I have been a patient of Dr Kloth for 15 years. Dr. Kloth has kept me walking and comfortable through 3 back surgeries and 3 joint replacements using of many of his treatments including RF ablations in addition to oral pain medication when needed. Because of these treatments, I can take lesser dosages of opiod medication, to no medication to control my chronic pain. Without SI ablations, I could not walk without considerable pain. Medicare no longer pays for this procedure and I now have to pay for it out of my pocket. These treatments need universal recognition as viable alternatives or part of a complete plan for treating chronic pain, for those of us who depend on them, so we don't have to self pay!!
A
Anonymous
6 years ago
Please help us I’ve been in this condition for just about 21 years
B
Beth Taylor
6 years ago
I don’t know what I would do without the caring nature of my pain management doctor; David Kloth. He has treated me for over two years and never stops trying to alleviate my chronic pain. Please, these doctors are essential in the treatment of chronic pain. I have great out of pocket costs because insurance doesn’t recognize the value of pain management treatment. Dr. David Kloth has helped me avoid unnecessary invasive surgical intervention and I would be lost without him and his team of excellent practitioners. Pain is real, and so is pain management. With expert care, a chronic pain sufferers can manage to salvage having a fairly normal life. Pain management needs to be recognized as a necessary and viable option for patients of all pain ailments.
M
Michele
6 years ago
Pain management is critical! Should be part of the CDC consideration!
C
Carl Russo
6 years ago
Pain treatment is essential for many people. I support Dr Kloth's recommendation.
G
Glenn Thornhill
6 years ago
I support the issues raised by this letter. They have helped me immensely over the years
Y
Yasmin Ortiz
6 years ago
I support this treatment and I hope it can help more people in pain in the future.
D
doreen jurgens
6 years ago
Pain Management doctors are critical , essential saviors.
M
Muriel Gross
6 years ago
These pain management treatments have saved me from back surgery for over 25 yrs. I believe insurance should cover these procedures just as they do for all other pain relieving methods!
S
Stephanie Safarik
6 years ago
Please take Dr. Kloth’s recommendations, he is very up to date with all of his treatments and truly knows what his patients go though (I am one of his currently patients). Changes and rules should be put in place by the doctors that work one on one with their patients and know what is needed.
S
Srinand Mandyam
6 years ago
Agree with the above
L
Lawrence Poree
6 years ago
Proven technologies should be offered before chronic opioids when appropriate
J
J Paul Leppert
6 years ago
Human suffering, chronic pain, requires treatment that addresses the cause and provides relief. For some opiates may be a bridge to improved treatments. Every modality with proven benefit should be supported.
A
Ali Abbaskhani Davanloo
6 years ago
Thank you for your suggestion to adding this group.
T
Tristan Lai MD
6 years ago
I agree. Interventional procedures should be added to the opioid guidelines.
W
William Porter McRoberts MD
6 years ago
Clearly access to help with the intervention of pain reduces need for and addiction to narcotics/opioids.
A
Anonymous
6 years ago
Interventional pain management options are an important paradigm to reduce pain, improve function, and decrease reliance on opioids.
R
Robert E Wailes MD
6 years ago
Delegate to the AMA, representing the American Academy of Pain Medicine
T
Tariq Malik
6 years ago
1. CDC has done a good job streamlining the Opioid-related use in acute pain settings. It was a government/regulators created mess with stress on VAS and patient satisfaction under the AHCA with the intention to cut reimbursement which back fired.
2. Its is also a fact that with all the big words thrown around ( multidisciplinary approach/multi modal approach)- there is no real proof that they are effective in managing chronic pain except in trial setting lasting few weeks to few months. There was a better proof for opioid in managing chronic pain for few months than for these buzz word therapies
3. Chronic pain is and has become a huge social issue with a medical undertone. Its no different than mental diseases which results in homelessness, crime and requires a social approach and not a pure pharmaceutical approach.
4. Neuromodulation is not a CURE but an important crutch in managing many chronic pain conditions.
5. It boggles my mind that Insurance issues FORCE physicians to send all patient to get PSCYH evaluation but somehow one can prescribe opioid by using an office based screening criteria.
6. I suggest that the CDC makes a strong recommendation to let neuromodulation therapy be tried using office based pysch criteria but then use a standardized functional assessment approach to document success of trial before the permanent implant is allowed to avoid misuse of the therapy.
7. I also propose that CDC ask FDA to create a registry of all pain related implant to document any or all short and long term complications/revisions as many issues are still unknown about the therapy.
T
Tariq Malik
6 years ago
1. CDC has done a good job streamlining the Opioid-related use in acute pain settings. It was a government/regulators created mess with stress on VAS and patient satisfaction under the AHCA with the intention to cut reimbursement which back fired.
2. Its is also a fact that with all the big words thrown around ( multidisciplinary approach/multi modal approach)- there is no real proof that they are effective in managing chronic pain except in trial setting lasting few weeks to few months. There was a better proof for opioid in managing chronic pain for few months than for these buzz word therapies
3. Chronic pain is and has become a huge social issue with a medical undertone. Its no different than mental diseases which results in homelessness, crime and requires a social approach and not a pure pharmaceutical approach.
4. Neuromodulation is not a CURE but an important crutch in managing many chronic pain conditions.
5. It boggles my mind that Insurance issues FORCE physicians to send all patient to get PSCYH evaluation but somehow one can prescribe opioid by using an office based screening criteria.
6. I suggest that the CDC makes a strong recommendation to let neuromodulation therapy be tried using office based pysch criteria but then use a standardized functional assessment approach to document success of trial before the permanent implant is allowed to avoid misuse of the therapy.
7. I also propose that CDC ask FDA to create a registry of all pain related implant to document any or all short and long term complications/revisions as many issues are still unknown about the therapy.
I have been a patient of Dr Kloth for 15 years. Dr. Kloth has kept me walking and comfortable through 3 back surgeries and 3 joint replacements using of many of his treatments including RF ablations in addition to oral pain medication when needed. Because of these treatments, I can take lesser dosages of opiod medication, to no medication to control my chronic pain. Without SI ablations, I could not walk without considerable pain. Medicare no longer pays for this procedure and I now have to pay for it out of my pocket. These treatments need universal recognition as viable alternatives or part of a complete plan for treating chronic pain, for those of us who depend on them, so we don't have to self pay!!
Please help us I’ve been in this condition for just about 21 years
I don’t know what I would do without the caring nature of my pain management doctor; David Kloth. He has treated me for over two years and never stops trying to alleviate my chronic pain. Please, these doctors are essential in the treatment of chronic pain. I have great out of pocket costs because insurance doesn’t recognize the value of pain management treatment. Dr. David Kloth has helped me avoid unnecessary invasive surgical intervention and I would be lost without him and his team of excellent practitioners. Pain is real, and so is pain management. With expert care, a chronic pain sufferers can manage to salvage having a fairly normal life. Pain management needs to be recognized as a necessary and viable option for patients of all pain ailments.
Pain management is critical! Should be part of the CDC consideration!
Pain treatment is essential for many people. I support Dr Kloth's recommendation.
I support the issues raised by this letter. They have helped me immensely over the years
I support this treatment and I hope it can help more people in pain in the future.
Pain Management doctors are critical , essential saviors.
These pain management treatments have saved me from back surgery for over 25 yrs. I believe insurance should cover these procedures just as they do for all other pain relieving methods!
Please take Dr. Kloth’s recommendations, he is very up to date with all of his treatments and truly knows what his patients go though (I am one of his currently patients). Changes and rules should be put in place by the doctors that work one on one with their patients and know what is needed.
Agree with the above
Proven technologies should be offered before chronic opioids when appropriate
Human suffering, chronic pain, requires treatment that addresses the cause and provides relief. For some opiates may be a bridge to improved treatments. Every modality with proven benefit should be supported.
Thank you for your suggestion to adding this group.
I agree. Interventional procedures should be added to the opioid guidelines.
Clearly access to help with the intervention of pain reduces need for and addiction to narcotics/opioids.
Interventional pain management options are an important paradigm to reduce pain, improve function, and decrease reliance on opioids.
Delegate to the AMA, representing the American Academy of Pain Medicine
1. CDC has done a good job streamlining the Opioid-related use in acute pain settings. It was a government/regulators created mess with stress on VAS and patient satisfaction under the AHCA with the intention to cut reimbursement which back fired. 2. Its is also a fact that with all the big words thrown around ( multidisciplinary approach/multi modal approach)- there is no real proof that they are effective in managing chronic pain except in trial setting lasting few weeks to few months. There was a better proof for opioid in managing chronic pain for few months than for these buzz word therapies 3. Chronic pain is and has become a huge social issue with a medical undertone. Its no different than mental diseases which results in homelessness, crime and requires a social approach and not a pure pharmaceutical approach. 4. Neuromodulation is not a CURE but an important crutch in managing many chronic pain conditions. 5. It boggles my mind that Insurance issues FORCE physicians to send all patient to get PSCYH evaluation but somehow one can prescribe opioid by using an office based screening criteria. 6. I suggest that the CDC makes a strong recommendation to let neuromodulation therapy be tried using office based pysch criteria but then use a standardized functional assessment approach to document success of trial before the permanent implant is allowed to avoid misuse of the therapy. 7. I also propose that CDC ask FDA to create a registry of all pain related implant to document any or all short and long term complications/revisions as many issues are still unknown about the therapy.
1. CDC has done a good job streamlining the Opioid-related use in acute pain settings. It was a government/regulators created mess with stress on VAS and patient satisfaction under the AHCA with the intention to cut reimbursement which back fired. 2. Its is also a fact that with all the big words thrown around ( multidisciplinary approach/multi modal approach)- there is no real proof that they are effective in managing chronic pain except in trial setting lasting few weeks to few months. There was a better proof for opioid in managing chronic pain for few months than for these buzz word therapies 3. Chronic pain is and has become a huge social issue with a medical undertone. Its no different than mental diseases which results in homelessness, crime and requires a social approach and not a pure pharmaceutical approach. 4. Neuromodulation is not a CURE but an important crutch in managing many chronic pain conditions. 5. It boggles my mind that Insurance issues FORCE physicians to send all patient to get PSCYH evaluation but somehow one can prescribe opioid by using an office based screening criteria. 6. I suggest that the CDC makes a strong recommendation to let neuromodulation therapy be tried using office based pysch criteria but then use a standardized functional assessment approach to document success of trial before the permanent implant is allowed to avoid misuse of the therapy. 7. I also propose that CDC ask FDA to create a registry of all pain related implant to document any or all short and long term complications/revisions as many issues are still unknown about the therapy.