuptake Inhibitors) (need to find and post examples) c. Selective Serotonin Norepinephrine Reuptake Inhibitors (Cybmalta [duloxetine), etc.; 3. Opioids (all currently marketed); 4. pregabalin and gabapentin 5. Interventional Pain Management: a. Trigger Point Injections; b. Epidural injections; c. Facet Joint injections, d. Radiofrequency Ablation (the nerve gets killed outside of the spine at a specific level on a specific side.) The nerve then takes 6-12 months to regenerate providing significant relief during that time. This is just an idea of how to organize it instead of alphabetically by trade or generic name. Side effects, pros and cons, and FDA approved indications could be listed for each drug and/or procedure.
Does this help you get my drift a little bit better? Keep asking your questions!
Blessings and hugs!

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@A MyChronicPainTeam Member It would depend on the system that was used especially in the cases of those with multiple diagnoses. It would end up being like the psychiatric diagnoses that include three or more conditions and the need to treat would be , what? As in the old Jefferson Airplane song, you take one pill to be small and another to be tall. That is badly paraphrased since the lyrics fell throug the hole in my swiss cheese brain. Must be because I saw Alice one too many times. LOL

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Pam, would that help people (patients ) get the right amount of pain relief ? Some needing more than others, others needing less. What do you mean by interventional pain management ?

@A MyChronicPainTeam Member My statement earlier made no sense. I either had the 10 minutes of Norco kicking in. Meaning I become a space cadet. The other would or could have been the migraine that kicked back in just a few days after the first one went away. I reread your clarification and I would still fall into a multidiagnostic grouping. I would have the tricyclic, so group two if I am reading this correctly. Thay would put me in the psychiatric group of chronic depression and anxiety. Then group 3 for Gamapentin. Group 4 for opiods, Norco. Then we would also have to put me in Group 5 for the injectables which I assume would include steroid injections, Cortisone. Many of us fall into this multidiagnostic group. They would have to put me into a seperate group and many others fall into the same category. In my case I have three seperate providers making the mix even more complicated. I have a shrink for anxiety and depression so for diazepam and amitriptyline, a Rheumatologist for cortisone injections, and a chronic pain group for the opiods. The Rheumatologist also provides the Gamapentin. Under the current system I am less trust worthy because of my use of diazepam and opiods. For some reason those two drugs wave a red flag for the Board of Pharmacy. My question would be, how would a treatment based system work for people like me? Love ya Barb

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