Dr. Thomas Karelis

Internal Medicine
Hazard, KY
25 years experience male

Locations

Office

Hazard, KY

Address

Kentucky Pain Management Services, 311 Roy Campbell Dr, Hazard, KY
Directions

Practice website

Insurances accepted

Anthem BC Life & Health Insurance Company

Blue Cross Blue Shield Of Kentucky

Coventry Health Care

Humana Insurance Company

WellCare Health Plans

About

Bio

I have lived in Hazard, Kentucky for the last 11 years. Hazard is in the beautiful mountains of Eastern Kentucky. I am board certified in internal medicine and currently work in pain management where our office offers a full range of treatment options included CT guided injection therapy.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Internal Medicine

Languages spoken

Greek

Doctor Q&A

53 Answers
45 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: Depends on the cause of pain. Depression causes the perception of pain to be worse for the patient. The major classes of antidepressants are: tricy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Less wear and tear.: Osteoarthritis patients that have pain in the lower back, hips, knees or ankles, could have a reduction in pain with weight loss. This is related to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Maybe: It's pretty infrequent, but Neurontin (gabapentin) has been known to cause joint pain or swelling, muscle pains and/or leg cramps. Again, this is not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 77-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Interesting Question: Nitric oxide is a regulator of how cells in the body talk to each other.It helps with things like blood pressure and Insulin resistance. There is res... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes. : One side effect of pain medication is constipation. If you are having pain associated with constipation, talk to the prescribing doctor about this. He... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Anxiety/ depression?: Often people with chronic pain have issues with anxiety and/or depression due to their health status. They report waking up in the night and not being... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Probably: You really should see your doctor before stopping any medications. Lexapro (escitalopram) takes at least 21 days to tell if it is going to help you o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
They can die!: Never take any medication that is not prescribed to you. And, never take more of any medication than was prescribed to you. Discuss all dosage changes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
It depends: Tough question. Pain in lower back and tingling in the legs may or may not be related. You should see your doctor to have it evaluated, especially if... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Maybe a kidney stone: Kidney stones can cause pain in the lower back or flank (area between rib and hip). The pain can wrap around to your lower abdomen and into your scrot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Lidocaine–Prilocaine: Lidocaine 2.5% – prilocaine 2.5%. If you ask your pharmacist for "emla cream" they can direct you.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Migraine Headaches: Zolmitriptan or zomig (zolmitriptan) is a medicine that treats migraine headaches in adults. Your doctor will tell you if this medicine is appropriat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Get better shoes: If this is a new job, you probably need time to adjust. It is a good idea, however, to look at your shoes. Shoes that are well made with good arch ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Everyone's different: Some people get along fine on 5 hours of sleep while others need 8 or 9 hours a night to feel rested. I would guess that most people don't feel we'l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Not that much. : This is an interesting question. In all our daily endeavors, we tend to overestimate how hard we are working and how many calories we are actually bur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Probably Not: There are many reasons for acid reflux. Weight loss can help with the symptoms. But, there is a chance that your symptoms may be worse after the gas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: Your GI tract & urinary tract are very close to each other. When there is a large volume of stool in the GI tract, it may put pressure on your bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Could be.: This type of migraine falls under the list of 'migraine variants'. As such, it may not act like a 'typical migraine'. Patients with migraine variant... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Not really: About 10 to 15% of the total population have migraine headaches. Basilar artery migraines are a specific type of migraine and are less common.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: With any medication, you have to weigh the risks and benefits of that medication. If you are doing well on Lexapro (escitalopram) and develop no prob... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: With wear and tear (chronic use), the outer layer of cartilage in a joint tends to break down or degenerate.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
It depends: Tough question. Pain on the bottom of your feet could be caused by injury/problem to the l5-s1 disc in your back. But, other things could also cause p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: Yes. Degenerative joint disease or 'wear and tear' of the joints responds well to anti-inflammatory medications such as Ibuprofen or naproxen.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Your choice: An internal medicine doctor or family medicine doctor could easily treat your low thyroid, but if you feel more comfortable with an endocrinologist yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
May need IV fluids: If you are unable to eat or drink anything for 36 hours, you most likely are getting dehydrated. You can try an anti nausea medication by suppository... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Maybe a ovarian cyst: Sounds like you could have an ovarian cyst. It is best to see your family doctor or the doctor that ordered the test to talk about the results and wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
You need time to recover, especially if your workouts are hard. Keep a diary of what exercises you do, what foods you are eating, and water you drink.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
90% of herniated discs will improve in 6 months. Stay active & avoid things that makes pain worse. Over the counter pain relievers as needed. Watc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: I do several procedures per day. This is the joint between your hip bone and tail bone in the back of your pelvis. It can cause pain and/or numbness... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Tough Question.: Average for 1st heart attack is 66 for men and 70 for women.With that said, your_individual risk_ depends on your good & bad cholesterol, blood pressu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Very quickly: Inhaling a chemical gets it into your bloodstream quickly. I'm not sure of a absolute time. With all that is known about cigarette smoking and cance... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
See below: Most of the time, they will heal by themselves. Sometimes, the infecction will be more serious and need antibiotics. You can soak it in warm water 2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
You need aRoot Canal: When the pulp of a tooth becomes damaged & the nerve is exposed, you need a root canal to save the tooth. That's when a dentist cleans out the pulp an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
There's no shortcut.: I understand that you want to loose weight, but crash diets and shortcuts just don't work. You may loose a little weight, but are unlikely to keep it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Could be: Constipation can be a side effect of taking iron supplements. To combat this, drink plenty of fluids during the day and increase your fresh fruit and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
No, but. . .: Diclofenac is an anti inflammatory medication that is not controlled and not typically screened in a work physical drug test. However, I do see Loraze... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Exercise: Sounds like you are interested in losing weight. Diet pills just cut your appetite for a while. But, when you don’t eat as much, your metabolism slo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Tachycardia happens with physical activity & bradycardia with sleep. A Holter is a great 1st step to figuring out if these spells are concerning f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Need more info: To answer your question, i would need to know what other foods you are eating, your size and weight, and how much exercise you are getting. 1 serving... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
I would start by visiting your family doctor. There are many things that could cause that for you. Your family doctor may be able to treat it for yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Antibiotics : Cellulitis is an infection that has gotten into the skin. You typically need antibiotics to treat this.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Check your meds: I see that you have Brompheniramine maleate listed as one of your medications. This medication has been known to cause constipation in some people. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Lower your dose slow: Try cutting your pills in half for a week or so. Then you can cut them even smaller if you think you need to do so. There will be an adjustment peri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Everyone's different: If there was one perfect antidepressant for everybody, there would only need to be one on the market. The fact that there are many different ones mean... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Could be: All forms of alcohol can cause a mild diuretic effect. In other words, it can cause some dehydration. Dehydration is known to make constipation wors... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Continue to get help: If you are being treated for narcotic addiction, i say keep on the program.The fact that you are feeling better is a good sign.You are breaking the ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
No: Arcus senilis is a gray, white arc or ring that forms around the cornea of the eye. It's very common in older adults. It doesnot cause problems with v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
May need suppression: If you are having outbreaks twice a month despite using Valtrex (valacyclovir) pills and ointment when you first feel an outbreak starting, you probab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Need more Info.: I'm not god. Not even close. But, you have to be a little more specific for me to try and help you.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Thomas Karelis
Internal Medicine 25 years experience
Yes: True hemiplegic migraines are rare, but they can run in families. There is genetic testing that can be done to see if you carry the genes that make y... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
238
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Karelis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Karelis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Momma has been talking to my sister-in-law about how hard it is to loose weight when you're older. That is why momma talks to Sharon.Thanks
HealthTap member
This saved my life. Thank You! Thank u for offering me a solution that my owndoctors wouldnt give me!
HealthTap member
Thanks for your quick reply! Can they tell what drug it is when doin a drug test?

Education & Training

Medical/Graduate school

University of Kentucky College of Medicine, KY
Graduated 1998MD

Awards

Healthtap Top General Internist, Kentucky - Summer 2013
Most Influential, Second Place, Lexington Region, KY - Summer
2013
Thought Leader, Second Place, Lexington Region, KY - Summer
2013

Affiliations

Kentucky Pain Management Services
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