I have progressive multilevel thoracolumbar kyphoscoliosis, with 50 degrees of fixed sagittal imbalance, secondary to being hit by a car as a pedestrian. My spine surgeon thinks I am a good candidate for an ALIF+ PSO. It is taking me a while to arrange for the help I will need during the recovery period after the operations. In the meantime, I only need opioid meds occasionally [not daily] after an unusually demanding activity. I am asking for less than 30 Vicodin 5/500 per month.,, but cannot get an RX without being asked to sign a pain management agreement which requires me to take Senokot every day. & pay $500+ per urine screen for each RX. This seems to be extreme overkill to me, since I am age 58, don t drink or smoke, have no mental illness or substance abuse history. I was told this is Kaiser s policy, and the PM agreement is a confidential internal document, devised by a committee, which my PCP is not allowed to discuss with me. She did no pain or ADL assessment before handing me the PM agreement. This seems like a completely unreasonable approach designed to encourage patients to get their pain pills outside the health plan! How can I convince my PCP to treat me like a human being?

Summarized question: How to treat multilevel thoracolumbar kyphoscoliosis?