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Doctor insights on: Chronic Pain

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Can I do exercises for chronic pain?

Can I do exercises for chronic pain?

Yes.: People with pain who can exercise at an appropriate level, without signifcantly increasing pain, will with time have a decrement in pain, and will also stay healthier and maintain weight than someone who does not. Exercise is also a distraction and directs your mind away from your pain. ...Read more

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Planning For Labor Pain (Definition)

Childbirth classes can teach you breathing and relaxation techniques to help you cope with pain experienced during labor and delivery. The amount of pain felt during childbirth is different for every woman. For some women, the techniques learned in the childbirth classes are enough to relieve their pain, and medication is not necessary. For other women, the option of having pain relief medication available to them during labor and delivery is appealing and, when used, may help them experience ...Read more


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What is gate control theory? Is pressure points an accurate model of chronic pain?

Melzac and McGill: Dr. Melzac formulated the hypothesis that only so many signals, including pain, can travel from the periphery, to the spinal cord, and to the brain. This has been the basis for sending other signals from the body by transdermal electric stimulation. Most physiologists ascribe to this idea, at least in part. ...Read more

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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

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What can I take for chronic pain besides lyrica (pregabalin)?

What can I take for chronic pain besides lyrica (pregabalin)?

Several Rxs!: Avoid narcotics, if possible. You should try a full dose of an nsaid, if possible! other options are cymbalta (duloxetine). I have had very good results with it! it works for many types of arthritis, as well as neuropathy & is not controlled substance. Finally, inflammation should be r/o by getting a crp! ...Read more

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What types of eds are associated with pain and/or chronic pain?

? Ehlers-Danlos Syn.: The most common pain associated with eds comes from the fact that the connective tissue supporting the joints becomes lax and allows chronic joint dislocations. These people frequently notice they are "double-jointed" but later experience the chronic dislocations. A more serious kind involves blood vessels where they can spontaneously rupture. Eds can also be a limited to the skin. ...Read more

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Is it safe to take oxycontin long term? I have chronic pain and was just put on it but have only heard horro stories about people using it.

Is it safe to take oxycontin long term? I have chronic pain and was just put on it but have only heard horro stories about people using it.

Problems.: First, not the best narcotic choice. Ms-contin is better. But do you need a highly addictive narcotic? If this was your first pain "rx, " see another doctor you always must know the cause for pain. ...Read more

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How does daypro (oxaprozin) compare to vicodin for chronic pain?

It would be my choic: I would try generic Daypro (oxaprozin) first. Their are many options other than narcottics. They are the tereatment of last resort in chronic pain. ...Read more

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Why do I get so aggravated and grumpy when I take my pain meds? I am going to be on opiates for chronic pain forever. Is there anything I can do?

Why do I get so aggravated and grumpy when I take my pain meds?  I am going to be on opiates for chronic pain forever.  Is there anything I can do?

Not uncommon: Many people on opioids complain of being grumpy. This is more due to the pain than to the medication. You may find that by taking long acting (sustained reiease) medication that your pain is better controlled with fewer highs and lows. ...Read more

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Can chronic pain, depression and too many pills cause poor judgement?

Can chronic pain, depression and too many pills cause poor judgement?

Yes: Any of those things alone can cause poor judgement. The combination certainly could do so. ...Read more

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Why would drs.Perscribe methadone 4 drug addicts when they use it for chronic pain patients? Just another addiction 2 get addicted too!

Because it is : Long acting drug , people can achieve a higher degree of stability. Supposedly, they would not or could not be stable without some medicine added from the outside. However, you are right, the physical dependence is maintained. Is that really important if a person is functioning better? ...Read more

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I take avinza (morphine) for chronic pain. Now I have severe constipation?

I take avinza (morphine) for chronic pain. Now I have severe constipation?

Constipation Concern: Chronic pain management will most assuredly lead to constipation due to the receptors present in the gut, which are affected by the opioids used for pain control. This is physiologic and unavoidable. To help, increase your fluid intake dramatically, increase soluble and insoluble fiber sources and consider a mild stimulant laxative like senna. An osmotic laxative may also become a chronic need. ...Read more

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Are pain clinics usually good at having non-narcotic solutions for chronic pain?

Are pain clinics usually good at having non-narcotic solutions for chronic pain?

Most aren't: If staffed by anesthiologist and/or other pain specialists who are board certified and affiliated with a local hospital and clinic, the answer is yes! if the clinic is advertising on tv and is staffed by gps, pas, and nps, no! all you need to express is your desire for a non-narcotic solution. These clinics usually require a referral with a discrete dx, not just "pain" diagnosis is first! ...Read more

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What is better for chronic pain management fentanyl patches or buprenex (buprenorphine)?

What is better for chronic pain management fentanyl patches or buprenex (buprenorphine)?

Neither: Neither. See a pain specialist who does not hand out narcotics. If you must have one, try for generic ms-contin. Less absue and diversion potential. ...Read more

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58 yr old mother - short-tempered, brooding. Has severe chronic pain, diabetes, apnea. Used to be agreeable, happier. Should we just accept change?

58 yr old mother - short-tempered, brooding. Has severe chronic pain, diabetes, apnea. Used to be agreeable, happier. Should we just accept change?

Absolutely not!: Assuming she is getting the very best medical care possible, she needs additional help. Could she be suffering from a side effect of one of her medications? Might she be self-medicating (i.E, make sure she's not drinking)? Is she open to psychological support? These are rough times for her (and you), and i hope she finds the help she needs. ...Read more

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I have chronic pain from spinal injuries. Are there any new treatments since radio frequency denervation for facet syndrome ? I had radio frequency denervation on both sides of my neck and low back for a few yrs. It helped a lot, but was very expensive an

I have chronic pain from spinal injuries. Are there any new treatments since radio frequency denervation for facet syndrome ? I had radio frequency denervation on both sides of my neck and low back for a few yrs. It helped a lot, but was very expensive an

Not Really Anything: that is cheaper, your insurance should cover repeat treatments though. Stem Cell Therapies are available but generally are not covered by insurance so more expensive. Check out Regenexx.Com. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. ...Read more

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Please explain the risk for brain damage for a 22year old male with chronic pain that regularly takes 20mg oxycontin and 50mg oxycodone every day.

Please explain the risk for brain damage for a 22year old male with chronic pain that regularly takes 20mg oxycontin and 50mg oxycodone every day.

Indication : If prescribed to a sensible patient by a conscious physician for a well defined refractory medical indication, then that risk is minimized. This medication invariably leads to severe physical dependance by causing neuroimaging verified changes in neurocircuitry pathway of the brain, thereby causing addiction, a chronic condition viewed by many experts as a form of brain damage. ...Read more

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Can chronic hip pain be caused by simvistatin? Tried everything else so far

Can chronic hip pain be caused by simvistatin? Tried everything else so far

No.: Statin pain is statin myaglia, not pain in the joint. But then, "hip" pain is not where most people think, ie. In the groin, and down the anterolateral side of the thigh to above the knee. Buttock pain may be muscular, and this could be statin myalgia. But statins do not cause arthritis! ...Read more

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What is more dangerous duclopinac 100mg ones daily or 15mg meloxicam daily for chronic back pain. ?

What is more dangerous duclopinac 100mg ones daily or 15mg meloxicam daily for chronic back pain. ?

GI: NSAIDS all have the same warnings. Major effects can be GI related with stomach upset/reflux and bleeding. They also can have effects on the heart and blood pressure. You need to be aware of any side effects and discuss with your doctor if they come up. ...Read more

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I have chronic back pain, stiffness, and cramping. My drs. Already ruled out ankyglosing spondilitis. What could this condition be?

I have chronic back pain, stiffness, and cramping. My drs. Already ruled out ankyglosing spondilitis. What could this condition be?

B27 ONLY?: It is well established that is an increase of cross-reactive hla-types, including b7, b60 and antigens ascoaited with crohn's and psoriasis, b57, b58, b13, cw6, and b44. In my experiences sacroiliac films are grossly underead, with respect for sacroiilitis. ...Read more

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I have chronic neck pain, and severe headache. Can I use voltaren (diclofenac) gel on my neck?

I have chronic neck pain, and severe headache. Can I use voltaren (diclofenac) gel on my neck?

Neck pain and HA: I can't see how it would hurt, but if you do not have a history of trauma, or migraine or other headache, you need evaluation. ...Read more

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25 hydroxy-vitamin d is 11 ng/ml. Already have chronic joint pain, doctor wants to start Lipitor (atorvastatin) but no vit d supp. Should i get second opinion?

25 hydroxy-vitamin d is 11 ng/ml. Already have chronic joint pain, doctor wants to start Lipitor (atorvastatin) but no vit d supp. Should i get second opinion?

Yes: Vitamin d has many functions. Low vitamin d can contribute to Insulin resistance , elevate cortisol levels and impact other hormones including thyroid hormone. Vitamin d is important for your immune system and low levels have been linked to cancer and autoimmune disease. ...Read more

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Dr. James Lin Dr. Lin
2 doctors agreed:
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When I am dehydrated I have severe burning and UTI symptoms as soon as I am hydrated it resolves. Could my chronic hematuria cause this pain?

Dr. James Lin Dr. Lin
2 doctors agreed:

Here are some ...: Personal experience and commonsense can do so much for our life like what you described. Of no doubt, the effect of changing concentration and pH of urine may reach the personal threshold of sensation in the lining mucosa of bladder & urethra. So, clinically, it is okay as long as having stable renal function on tests and no UTI. Clinically, chronic hematuria is probably not related with the pain ...Read more

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I have a question about chronic stress and exercise benefits?

I have a question about chronic stress and exercise benefits?

Agree with Dr. Namey: Exercise is a great antidote to chronic stress ! to address stress: talk about feelings ; address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine ; alcohol (or moderate). Try qi gong, tai chi, acupuncture, acupressure, homeopathy, meditation or yoga. ...Read more

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What should I do about chronic bronchitis.?

What should I do about chronic  bronchitis.?

Treatment...: Chronic bronchitis is a form of copd. If you are still smoking, you need to quit. Treatment includes bronchodilator and steroid inhalers as well as oxygen therapy, if your oxygen level is low. You need to see your doctor for treatment as other treatment depends on your symptoms. There is no cure and it is a slowly progressive disease so see your doctor. ...Read more

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Can there be any cure for chronic prostatitis?

Can there be any cure for chronic prostatitis?

Chronic Rx!: Usually a chronic course of Cipro (ciprofloxacin) and Metronidazole will help. However, there is mounting evidence that in some ways it may be an autoimmune disease, ie. A reaction to bacterial debris left in the prostate after repeat infection! prevention is always key. ...Read more

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What is the difference between fibromyalgia and chronic fatigue?

What is the difference between fibromyalgia and chronic fatigue?

Little.: While cfs is dominated by fatigue, there are more trigger ppoints than normal, although slightly less than fms. Conversely, pain at trigger points dominates fms, but most patients have significant fatigue, but not as their dominant complaint. ...Read more

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Will getting my tonsils removed improve my chronic mono symptoms?

Will getting my tonsils removed improve my chronic mono symptoms?

No.: Chronic mono is an immune problem. Tonsil removement will not solve this at all! ...Read more

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What are the trestments of chronic fatigue syndrome?

What are the trestments of chronic fatigue syndrome?

Identify cause!: Poor sleep, depression, chronic viral illness, autoimmune diseases, anemia, all can cause this. The medication i favour for symptomatic relief is Provigil or nuvigil. ...Read more

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Can sle cause chronic heartburn?

Can sle cause chronic heartburn?

Unlikely: Esophageal reflux is not a component of lupus but is common in the general population and can be a side effect of meds commonly used to treat lupus. ...Read more

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Any help with chronic fatigue syndrome!?

Any help with chronic fatigue syndrome!?

Provigil and Nuvigil: These drugs help symptomatically, but studies have shown that people with cfs are relatively deconditioned. If this is applicable to you, you will be more fatigued during any exertional activity. Excercise is the best medicine. ...Read more

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What are tests of chronic fatigue syndrome?

What are tests of chronic fatigue syndrome?

No tests.: Tests are only run to see if another condition which is treatable is causing your fatigue. There is no test for cfs. ...Read more

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How can you treat chronic fatigue syndrome?

How can you treat chronic fatigue syndrome?

Many things!: Exercise. Most chronic fatigue patients are whoefully deconditioned. It makes no difference: chicken or egg. Exercise has been shown to lessen fatigue. Sleep regular hours, but do not over sleep. Finally, your doctor can prescribed low dose Nuvigil or provigil. ...Read more

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Peeling Paint In Home (Definition)

Lead is found in: * House paint before 1978. Even if the paint is not peeling, it can be a problem. Lead paint is very dangerous when it is being stripped or sanded. These actions release fine lead dust into the air. Infants and children living in pre-1960's housing (when paint often contained lead) have the highest risk of lead poisoning. Small children often swallow paint chips or ...Read more


Blurry Vision And Eye Pain (Definition)

Blurry vision means vision is not clear: letters on 20/20 eye chart are not clear. Could be due to: need glasses, astigmatism; dry eye/tear film; cataract/lens changes; retinal, optic nerve, brain issue. Most common due to need for glasses or tear film issue. If also have eye pain, could be from dry eyes but have Pentacam to rule out narrow angle: see [email protected] ...Read more