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D., et al. (2006 ). Surgical vs. nonoperative treatment for back disk herniation: The spinal column patient results research Substance Abuse Center 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 client outcomes research study trial (SPORT).

6. Peul, W. C., et al. (2007 ). Surgery versus extended 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.

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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 effectiveness of corticosteroids in periradicular infiltration in chronic radicular pain: A randomized, double-blind, controlled trial. Spine, 30, 857-862. 11. Staal, J. B., de Bie, R., de Veterinarian, H.

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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 lumbar aspect joints in the treatment of persistent low pain in the back: A randomized, double-blind, sham lesion-controlled trial (what are the policies for prescribing opiates in a pain clinic in ny). Clinical Journal of Pain, 21, 335-344.

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

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21. Von Korff, M., Kolodny, A., Deyo, R. A., & Chou, R. (2012 ). Long-lasting opioid therapy 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 persistent noncancer pain: Findings from an evaluation of the proof for an American Pain Society and American Academy of Discomfort Medication scientific practice standard.

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

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How do u tackle getting ... Asked 2 Sep 2013 by BonniekKaye Updated 4 September 2013 Subjects pain, medical professional, discomfort management got tossed out second story window onto conCrete have crack in my back that Will never heal and in my task really hard on my back how do I ask my physician for aid without Soundng like a pill freak BU 2 Sep 2013 Bonnie, It depends on your insurance coverage as most insurance coverage Co.

Are you being treated presently by Primary Dr.for your discomfort currently? As many Pain Management expert choose that you have attempted the "essentials" through your Main Dr. initially. Best of luck, Kathy KA 2 Sep 2013 Hey There BonniekKaye, Yes, you need a referral due to the fact that they focus on discomfort management for persistent conditions/pain.

Your medical care physician can refer you. It also depends upon the dr you desire 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 existing pain management medical professional asked me for fundamental medical details over the telephone before he would accept me as a patient.

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Neither of those medical professionals did a background check; however, they did request for specific records from my previous doctors such as workplace see notes, MRIs and x-rays. Annie FA 3 Sep 2013 It depends what state you remain in and their requirements. My papa needed to have a particular diagnose before anybody would accept him.

They are very extensive in NJ. He had to see a minimum of 3 specialist in order to get a referral it's an insane process here. To enter a Pain Management center at a major University, I had to have a letter sent out from my PCP. The discomfort clinic took a number of weeks to evaluate it initially to see if they would even arrange me for a visit.