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Las Vegas, NV
About
Bio
Actively involved in the management of challenging pain problems for over twenty years. Board Certified by the American Board of Pain Medicine and the American Board of Addiction Medicine. Member of the State of Nevada Prescription Controlled Substance Task Force. Policy Fellow, Nevada Policy Research Institute, member of the Nevada Medicaid Drug Utilization Review Board.
SpecialtiesDoctors 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.
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
Addiction Medicine
Anesthesiology
Doctor Q&A
677 Answers
425 Agrees
The number of answers this doctor has agreed with.
A 21-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Multiple Possibility: Anything from appendicitis, to gas pain. Also complications of pregnancy. You need to get a medical evaluation. Expect to have blood work and an ultra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Needs Evaluation: You need to see a ENT (ear nose throat) doctor. They will probably look down your throat for starters. They now have tiny scopes like spaghetti that c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Doubtful: But most likely of GI origin like pancreas or a stomach ulcer. You need to get checked out with blood work, possibly upper GI x-rays and possibly endo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Is this New?: If this is a new onset of headaches, you need immediate medical evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Possibly: Combining meds can sometimes be a problem. I would consult with your doctor to see if they approve. Adding ice packs to the treatment may also give y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Needs evaluation: I would suggest a specialist in vascular (circulatory) problems. You aren't pregnant by any chance, are you? This sounds like vena caval compression. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
See a Doctor: There are a number of treatments that are effective such as topical lidocaine, oral meds such as Lyrica (pregabalin) that might help.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Needs Evaluation: This issue requires a detailed History and Physical Examination as well as possibly Laboratory Testing, EKG and Imaging Studies. I would not delay see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 49-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Yes Could be Broken: There are a number of other possibilities, as well. Needs evaluation. Expect to have a Chest X-Ray, possibly a CT of the Chest. Further studies might ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Probably OK: Dosing tizanidine (Zanaflex) can be tricky because there is a such a wide variation in response. Some patients barely tolerate 1mg and others can take... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Needs Evaluation: See your doc-expect to have Lab Work including a UA(checking urine), possibly Ultrasound of your Kidney or a CT of your Pelvis and Kidneys. You will a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 57-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Yes: Ultram is a brand name for tramadol.
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 53-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
See Lung Specialist: A non-invasive test like a sputum cytology could be done to look for cancer cells in you sputum. Also, blood test for some infections disease may yiel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
No: Tight clothing should not in normal circumstances cause body pain. On the other hand, large, dense breasts whether natural or augmented(implants) can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 40-year-old male asked:
Dr. James Marxanswered
Pain Management 50 years experience
Not Sure: If you are concerned about lowering your testosterone levels-it will likely do that. Surprisingly, testosterone levels for muscle enhancement seem to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Triptans: are Migraine specific medications which generally target your symptoms well. (Meds like sumatriptan). You need to be evaluated to see if they are appr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
High in Fat: Nuts are pretty high in fat which retards stomach emptying. That increases the chance of acid irritation. You might try an OTC antacid to see if that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
? Depends: on whether you mean immediately toxic or chronically Toxic.Immediate toxicity could come from the Hydrocodone which could cause unconsciousness and de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Something bad: No rational person would do that. You would require lab tests and a psychiatric evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Possibly: Any opioid such as hydromorphone can get you "high" or sleepy under the right circumstances. Pain Relief usually occurs at doses substantially below t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Not Very: Shingles pain is caused by the internal irritation of nerves. Poison Ivy pain is a skin irritation.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 45-year-old male asked:
Dr. James Marxanswered
Pain Management 50 years experience
See your doctor: If you have been getting this medicine for 25 years, you must have one. Your condition does require periodic evaluation and ongoing monitoring.
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
See Your Doctor: With this old of a problem, you should have had a neurologic and/or orthopedic workup with a physical exam, history and some imaging including X-Rays ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 38-year-old male asked:
Dr. James Marxanswered
Pain Management 50 years experience
Multiple Causes?: You don't state what the reason is for taking methadone originally which could have some bearing on the answer. You need a comprehensive workup to see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Needs Evaluation: Consisting of a pelvic exam, possible pelvic ultrasound, and blood tests. Your history is important as the time when this problem began is important. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 46-year-old male asked:
Dr. James Marxanswered
Pain Management 50 years experience
OIH Controversial: The concept itself has some opponents who dispute the existence of this condition. I can state even those who believe in this condition would find it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Hard to say for sure: Try elevation of the hand above your heart and limited icing but check with your doctor first. You may need an X-Ray for a definitive answer. Avoid hi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Needs Evaluation: The distribution of your pain points to a generalized origin such as a metabolic or hematologic problem . This requires a comprehensive search for a c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Several: You can use Lidoderm patches which contain a local anesthetic (lidocaine) or zostrix (capsaicin) cream which contains cayenne pepper extract. They wor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Many Factors: Migraine headache is probably caused by ultiple factors. The biggest cause is hereditary, but also lifestyle, environmental factors including diet can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Need to see Dr.: A variety of conditions could cause your symptoms from endocrine disorders, rheumtological(auto-immune disease), cardiac or kidney problems. You need ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Both: I believe that clove oil has both anesthetic and antiseptic properties. It is a remedy and not a treatment. You may just be delaying a bigger problem.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
A NSAID: Nsaids like motrin, Aleve (naproxen) and even Aspirin can relieve this pain. Usually toothaches result from an infection near or in the tooth. These i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Definately: Both meds can have withdrawal symptoms. Consult your doctor to see about addressing them.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
Get Help: If these headaches recently started you need to get immediate help. If they have been going on for a long time, you need to get on preventive medicine... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Prevent of Modify: After appropriate diagnostic workup you need to prevent the headaches as much as possible. If you truly have migraines, you should be on migraine-spec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Yes, Multiple: It depends on your situation and which meds you have taken. Those containing Acetaminophen or nsaids like Ibuprofen can cause liver or kidney damage w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 54-year-old male asked:
Dr. James Marxanswered
Pain Management 50 years experience
Best Medicine: The best medicine is the cheapest medicine that works for you that has the least risk of causing you other problems. Start with tylenol, (acetaminoph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
See a pain Doctor: Your best bet is to see a doctor that specializes in pain if your primary doctor is not comfortable or experienced in its treatment.There are many, ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Multiple Factors: Dehydration especially after alcoholic drinks, sleep deprivation, and "jet lag" all contribute to these headaches. Try to keep you activities as "norm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. James Marxanswered
Pain Management 50 years experience
A systemic arthritis: Sort of a confusing presentation. From the time of worsening it sounds like plain old osteoarthritis but from the wide distribution it sounds like a s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 18-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
See a neurologist: You may have had a type of seizure. Did they do an EEG or request a neuro conult.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Not Long: Have you asked about taking an NSAID like Ibuprofen or aleve (naproxen)? They can eliminate almost all of the pain if you start them early enough. Avo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
No simple test: Eds in one form (vascular eds) can cause weakness of the blood vessels. If the vessel ruptures seriousl consequences can occur. Eds causes a weakness ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
See Neurologist: I don't know of a association in general but in vascular eds. There is a tendency for blood vessels to burst. You need to see your doctor to see if y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Not Sure: I don't know of any specific contraindication to Adenosine stress test but you should convey your concerns to the doctor performing or ordering the te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Generally No: Addiction implies dereliction of some duties. Compulsivity, is a couple of notches down from addiction but can be detrimental as well if it detracts f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Yes and No: The incidence of all kinds of addictive behavior is about 5 to 15%, heavily influenced by genetic factors. Providing a drug to anyone with that tende... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
See a Doctor: These seemingly disconnected symptoms are probably linked to a generalized or systemic illness going on like a kidney problem or an autoimmune illnes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. James Marxanswered
Pain Management 50 years experience
Probably Not: These meds all address different functions. An alternative might be aggressive physical therapy geared to your specific situation.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
10
Recommendations
1.0K
Thank you notes
Aug 21, 2013
Dr Marx is a very knowledgeable pain management specialist. He is providing an excellent service to the public via Healthtap. He is a great guy. I endorse Dr. Marx.
Sep 11, 2013
Knowledgeable answers, cares for patients
Sep 15, 2013
Thanks for your valuable contributions
HealthTap member
Thx. Started with chest pain. Pcp said inflamed tissue pushibg against sternum. Was given naproxen to help. Then then he started having pains that felt like needles all over his body. He complains of ...Read More
HealthTap member
thank you for your time. i have felt like im wasting my gp,s time but am concerned. i have only had xray and ultrasound and tjey dont check my bloods unless i complain. i also have frequent uti or pro...Read More
HealthTap member
Thank you for your answer. I have chronic pain from duel wrist, hand, and arm fractures. I was previously on Norco 10/325. My tolarence has gone up. Do you feel that it is safe or can be successfu...Read More
Education & Training
Medical/Graduate school
University of Nebraska College of Medicine, NE
Graduated 1973MD
Residency
MAYO CLINIC
Completed 1975
Residency
MAYO CLINIC
Completed 1976
Awards
"2011 Top Doc in Pain Medicine" Consumer's Checkbook
"2013 Top Doc in Pain Medicine" Consumer's Checkbook
PainWeek and American Society of Pain Educators Pain Practitioner of the Year September 2013
Affiliations
American Academy of Pain Medicine
Member of American Society of Addiction Medicine
Clark County Medical Society
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