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Dr. Paul Reynolds

Pain Management
CA
36 years experience

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About

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.

Pain Management

Languages spoken

English

Doctor Q&A

56 Answers
6 Agrees
The number of answers this doctor has agreed with.
A 51-year-old female asked:
Dr. Paul Reynolds
Pain Management 36 years experience
May be too much: Your screen name suggests some advanced aged. Most people 65 pr older should not take nsaids at all. Long term higher dose nsaidshave been associated ... Read More
A 48-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Indirectly: If the medications are helping reduce your pain, then most likely the process causing the tn in the first place is causing signals that your brain is ... Read More
A 34-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Yes: It's part of the training, but some focus more on procedures.
A 27-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Sleep: Soma (carisoprodol) is a central nervous system depressant. Many seem to overuse this drug, which can be very addicting. Talk to your doctor about alt... Read More
A 31-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Lots: The best treatment is regular sleep, routine exercise, and proper diet. Many who suffer from fibromyalgia pain have chronic persistent hyper-alertness... Read More
A 31-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Perhaps: Methadone is some times hard to get just right. There is less tolerance effect. There is probably better relief of nerve type pain as well with methad... Read More
A 38-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Mindfulness can help: Migraines along with many other chronic painful conditions are related to stress, either causing or caused by! so, mindfulness, a process outlined bes... Read More
A 40-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Acetaminophen: The answer is really based on the amount of Acetaminophen in the vicodin. The first number 5, 7.5&10 is the hydrocodone in mg's. The second number is ... Read More
A 41-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Off opiates: Opiate use really makes most pain problems worse. Methadone allows the patient to taper off slowly avoiding withdrawal. The nervous system resets, but... Read More
A 27-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
??: If there was one remedy effective for everyone things would be simple. Migraine triggers and treatment vary from one person to another. Try working wi... Read More
A 33-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Neurologist: While review of the diagnostic criteria is the essence of the answer to your question, a review of your case by a trained neurologist with expertise i... Read More
A 22-year-old female asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Lots of things: For one, think about breathing, many discount the power of releasing your own endorphins, which are not released when taking opiates. Also, new inform... Read More
A 43-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Muscle pain: Temporary relief with massage likely indicates a predominance of muscle pain. Muscles that are weak and not moving well typically become painful. Core... Read More
A member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
It can: Unfortunately, ketamine is not used often. There can be side effects and oral dosing is available only through compounding pharmacies. It may be worth... Read More
A 40-year-old female asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Probably not: Back pain coming from or emanating from a specific area may actually be caused by a variety of causes. Some times the development over time helps your... Read More
A 35-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Nerve injury: Causalgia is a type of nerve pain with increased pain and sympathic nerve system dysfunction after an injury of a larger nerve, that is a merve with a... Read More
A 38-year-old female asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Others: Topiramate, pre-gabalin, lamotragine, any of the tcas. Typically, opiates are not the best for nerve and should avoided, but low dose Methadone may be... Read More
A 30-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Many things can help: The nerve pain is typically best treated with meds called antineuropathics. Neurontin (gabapentin) / Gabapentin is most commonly used. Besides medicat... Read More
A 33-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Try: Some alternatives like qigong or some gentle traction. The brookstone neck ease is inexpensive and can really help. Gentle chiropractic manipulation m... Read More
A 24-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Possibly: There have been studies conducted by the nih cam center and others, but there is no supportive scientific evidence that reiki works for any condition.... Read More
A 30-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Perhaps: There is more and more information available indicating that long term opiate / narcotic use is harmful in many ways.
A 34-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Nerve treatment: Neurontin (gabapentin) or Gabapentin was formulated as a medication to treat seizures. There is no evidence that it is helpful for pain except for tha... Read More
A 42-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Avoid the lab: If avoiding the fumes is not possible, try an n95 respirator.
A 64-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
This is difficult: Oa of the hips, if end-stage may best be treated with replacement, but @ 92 the operation is likely too much. Nsaids are not a good choice in this age... Read More
A 31-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
See the doc!: Headaches with specific locations should be carefully evaluated.
A 32-year-old female asked:
Dr. Paul Reynolds
Pain Management 36 years experience
I hope so: Trigger point injections may be useful, but the real issue is getting the muscle to move correctly and to be of the proper strength. Short term help c... Read More
A 57-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Back to basics: Fibromyalgia is tough. The best advice is exercise routinely, watch your diet, get proper sleep(without drugs) and stay positive. While the meds typic... Read More
A 27-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Histamine: Most likely a reaction due to histamine release. Have your doctor presribe a different medication for pain.
A 25-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Absolutely: Melatonin or camomile tea can help. A lavender sachet near the head of the bed can be soothing as well.
A 35-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Many: Please see a pain specialist soon. If you are talking about a pediatric patient, get to a children's hospital for a pain specialist with peds experien... Read More
A 27-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Whiplash injury: Muscle pain after whiplash can take a while to resolve. Make sure your doctor has cleared your cervical spine (bones in uour neck), then try to get t... Read More
A 44-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Xyphodynia: That's a painful process involving the cartilage below the sternum. See a pain anesthesiologist. Get your pcp to refer you.
A 46-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Take it easy: It actually takes 2-3 months for the central effects of the opiates / narcitics to fully ease off. But feeling better can and is associated with being... Read More
A 36-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Awhile: Topamax (topiramate) is an antineuropathic. Primarily a seizure med it will take time for titration to an effective dose. Starting slow and incrementa... Read More
A 41-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Absolutely: They can help! sometimes finding the right dose of the right one is difficult. Work with your doctor to find the right medication at a dose that helps... Read More
A 34-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Yes: Work with your doctor to find the right dose.
A 40-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Kidney: Sleepiness and confusion are common complaints. Some complain of weight gain. There are reports of depression. Most find it helpful. Keeping the dose ... Read More
A 33-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Concern: New symptoms may suggest a diagnosis other than migraine. A neurologist or internist would be a good place to start.
A 36-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Not likely: Tolerance to the pain relieving effects of opiates is especially seen in younger patients. Getting off opiates sooner rather than later is best and yo... Read More
A 36-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Yes: Switching opiates is a bit tricky in terms doses. Also, more opiates can cause a reverse effect with a fancy title - opite induced hyperalgesia. That... Read More
A 34-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Possibly: Robax platinum is a combination medication including a muscle relaxant-methocarbamol and an anti-inflammatory-ibuprofen. If you have stomach ulcers an... Read More
A 29-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Volumes written: Headaches come from many different situations and many things are to be considered in the diagnosis as well as treatment. Start with your family docto... Read More
A 28-year-old female asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Many things can help: Eliminate triggers. Wake up the same time everyday. Exercise, like walking, every day. Learn some form of deep breathing or meditation. Get the same a... Read More
A 38-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Strength in dose: Otc Ibuprofen is 200 mg. Rx is 400 - 800mg.
A 38-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Diagnosis ??: Fibromyalgia is a diagnosis of exclusion. Other things need to be considered and ruled out. Work with a pain or rehabiltation specialist. A rheumatolo... Read More
A 36-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Rebound: This sounds more like a transformed migraine. See a neurologist with experience treating patients with headache & consider her/his advice. Sometimes b... Read More
A 39-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Dx by exclusion: This is a diagnosis when nothing esle applies. While 'tender points' are touted by many as part of the diagnostic criteria, but really are not. Talk t... Read More
A 39-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Good question: There are lots of theories and unfortunately very few solid answers. Fibromyalgia is a disease resulting in muscle pain, but no defect in the muscles ... Read More
A 24-year-old member asked:
Dr. Paul Reynolds
Pain Management 36 years experience
Relieve the stress: If stress is the cause, and it very well may be, then relieving the stress by proper deep breathing, stretching, a nice walk or even a soothing cup of... Read More

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

2
Recommendations
222
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Reynolds is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Reynolds is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
thank you! i thought narcotics were my only option. thank goodness i have something safer to try. i have been dealing with awful pain because i'm afraid to take too many pain pills.
HealthTap member
I have been on methadone for pill addiction and this really helped to answer some of the questions I had. Thank u for the informative answer
HealthTap member
Its never really like that. 8 yrs of methadone exp. Your wrong, never

Education & Training

Medical/Graduate school

Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine, MD
Graduated 1986MD
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less