http://www.drcook.com/adca24.html
~ ~ ~ ~
2.) Adequate Pain Relief...Therapy Directed Against Pain.....Non-Steroidal Anti-Inflammatory Drugs: Current NSAIDS include ... Ultram ... Narcotics ... Narcotics include...
http://www.drcook.com/adca26.html " Under-treatment of chronic pain is a real problem in the United States. This applies to patients with endometriosis as well as other forms of chronic pain - including those suffering from terminal diseases such as cancer. Pain management is poorly understood by many physicians. Some physicians will withhold appropriate use of narcotics from chronic pain patients for the fear of prescribing narcotics to a patient who is seeking narcotics for the euphoric high. Physicians can also loose their medical license if the DEA (Drug Enforcement Agency) feels that the physician is "over prescribing" narcotics. All these factors combine to result in a situation that many physicians would rather not deal with. If you are a patient who is experiencing severe pain and are not in a position to get your endometriosis treated, or if you are sure that you have had your endometriosis adequately treated and still have pain, then a good pain management physician is probably your best option. A good pain management physician should be able to find a combination of treatments that will make living with the pain manageable."
" The obvious concern of physicians is that patients will "abuse" the narcotics and use them for their potential euphoric effect rather than for legitimate pain relief. I have found that patients are often concerned about the possibility of becoming "addicted" to the pain medications and will even underdose the pain medications themselves in an effort to avoid this possibility."