SpineNevada’s primary goal of treatment is to help our patients get back to everyday activities and improve the overall quality of life. Our Physical Medicine and Rehabilitation department specializes in the nonsurgical management of spine and musculoskeletal conditions. While many doctors provide drugs to mask the symptoms of pain, our philosophy is to reduce the need for narcotics. Our treatment plans will involve techniques and treatments that enable consumers to return to activity without surgery, and if necessary, become less dependent on narcotics for pain relief.
SpineNevada offers a wide range of procedures to help control pain caused by spine and musculoskeletal problems, including epidural steroid injections, nerve blocks, and radiofrequency procedures. Medication management, physical therapy, and psychological support are also commonly recommended as part of the treatment plan. After our staff has completed a comprehensive assessment of the individual condition, the patient and provider develop a personalized care plan.
Controlled substances for the treatment of pain can be highly effective and medically necessary HOWEVER, the current opioid epidemic and overdose rates associated with prescription drug abuse, misuse and diversion underscores that such medications are not without inherent risks.
During the 2017 session, the Nevada Legislature passed Assembly Bill 474, the Controlled Substance Abuse Prevention Act. This legislation does not tell prescribers when or how they can prescribe. It simply establishes a standard of care for prescribers so that, if prescribing such medications is clinically indicated, the prescriber and patient have the needed information to move forward with that prescription with some degree of confidence that the benefits outweigh the risks.*
What to expect at your initial visit:
1. Pain medications should not be expected on the initial visit. The purpose of the initial visit is to obtain a thorough history and physical examination to ascertain the most appropriate course of treatment. It is important to answer all the healthcare providers questions honestly, as your answers help determine a correct diagnosis.
2. If your healthcare provider determines that prescription of a controlled substance is appropriate, in accordance to the new AB474 Prescription Drug Abuse Prevention Act, you will be required to complete a patient risk assessment. This assessment is a tool used by your healthcare provider to assess the risk for opioid abuse.
3. You will be expected to sign a medication agreement with SpineNevada. The Medication Agreement will cover the expectations of being prescribed a controlled substance at SpineNevada. Some examples include, but not limited to:
a. Completing a Urine Drug Screen as often as deemed necessary by SpineNevada staff.
b. Taking your medications as prescribed.
c. Establish with and regularly see a Primary Care Provider.
Adhering to medication refill expectations.
You will receive the full copy of the medication agreement with your prescription.
Please remember that taking an opioid medication is a serious decision. You must adhere to the terms and conditions of the medication agreement and understand the risks associated with this type of treatment. Should the agreement ever be violated, your prescribing clinician will decide on the safest and most appropriate course of action, which may include a weaned discontinuation from opioid therapy, inpatient detoxification, or termination from the practice.
*Nevada Division of Public and Behavioral Health (DPBH) http://dpbh.nv.gov/Resources/opioids/Prescription_Drug_Abuse_Prevention/
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