What Not to Say to Your Pain Management Doctor

Pain Management Doctor

While most patients mean well, there are certain phrases that can affect your diagnosis by your pain management doctor. Saying these things to your doctor also make it harder to get the care you need.

Below is the list of things you should avoid saying during your pain management appointments.

Don’t Downplay Your Pain

People often say they’re “fine” when they’re actually in pain. But not being honest about your pain can make it harder for your doctor to help you.

Your doctor has seen patients with very bad pain, but they know everyone’s pain is different. Instead of saying “I’m okay,” tell your doctor how your pain affects you.

Say something like: “The pain keeps me awake”, “I can’t bend down”, or “I have trouble lifting things.” Being honest about your pain will help your doctor give you the best care.

Don’t Exaggerate Your Pain

When you’re in pain, you want your doctor to take you seriously. But saying things like “This is the worst pain anyone has ever felt” or “I’m dying from this pain” when you’re clearly functioning normally can backfire.

Your pain management doctor has seen patients with chronic pain and post-surgical complications. They know what extreme pain looks like. Instead of using dramatic language, be specific about how your pain affects your daily life.

If your pain is actually not that severe, it is better to honestly say that you have pain but it is not severe. If you have even mild pain for days or weeks, your doctor will still provide the diagnosis and care you need.

Avoid Demanding Specific Medications

Do not walk into an appointment saying “I need epidural injections” or “My friend had PRP therapy and so I think it will work great for me.” This raises red flags immediately.

Here’s why this doesn’t work:

  • It suggests you’ve already decided on your treatment
  • Every person’s pain is different, so what works for others might not work for you

Instead, describe your symptoms and let your pain management doctor suggest the best treatment options.

Don’t Lie About Your Medical History

Some patients think they should hide previous addiction issues or mental health problems. Others lie about how much they drink or what other medications they’re taking.

Your medical history helps pain specialists treat you safely. If you’ve had problems with addiction before, they need to know so they can find treatments that work without putting you at risk.

Stop Saying “Nothing Works” Without Giving Things a Fair Try

Many patients say that physical therapy “doesn’t work” after going to two sessions. Or that a medication “didn’t help” when they only took it for three days.

Pain management often takes time and patience. Most treatments need weeks or months to show their full benefits. When you dismiss everything quickly, it limits our options and makes us think you’re only interested in quick fixes.

Avoid Being Dishonest About Your Function Level

Some patients downplay what they can do, thinking it will get them stronger medications. Others exaggerate their abilities to seem like they’re improving when they’re not.

Be honest about both your limitations and your abilities. If you can work but struggle with certain tasks, say that. If you’re having good days and bad days, explain the difference.

The Right Way to Communicate

Instead of focusing on what not to say to your pain management doctor, here’s what works better:

  • Be specific about your pain levels and how they change throughout the day
  • Describe how pain affects your sleep, work, and relationships
  • Ask questions about treatment options rather than demanding specific ones
  • Be honest about what’s working and what isn’t

Your pain management doctor wants to help you feel better. They care about people who are suffering and also have to follow strict guidelines and make sure treatments are safe and appropriate.

When you’re honest about your symptoms, history, and concerns, it’s much easier for them to find treatments that work for your specific situation.

Your pain is real, and you deserve good care.

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