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Dr. James Marx

Pain Management
Las Vegas, NV
49 years experience male

Locations

Office

Las Vegas, NV

Address

608 South Jones Blvd., Las Vegas, NV
Directions

My office hours

Tuesday: 10am - 6:00pm
Show more

Practice website

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.

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

Addiction Medicine

Anesthesiology

Doctor Q&A

677 Answers
425 Agrees
The number of answers this doctor has agreed with.
A 33-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Yes and No: There is a diversity of opinion whether or not opioids like Percocet or morphine-like drugs help fms because not all fms patients respond favorably to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Need more info: When was the onset, how long has this been going on? More details?
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Not by Itself: Addiction problems generally respond best when a multi-faceted approch is used. Kicking a family member out of your home will not cure their addiction... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Physical Measures: Elevation and icing should be your primary treatment. An oral antiinflammatory will also help tremendously. Might also need a knee immobilizer. If you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
NSAIDS: But also be aware that some people are also prone to asthma-like symptoms with nsaids like aspirin, Ibuprofen and aleve (naproxen).
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Loss of function: Crps is most characterized by a loss of function and normal structure. There are changes in the underlying bony structures as well as nerve functions ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Medical/Surgical: Depending on the extent of blockage, firstline treatment is directed at getting the blood to circulate. There are a number of drugs which work this wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
NO: There are a lot of things you can do to minimize your symptoms like massage, therapeutic exercise, pt, and medications that may reduce your pain. Even... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Be Honest: Pain contracts or opioid maintenence agreements exist so that both the doctor and the patient know their duties. Getting opioids for the treatment of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Start with Tylenol (acetaminophen): Persistent pain should be checked out. Overuse of tylenol type medications (acetaminophen) can cause liver and kidney problems. The typical nsaid's li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
None: Herniation results from rupture of the annulus fibrosis, the tough outer ring of the disc allowing the inner contents (nucleous) of the disc to extrud... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
They might lose you.: Addiction causes preoccupation with the addicting substance. This can lead to child abuse, neglect or worse. You need to get help. There are many reso... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Are you serious?: The subject of your question leads me to believe that either-1 you are a regular drug user or 2 you are already permitting this practice. In either ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
? 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 dis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Yes: There are a cardiomyopathies with direct association with various types of alcohol ingestion, some of which may not be directly related to the alcohol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
I suppose: If that is all you do or it causes harm to yourself or others, it's possible. I suspect what you have is a preoccupation which can be harmful to a le... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Needs Evalu: You should not be experiencing arthritis in hands at your age. You need evaluation including X-Rays, Lab Studies (Blood) and a Physical Examination. A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Discuss with Doctor: Generally, Scrotal Procedures can be done with a variety of Local/Regional anesthetics. Whether it is suitable for you is a very personal thing that i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Not a good choice: Acetaminophen (Tylenol) can be damaging to your liver at fairly low doses if taken daily. I would be concerned with any amount over 3000mg daily-that'... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Probably: Primarily because you subjecting your stomach to a high concentration of ibuprofen which could at the very least irritate your stomach, possibly start... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Needs Med Evaluation: You need medical evaluation to include a thorough history and physical examination, and laboratory testing. There are too many possibilities to specul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Not the Surgery: You need medical evaluation to rule out a number of possibilities. Expect a Chest X-Ray, possibly a CT of your chest , EKG, other Cardiac testing and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Central Pain: There have been similar questions in the very recent past-possibly yours. Your pain could be falling into what is termed a central pain syndrome. Thes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Check Homocysteine: Elevated homocysteine levels are a good marker for nerve damage due to B12 and Folic Acid deficiency. Even with normal levels of these two chemicals y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Avoid Mixing: Get some medical advice on what you should be taking. Mixing this potpourri of medications can lead to problems.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Yes: Increase fiber, get adequate water intake. You must develop good bowel hygiene which involves not delaying your bowel movements excessively. You might... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Acute Abdomen: or not. Could be anything from Appendicitis to Gas to Diverticulitis. If not better see a Dr. ASAP- especially if your abdomen becomes tender to press... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Yes: or other Ovarian process such as cyst, endometriosis or other possibilities. Needs evaluation, expect to get examined and have an ultrasound of your p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Yes: Generally, the problem is a hiatal hernia. An upper GI x-ray with barium or gastrograffin where you are put in various positions can confirm whether o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
May be difficult: From your question and info, i suspect that you are referring to diabetes or some systemic disease. These issues are best worked out in person. You wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Get Checked: Some tick bites can result in pretty severe consequences. See a doc right away and relate your history so that the appropriate measures can be started... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Possibly: Opioids in general can cause endocrine disturbances including irregular menses, low sex hormones due to their effects on the pituitary gland function.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Need to get checked: For toxic metals such as beryllium and phosphorous. Not very likely but a possibility Get medical evaluation and give a complete history. Also, if yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
GI Consult : Even if you have had medical treatment in the way of acid-reducing medicine or antacids, you need additional medical workup. A good place to start is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
No: not to my knowledge but only confirmatory testing is 100% accurate. Screens are just that a screen and not absolutely to be relied upon.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Get Second Opinion: The cyst may or may not be what is causing the pain. With a diagnosis of MS you may be having neuropathic pain of nerve origin. You need neurologic ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Numbers Missing: from your CBC (blood count). Report those back so there is more complete information. Also any other labs, done?
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Depends: But probably you will have some degree of withdrawal symptoms. Could be anything from excessive tearing and nose running, GI cramps or diarrhea, swea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
See a Doctor: Could be anything from "gas", to a stomach ulcer to gall bladder problems.. Best to see a doctor to help get to the bottom of your problems. Could eve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Minimal Pain: Depending on how badly impacted there will be some pressure, and movement. Usually some sinus pressure variations with the pulling. This pulling puts ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Another donor: Would be the cheapest. Reversal of vasectomy can be done in many cases but this is a microvascular procedure usually not covered by insurance.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Hard to say: Some of the anesthetic probably gets into the subdural space just by diffusion through the dura. The difference is in how much anesthetic got there an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Headache Specialist: I suggest they see ia headache specialist as I am not sure that what they have is migraine. I suspect a strong muscular component from the location an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
See a Dr.: Meningitis is a serious condition! if neck stiffness, headache, nausea, fever, vomiting, seizures, sleepiness, generally feeling bad, or skin rash app... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
No: Although screening tests be test positive for closely related compounds, screening tests are just that and are not valid until confirmed by specific t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Needs Evaluation: Could be anything from a simple muscle strain, gallbladder problems, a blood clot on the lung to atypical heart pain. Is going to require a thorough h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. James Marx
Pain Management 49 years experience
Yes and ??: The complications associated with prolong PPI ingestion are mainly consequences of the reduction of stomach acid. This raised the possibility of GI in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. James Marx
Pain Management 49 years experience
Yes: If you are taking your medicine on a consistent basis, a Steady State Serum or Blood test should provide a pretty good indication of your adherence to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
See a Doc: Could be anything from esophageal reflux (heartburn) to atypical chest pain or an impending heart attack. See a doctor, Don't try to self diagnose. As... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. James Marx
Pain Management 49 years experience
Low Hormones: Opioids such as Methadone and morphine seem to depress the gonadotropic hormones coming from the pituitary. They stimulate sex hormones production whe... 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.

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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