Top
40
Doctor insights on: Chronic Pain

Share
1

1
Pain management for chronic back pain?

Options: Always start conservative with any chronic pain, if you can, depending on the severity of the symptoms. If over-the-counter medications, short rest, ice/heat, stretching/exercise, doesn't relieve the problem, seek professional advise. You might need different prescription meds, injections into the pain generators of the spine, physical therapy, to help decrease the pain. ...Read more

See 5 more doctor answers
2

2
My knees and elbows are very painful. I have chronic pain which has worsened recently. Today, the pain reached my hips. Also, the skin at my elbows and knees is painful to touch. Is it possible that I might be suffering from fatigue?

My knees and elbows are very painful. I have chronic pain which has worsened recently. Today, the pain reached my hips. Also, the skin at my elbows and knees is painful to touch. Is it possible that I might be suffering from fatigue?

Joint Pain: Yes, i agree polyarthritis is arthritis in multiple joint which is often associated with a rheumatologic disorder (rheumatoid arthritis, lupus...). Migratory arthritis, where your pain jumps from one joint to another, brings up the possibility of lyme's disease and other conditions. Definitely talk to your pcp. ...Read more

See 4 more doctor answers
3

3
Chronic pain symptoms. What is fibromyalgia pain?

Chronic pain symptoms. What is fibromyalgia pain?

Specific pattern: Fibromyalgia is a syndrome that consists of widespread muscle pain often associated with fatigue, poor sleep and joint stiffness and specific tender points. It is a real disorder yet not yet well-understood. Sometimes other conditions like lyme disease are misdiagnosed as fibromyalgia. Mainstream treatment tends to focus on symptom relief but a more holistic approach is often helpful. See comment:. ...Read more

4

4
What's acute vs chronic back pain cause?

What's acute vs chronic back pain cause?

Acute vs Chronic: Acute back pain resolves within six weeks .After six weeks it is considered chronic back pain. ...Read more

See 2 more doctor answers
5

5
How much does chronic pain costs the healthcare system and society as a whole?

How much does chronic pain costs the healthcare system and society as a whole?

Societal Pain Stats: Chronic pain exacts a huge toll on society, in the tens of billions of dollars per year, mostly in lost productivity due to absenteeism from work secondary to pain. Direct costs for the provision of care are also staggering as is the cost to provide oversight and surveillance by healthcare, pharmaceutical and police enforcement organizations. As we live longer, pain is likely to affect us all. ...Read more

See 1 more doctor answer
6

6
Suffering chronic mouth pain issues. Suggestions?

Suffering chronic mouth pain issues. Suggestions?

Many causes: If you have not had a thorough evaluation to find the cause of your mouth pain, then this needs to be your first stop. I would suggest seeing a doctor or dermatologist who specializes in oral diseases. There are many causes for chronic mouth pain and the treatments are quite different depending on cause. Best of luck to you. ...Read more

See 1 more doctor answer
8

8
Can cutaneous non albican candidiasis affecting skin folds (foreskin) cause epididymo-orchitis/prostatitis symptoms? Chronic pain, pelvic region too

Can cutaneous non albican candidiasis affecting skin folds (foreskin) cause epididymo-orchitis/prostatitis symptoms? Chronic pain, pelvic region too

Yeast infection: If confined to cutaneous areas it will not produce the symptoms you are describing. Suggest you see a urologist and be fully evaluated soon. ...Read more

9

9
Severe abdominal pain with chronic diarrhea, several mis-diagnosis'?

See details: The causes are many including ibs, celiac disease, lactose intolerance and inflammatory bowel disease. The only reasonable advice is to speak with a gastroenterologist or seek a 2nd one if you have already seen one previously. ...Read more

10

10
Does chronic glomerulonephritis cause severe pain?

See below: The common causes of kidney pain are kidney stones, infection and cyst rupture in polycystic kidney disease, besides kidney trauma from any cause and there is a condition called loin pain hematuria syndrome. Besides the above generally speaking chronic glomerulonephritis does not cause kidney pain get yourself examined for other causes. ...Read more

See 1 more doctor answer
11

11
Can chronic pain cause bipolar?

Can chronic pain cause bipolar?

No.: Chronic pain does not cause bipolar disorder. But severe or chronic pain may be a trigger to exacerbate sxs. ...Read more

See 1 more doctor answer
12

12
Want to get on with my life. How is chronic pain diagnosed? When can treatment start?

Want to get on with my life. How is chronic pain diagnosed? When can treatment start?

Chronic pain: Chronic pain can be due to many problems: trauma, injury, chronic diseases, cancer, inflammation, etc. It is best to speak with your doctor and explain how long have you had, what worsens or improves it, how long it last and they can better assist you. Also engage in alternative therapies such as yoga/tai chi, acupuncture since all of this can help with chronic pain. ...Read more

See 1 more doctor answer
Dr. James Lin Dr. Lin
2 doctors agreed:
13

13
Chronic pain from orchalgia. What's next?

Dr. James Lin Dr. Lin
2 doctors agreed:

Here are some ...: Orchialgia denotes the pain in the testis, but in reality, it has been commonly used to encompass all the pain in or around scrotum without detailing, which may be caused by the problem in testis itself or epididymis, vas, hydrocele, injury, etc. , or by referring pain from nerve irritation by pinching or neuropathy along spinal nerves, leading to radiculopathy, notably ilioinguinal nerve. ...Read more

See 1 more doctor answer
14

14
What could cause chronic indigestion, upper left back pain, chronic fatigue, nausea, stabbing headaches?

What could cause chronic indigestion, upper left back pain, chronic fatigue, nausea, stabbing headaches?

Related or not?: There are lots of possibilities here, all of which can be addressed by a physical exam and appropriate testing. Migraines for example can affect both head and gut ("intestinal migraine"). Please however don't contribute to your stomach upset by taking excessive nsaid's aimed at alleviating head ache. Get checked to rule out more esoteric pathology. ...Read more

15

15
What causes chronic back pains?

Several options: Back pain is usually related to arthritic changes to the spine. Sometime back pain can be related to infections, cancer, fractures, or even other organs such as the kidney, bladder, etc. If your pain lasts greater than 2 weeks i would see your physician. ...Read more

16

16
Would it be useful to do an rnp test for chronic pain and joint pain? What would it show?

See details: The rnp has little value except high values may be associated with mixed connective tissue disorder. If mctd is not suspected on clinical grounds, the test will not help. ...Read more

17

17
Can chronic pain have psychological causes?

Can chronic pain have psychological causes?

Yes: Depression and anxiety are closely associated with chronic pain. Sometimes a traumatic event can contribute to chronic pain and physical pain is misattributed to a psychological cause. Treating an underlying psychological condition will often help chronic pain. ...Read more

See 1 more doctor answer
18

18
Can chronic sinusitis cause severe upper molar pain?

Can chronic sinusitis cause severe upper molar pain?

Yes: The last three or four teeth in the upper jaw have roots that are in close relationship to the floor of the maxillary sinuses. It is not uncommon for patients with chronic sinusitis to have pain radiate into the maxillary teeth. Likewise, patients with dental problems in the maxillary teeth that lie in close contact with the floor of the sinus can refer pain to the sinuses. ...Read more

See 6 more doctor answers
21

21
Can chronic neck pain trigger migraines?

Can chronic neck pain trigger migraines?

Yes: There are several joints and intervertebral discs in the neck. These can wear out over time leading to pain. Degeneration of the joints or discs can cause neck pain and/or headaches. These are called cervicogenic headaches and are different from true migraines. ...Read more

See 2 more doctor answers
22

22
What causes chronic pain in some, but not others, given similar/same circumstances?

Variability: The answer is very complex, and somewhat theoretical. No two people are the same. Processing of pain is different in different people. No two injuries are the same. People's percetion of pain and pain tolerance differs. As you see there are many variables. ...Read more

See 1 more doctor answer
23

23
Can chronic neck pain be healed?

Can chronic neck pain be healed?

See below: Chronic neck pain is often related to abnormal wear on the cartilage and bones of the neck (cervical vertebrae). This is develops over time and is often the result of posture, occupation, genetics, and normal wear and tear. Often symptoms develop over time or can occur suddenly. Prevention including smoking cessation, proper ergonomics, and posture are the best ways to avoid pain. ...Read more

See 1 more doctor answer
24

24
How to manage back pain chronic back pain?

Conservative is best: Start with conservative treatment such as physical therapy(including strengthening and stretching)& anti-inflammatory meds. Regular exercise, weight loss & smoking cessation are also helpful. Opioid pain medicines not ideal for chronic back pain as they can reset pain tolerance and lead to dependence. Be sure to see a physician first to evaluate whether there is any significant underlying pathology. ...Read more

See 1 more doctor answer
25

25
Acute hip pain. With back. Pain and. Leg pain?

Acute hip pain. With back. Pain and. Leg pain?

Back pain/ sciatica: Sounds like mostly low back pain from early arthritis or a disc problem with nerve irritation see a doctor about it. ...Read more

See 1 more doctor answer
26

26
How can I treat chronic pain?

How can I treat chronic pain?

IV Myer's: I have had great success with my patients with chronic pain using a combination of IV nutritional support (myer's cocktail) along with msm 5 gm/ vit c 2 gm 3x/day. This anti-oxidant power house is great at relieving the oxidative stress that perpetuates the pain cycle, neuro feedback is also shown to help break the cycles of pain (www.Clearmindcenter.Com). ...Read more

See 1 more doctor answer
27

27
Can gout cause chronic pain?

Can gout cause chronic pain?

Depends on: How much joint destruction there was. Usually, if the acute attack was treated soon enough, it should not lead to chronic pain. However, if the inflammation caused enough damage to, cartilage, bone or even nerve (depending on joint or area), it could cause chronic pain. ...Read more

See 4 more doctor answers
Dr. Brian Le Dr. Le
3 doctors agreed:
28

28
What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

Dr. Brian Le Dr. Le
3 doctors agreed:
What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

Pain killers: The best pain killer for the hip and leg pain is the one that relieves your pain. It can be over the counter medication like Ibuprofen or tylenol, (acetaminophen) or prescription medication like nsaids, muscle relaxants, narcotics ... ...Read more

See 1 more doctor answer
29

29
What kind of doctor treats chronic back pain?

What kind of doctor treats chronic back pain?

Many doctors do: Great question: there are many doctors that are qualified to treat back pain. To start off, the family doctor and other gps treat back pain. When they need to enlist the help of a specialist they can refer to a physiatrist, neurosurgeon, orthopedic surgeon, or an osteopathic doctor for omt. Certain doctors perform injections that can help these include: radiologists, physiatrists, and anesthesia. ...Read more

Dr. Alan Ali Dr. Ali
6 doctors agreed:
30

30
I am treated for chronic pain and depression, but it takes all I have to make it to work daily. What else can I do?

Dr. Alan Ali Dr. Ali
6 doctors agreed:

Dep./Chronic pain: If you are already in therapy (counseling) & prescribed medications, you might want to look into pain management specialists, acupuncture, meditation/yoga, hypnosis. Ask your doctor or therapist about those. ...Read more

See 1 more doctor answer
31

31
What's your opinion on treating chronic pain?

What's your opinion on treating chronic pain?

Treating chronic pai: Treating chronic pain is not "taboo". You need an in depth evaluation and examination by a board certified pain specialist. This is important in order to determine a treatment plan. All too often the pmd starts with medications which may or may not be appropriate. ...Read more

See 2 more doctor answers
32

32
Where do I even start getting treatment for chronic pain?

See your physician: Your physician can help evaluate you and decide the correct diagnosis and the best therapy. The treatment of chronic pain can include medications, physical therapy, exercise, sleep evaluation, psychiatric therapy to name a few. It is best if you avoid narcotics or other habit forming meds. This just makes it more difficult for the long term. ...Read more

See 1 more doctor answer
33

33
What are the advantages and disadvantages of different treatments for chronic pain?

For which pain?: Can't accurately answer the question without knowing which pain state we are talking about. There are good and bad therapeutic options for all chronic issues but we have to know the specifics and region in question. Get us those details and we will be more than happy to give you more detailed answers. ...Read more

See 1 more doctor answer
34

34
Is removing mesh aftet iguinal hernia repair is complicated?And what can be done to cure chronic pain after suegery?

Is removing mesh aftet iguinal hernia repair is complicated?And what can be done to cure chronic pain after suegery?

No but : What the reason to remove , is complicated , like infection inside tissue planes, must speak to your surgeon , most common cause for chronic pain the nerve being pinched by scar tissue ...Read more

See 1 more doctor answer
35

35
And how do you get rid of chronic pain?

And how do you get rid of chronic pain?

Important: Certain meds perpetuate and worsen chronic pain. Make sure your regimen is not working against you. ...Read more

See 1 more doctor answer
36

36
What are effective prescription drugs for chronic pain?

Many options: Chronic pain can be difficult to treat. What works for one person might not work for someone else. If you have chronic pain it is best to see a pain specialist to go over the various options. Some would include nsaids and anti-depressants. Narcotics are usually a last resort due to the risk of dependence, tolerance, and addiction. ...Read more

See 1 more doctor answer
37

37
Osteonecrosis of both hips surgery or tablets - have chronic pain take methadone for the pain family want me to have surgery but dr wants to try meds?

Osteonecrosis of both hips surgery or tablets - have chronic pain take methadone for the pain family want me to have surgery but dr wants to try meds?

Hard to say: Depends on your surgical risk. If average which i would assume looking at your age, then it is my opinion that surgical treatment would be only option as eventually the hips would further necrosis making hip replacement less successful. And more difficult you also do not want to be dependent upon opioids for the rest of your life starting at age 46. Imo Methadone not a good choice in treatmen. ...Read more

See 1 more doctor answer
38

38
Eating from chronic pain & chronic fatigue. Advice on preventing this maladaptive response?

One idea: You might need to see a specialist to talk this out but one suggestion I have is to change your snacks. Instead of eating processed foods, replace it with something healthy instead like celery sticks, carrots... These have zero to low calories and require a lot of energy to chew which might help you with weight, as well as your digestive system. Good luck. ...Read more

See 1 more doctor answer
39

39
What do you recommend for chronic pain?

Depends...: .......On what's causing the pain. The first step is to find out the reason why you have pain. There are many approaches, including neural therapy, hyperbaric oxygen therapy, manual treatments (manipulation, massage, etc.), neurotransmitter therapy, pulsed electromagnetic field therapy, etc. ...Read more

See 2 more doctor answers
40

40
My sister says she has chronic pain. Are family members more likely to get the same thing?

NBE Tx cures pain: I cure all kind of chronic pain and other disorders using an east/west therapy called nbe without drugs. Check out thousands of cases from radio shows, youtube and patient letter testimonies posted on www.Drtong.Com. ...Read more

See 1 more doctor answer