Massachusetts North Shore - Doctor That Prescribes Methadone For Severe Back Pain Withdrawals (Top voted first)

I have been on hydrocodone 30mg for about 3 years and started small but is now up to 4 a day just to feel fine and it has got very expensive and cant afford to do them anymore and it cost me my job... i literally cant get out of bed the withdrawals are so bad the back pain and restless arms and legs are the worse.. I have tried to quit 3 or 4 times now, once i bought 10 suboxone off a buddy and tried and only made 4 days and i vomited almost every day because it taste so nasty... i got out of detox on 1/17/13 and tried staying off but only lasted 2 days until i couldnt do it anymore and the detox center gave me methadone and it really helped and i need to get back to work have tons of bills that havent been paid in a while....I've been trying to go to the clinic but had to wait for insurance and now waiting for an available appointment for intake and is just taking forever plus it is gonna suck having to drive there every day......is there any doctors near north shore in massachusetts that can help me out with a monthly or weekly prescription for methadone? Any help would be greatly appreciated. Thanks.

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Jdm29, I hope to clear a couple things up just to help you understand how and why doctors prescribe pain medication and how the decide to change or modify or raise dosage or the type of pain medication. I hope this does not offend you or anyone else in this forum.

If I recall correctly, you stated that you where taking 15's (? of what?) a couple times a day for 9 years? i may be mixing 2 comments together however everyone on this forum regarding pain medication are always strangely familiar. Where they used to be on a med. They took them off, now they want one particular med again or something they have tried that was not prescribed but they tried and that they want someone to tell them where to find a doctor that will prescribe the exact dose and med they desire no questions asked. Hmmm it makes me wonder why so many people are having this problem.

Let me start by explaining my theory: I believe that pain management has a different meaning to patients then is does to doctors. Pain management is intended to to make pain somewhat tolerable just while recovering from an injury in this instance, if you have not previously taken narcotic analgesics (pain killers) they are likely to prescribe light opiate pain killers in a combination with antiinflammatory medication meaning ibuprofen naproxen napirsin or tylenol with short acting opiate or a mild extended release. example: 5 to 10 mg hydrocodone, 15 to 60 mg morphine tablets, there are more light opiates im limiting the examples to save time. This prescription is intended to be for the least amount of time possible and to be back and functioning without the meds withing a couple months.

Chronic pain management is described as long term pain that affects your life so dramatically that you can not perform hardly any of the tasks you could before the incident or injury and remember this must be an injury that will be intolerable for years. Serious INJURY life . It has been determined that in time most injurys broken backs and necks other terrible conditions will with physical therapy and exercise will eventually fade to tolerable pain or leave completely without any opiate medication taken . In fact taken Opiates long term causes terrible back pain. And as far as migraines go. Opiates have been determined as not effective simply because there is an underlying condition causing the migraines and opiates would just mask the pain temporarily. And for the fact that they have found many many other medications that are much more effective for managing chronic migraines.

The medications for chronic pain management start off similar to short term pain. Light dosage with anti inflammatory. vicodin and ibuprofen. norco and naproxen. Its a universal understanding that the human body and brain build tolerance to opiates and that over time they will need to increase your dosage to continue to be effective in managing your pain. here is an example and chain of accurate conversion medications over a long period for actual chronic pain management.

Condition of patient gunshot wound, broken tibia and fibia healed incorrectly offset from original position causing limp and permanent pain when walking. Patient cannot run, lift anything above 20lbs and its not recommended that the patient does not stand longer than 30 minutes at a time. Patient must use cane when walking any distance of 50 ft at a time.

Starting dose as of 1/1/13 oxycodone e.r. (extended release) 10 mg once every 12 hours.

after 10 months patient states that the medication feels less effective and pain is becoming in tolerable.

10/1/13 next dosage is prescribed oxycodone e.r. 15 mg oxycodone i.r. (immediate release) every 8 hours and 60 mg morphine once daily .. Oxycodone is intended for breakthrough pain.

10/1/14 patients tolerance requires higher dose . 100 mg morphine once daily and continued 15 mg i.r. every 8 hours or as needed for breakthrough pain.

6/1/15 patient states that the morphine is no longer effective however the oxycodone is still working but needs more than current dosage.
New dosage oxycodone 30 mg extended release (o.p. 30mg) once every 12 hours or twice daily

1/1/16 patient states there are periods during exercise that pain becomes intolerable. continued 30 mg oxycodone e.r. and Hydromorphone 8 mg immediate release as twice daily as needed for breakthrough pain.

8/1/16 patient tolerance 40 mg oxycodone e.r. every 12 hours continued hydromorphone 8 mg for breakthrough pain.

8/1/17 patient states that he would like to only be taking one pill every twelve hours and that he feels in a haze at times on current med combination at this time. Dosage oxycodone 60 mg e..r. every 12 hours . stopped dosage of diladid.

4/1/18 patient tolerance dosage raised to 80 mg oxycodone e.r. every 12 hours

10/1/18 patient tolerance. at this time it is recommended that the patient converts from oxycodone to methadone . doctor prescribed 40 mg methadone wafer once daily.

This is an example of a situation that would be considered for methadone pain management as a result of maxing a healthy dosage per this patient's blood and kidney diagnostic results. At this point 40 mg of methadone is logical because he will only need to take this medication once daily with no other. Methadone is an extremely potent opiate first produced as a synthetic opiate meaning that its enhanced chemical structure is taken from a different part of the poppy itself and concentrated for the purpose of stabilizing H addicts for recovery purposes and to wein dosage down to a safe amount where opiate withdrawl will be made much more tolerable then a H withdrawal. Much much later they found that in chronic pain patients that methadone is a very effective long lasting medication.

Methadone is almost three times as strong miligram to miligram as oxycodone. Actually just about 2.6 times the strength. its also about 2x the strength as oxymorphone or opana. This means that a 15 mg oxycodone = 6 mg of methadone .

I feel the need to also state that if you have been to a methadone clinic that you are most likely an opiate attack and not a pain patient . Doctors will give medication to a patient in need. A big no no in the pain med world is to tell a doctor what you want and not be open to trying what he is recommending . another no no is going and dropping multiple doctors over and over who dont give you exactly what you want. At this point you are destroying any credibility as far as real need in doctors eyes. If you have chronic pain real chronic pain you will not need to ask a forum only where you can find a doctor to get methadone. If you are truly what you state doctors will work with and be able to clearly see why methadone would be a good alternative and a benefit to you and your quality of life .

Bottom line: if you want methadone and only methadone. go to a clinic or find it on the street. if it cost you your home than i would say your an addict . and rehab would be a option for you. Long term back pain is not an acceptable excuse for the long term typically if surgery was performed previously and successfully or its not considered a long term injury, Migraines are not typically treated long term or short term with opiates.

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I know a Dr. in Worc that prescribes it for pain you could give it a shot, i know a few people who got it for pain. DO NOT say it is for addiction they cannot prescribe it for that, i can give you the name if you want. Can you help me with the name of your Doc too I need a Dr. that isn't afraid of prescribing medication, Ugh so sick of mass! msg me if u need

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Hi Addy,

Sorry to hear about your situation. I may not have a doctor I can refer you to, but I can provide you with a couple links that may be of service to you in so far as finding pain management doctors within your general area...

Just input your city or zip code for narrowed results:
{link removed because site no longer exists}

wellness.com/find/pain%20management%20specialist

I'd consider calling up a number of them to see if they are accepting new patients, as some aren't, but most usually are.

I hope this info helps and wish you good luck on finding the right doctor!

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I am moving to Grass Valley CA in two weeks. Three yrs. ago I use to live their,but my doctor moved out of state.Been living in NH. if anyone with chronic pain moves here-- good luck. you will really need it. I made the mistake of listening to my new doc. who wanted my to stop going to a pain care center which I had been going to for almost three years. Never had Any problems with, but stopped going three as new doc. Asked/strongly advised. Within three months,and two scrips latter he stopped all pain meds. no notice, no referrals, and before I knew it after 13 yrs. of being managed on narc. I was a drug addict,abusser,took street drugs and a alcoholic. He never read it my med. files except glanced them over as he said, and know totally blacklisted in three states.Thankfully I was told in CA if I felt I needed less fine,save them which I had. Those extra pills saved me for going to a detox. but I was mostly bedridden for seven mo.. Now still without pain meds. And constant pain, due to other med. problems I do not have a long life ahead, as I have past the doctors (other specialist) guesses . But my condition isn't precise. But I truly believe in QUALITY of LIFE. As I feel many of others here do. So be very careful when choosing your next doctor please. So tired of know it all doctors. If I took a quarter on the meds. Docs. have prescribed,I would be dead due to my autoimmune disease. Remember we know how our body's truly feeling- much better than a doctor especially my great doctor who never had me do one drug panel, yet I was an incredible addict. Yes, I became dependent on the narc. But feel there's a big difference between addict verses dependent. So wish you all the best,but also beware of some doctors and educate yourself on your rights and HIPPA laws. Kam

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Please stay away from methadone they are silent killers. You will go to sleep and not wake up.try subutex that will help you much better, all day relief.

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A general practitioner can't prescribe Methadone for addiction treatment, it's actually against the law. If you require it for addiction treatment, even if you still have pain, then you have no other option in the U.S. but to go to one of the treatment clinics.

I am very sorry, I know it can be a pain to go to the clinic every day, but this is the way it works here in the U.S.

How long will it take to get an appointment?


Learn more Methadone details here.

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@PassedofMass,

Whereabouts in Massachusetts are you located? I don't have anyone I can recommend to you, but I did go ahead and post a link below to an archive of PM doctors/treatment centers in that state, who are known for prescribing these types of medications:
methadonedocs.com/methadone-suboxone-doctors/Massachusetts-Ma.aspx

NOTE: All you have to do is click on your city to view a list of doctors and treatment centers within that general area.

I hope this info helps! :)

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Well said!! Drug seekers and doctor shopping is what made it hard for the true chronic pain patients to get the meds we need. I have had 8 lumbar spinal surgeries, DDD, spinal stenosis, osteoarthritis, scar tissue, 3 bulging disks, broken tailbone, broken bottom vertebrae, severe nerve damage in right leg and foot, mild to severe in left. Handicap plaque, I need a scooter in grocery store, wheelchair for anything past 50ft, I walk like I am drunk, I stand up and 75% of the time I fall back down.

I also get migraine headaches, opiates do nothing! Advil, frozen bags of peas and a dark quiet room. Migraines, where it hurts to lie down.

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David can you help me with a decent Dr.'s name I am willing drive a few mins , I live in Mass. I am having a hell of a time finding someone who isn't looking to do expensive injections or a pump, I would really appreciate your help in Mass. Sick of waisting time making calls. Msg me if you can help plz thnks so much...

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Hi.im in the same/similiar situation. I live in saugus mass.I'm also looking a private prescribing docter,using MMT to kill 2birds with 1 stone..clean for 9yrs on it but fearfull to get off due to severe back pain(scolosis,buldging discs,just had twins-currently have a hernia)im despertly seeking a docter to get away from the"MMT clinic scene"&TO LIVE MY LIFE W/OUT PAIN&BEING HANDCUFFED TO A CLINIC DAILY.I SINCERLY APPRECIATE ANY INFO..IM WILLING TO DRIVE..MY EMAIL {edited for privacy}

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franklin pain clinic and dr patrirk madden neuro great dr when good relatioship u get what u ask for

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Try Pain Care Center, main office is in Somerworth,N.H. But have a office near Nashua nh. If you had any luck would you let me know, i.e. before. Was looking in Lowell, Ma. Thanks,Kathy

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Whos the doctor in worcester i just moved to shrewsburry and am looking for pain releif

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can you provide me with the name of the doctor who prescribe methodone for pain as well. my wife needs it

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Please help me find a doctor I'm from mass and need pain doc fad took my doc down and he was great helped a lo of people in pain please help

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You cant drive either.. spend your money on driving lessons.

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Was it Dr. Mashali? I can't find a good Dr. since he got locked up.

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You must work in the medical field in some form and just like most in the medical community i swear you got your md from a crackerjack box or barely graduated med school. I am a true chronic pain paitient dur to severe tramatic injury to my thoracic spine and neck and 3 out of 4 of my limbs and have had a dozen ortho surgerys with more to come and people w/ attitudes like you and true junkies and addicts makes it almost impossible for people like me to be taken seriously or get the right treatment. Luckily i have some good doctors but i to have to have my pain managed w/ oxy for breakthrough and done for long lasting and have to get it at a clinic and i shouldn't have to be exposed to that environment and have to listen to the bs the comes out of addict's mouths.

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You have to move to California.State law SB 402 !

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Dr rob you rapped up this whole f@@king opiate thing in a nutshell!!!! There is really nothing else to say. Thanks for your coment.oxy80s ten years 30oxycodone 3 years.now i go to methadone clince 125 mg per day im fine. I recomend it to any1!!!! An i was using h.

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