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Dr. Kenneth Choquette

Pain Management
Cochecton, NY
36 years experience

Locations

Office

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

156 Answers
38 Agrees
The number of answers this doctor has agreed with.
A 24-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Need more workup: There are many conditions that could explain these symptoms but you absolutely need further workup. You will need a Cardiac and GI evaluation to see w... Read More
A 20-year-old male asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Maybe: Tasimelteon is a prescription product that works on the melatonin receptors in the brain. OTC Melatonin hasn't been well studied and the dosing range ... Read More
A 30-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Yes it can: Methadone has a 2-1/2 day half-life and can easily still be detectable several days later.
A 52-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Couple of things: Nocturnal symptoms only, make one think of Restless leg syndrome but that shouldn't lead to cramping. Lumbar spine issues can lead to leg pain with cr... Read More
A 25-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Check your neck: Was the MRI only of the brain? With normal Brain anatomy and EEG, I would look into your neck as possibly contributing to headache patterns with jumpi... Read More
A female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Neck if not heart: Any time one experiences chest pain with Jaw, shoulder and arm involvement, ruling out a cardiac cause is paramount. Once done though, your cervical s... Read More
A 57-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Several things.: Dizziness, ringing ears, vertigo, and balance issues seem to be related and you should seek an ENT for eval. Neck pain w/ HA, and low back pain, most ... Read More
A 40-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Relax!: The risk of general anesthesia is usually based on your underlying medical condition. Monitoring during surgical cases is so advanced these days that ... Read More
A 40-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Level of dysfunction: Having a particular diagnosis doesn't qualify you alone. It all depends on the level of functional impairment that is present given the type and sever... Read More
A 24-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Seek evaluation: There are many conditions that can cause widespread pain. Is it all in your joints, muscles? What makes it worse? Did it start someplace and spread? Y... Read More
A 23-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Depends on cause: Many times muscle spasms can be the reason where ice followed by heat with stretching can help. Anti-inflammatory meds, muscle relaxants can help. Phy... Read More
A 35-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Try options: Most mild to moderate low back pain is inflammatory based, hence anti-inlammatory meds (NSAID) like ibuprofen, naproxen, can be so helpful. If pain ba... Read More
A 31-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Alternatives: Assuming that you have been already evaluated and treated for bleeding, then you want to take medications that don't irritate the GI tract. Commonly a... Read More
A 21-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Chronic Pain: Oxycontin is a sustained release, long acting product containing the narcotic oxycodone. It is a synthetic opioid pain "killer" that is used to treat ... Read More
A 44-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Injections!: When arthritis becomes advanced it will result in a condition called stenosis, which is a narrowing of the openings where the nerves come out of and g... Read More
A 25-year-old male asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Chemical dependency: Most people who use opioid based painkillers never get "addicted". Addiction is the psychological need for the feeling a drug gives you. Most people w... Read More
A 19-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Look in your neck: Most (85%) of all headaches come from the neck. If you have neck pain, arthritis or other degenerative problems there, it can be the cause of frequent... Read More
A 25-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Find real cause.: Since most headaches are not migraines, with 85% of all headaches coming from cervical problems, the treatments are varied, depending on the underlyin... Read More
A 59-year-old male asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Not for pain.: I agree with dr. Aladag's review of your situation. If you were having issues with the oxycontin, in terms of misuse, over taking, unable to wean when... Read More
A 19-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Get a workup.: If you are having frequent headaches, the most likely cause is your neck. Chronic condtions like sinus problems, muscle tension, spasms, allergies, ca... Read More
A 19-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Combo therapy: The use of these two agents comes in very handy and obtains a better result when just one isn't enough. If you are doing this combination therapy for ... Read More
A 26-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
SI joint: When the female body prepares for delivery of one baby, and more so with two coming through, the ligamentous attachments of the lower back and pelvis ... Read More
A 33-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Muscles: Acute pain, pain that has not been there for long, usually goes away with conservative care. Most often triggered by sore muscle that go into spasm or... Read More
A 48-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Be warned!: First of all, if you need that many pills to obtain relief, it sounds like you need some other forms of treatment to help you lower your pain. Are the... Read More
A 53-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Hydrocodone: There are many combinations of hydrocodone with either acetominophen (tylenol (acetaminophen)) or anti-inflammatory med (ibuprofen), and at varying co... Read More
A 20-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
You're fine: 100 mg of tramadol is the higher but typical dose of that drug. If you are not used to it, it may cause you to feel funny for a while. Relax and it wi... Read More
A 41-year-old male asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Arthritis: The number one reason for chronic neck pain is degenerative changes of the joints (facet) of the spine. If no arm pain is involved, then disc disease ... Read More
A 58-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
See doctor soon: Black tar like stools are indicative of bleeding in the upper gastrointestinal tract, usually. Decreasing or even stopping a medication like ultram sh... Read More
A 31-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Ibuprophen works: Dental pain is very inflammatory in nature. That's why the nsaids, non-steroidal anti-inflammatory products, work so well for dental pain. Over-the-co... Read More
A 18-year-old male asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Conservative first.: Big question. Whole books are written on this subject alonbe. Conservative treatments like pt, exercise, ice/heat, short rest, are all good for mild a... Read More
A 32-year-old male asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Probably not.: If you have "true" migraines, then the best anyone can achieve is control of the symptoms...Reduce the frequency and/or the intensity of the pain and ... Read More
A 28-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Ask GP: Look for either chonic pain docs, dentists who specialize in tn, neurlogists familiar with the condition. Either ask your family doc who they would re... Read More
A 23-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Not Migraines: A migraine is not a bad headache. A migraine is a specific central nervous system type ha that is usually not seen this frequently. Chronic daily ceph... Read More
A 39-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Arthritis?: True sciatic pain goes all the way down the entire leg when a nerve root of the lumbar spine becomes inflammed. Low back pain shooting into ones butto... Read More
A 53-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Neither as cause.: True migraines were onced believed to be a "vascular" headache, involving the change in vessel size as the driving force in the trigger of the ha, but... Read More
A 46-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Need proper eval.: Tmd, temporomandibular dysfunction, is a complex problem involving the actual joint at times, but more often the muscles and other soft-tissue attachm... Read More
A 41-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Stretching: Sciatica is the irritation of the nerves of the lumbar spine that causes radiating back pain down your leg. If you have just pain into the buttocks, t... Read More
A 20-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
SI joint: Sharp back pain from bending over is frequently cause by si (sacroiliac) joint dysfunction. Disc dz of the spine usually travels down a leg when the d... Read More
A 40-year-old female asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Many treatments.: You can, and should, exercise, if possible, when you have back problems. If that doesn't help or can't be done because of the pain, your body is telli... Read More
A 20-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
The one that works!: That answer holds true for a lot of medication management. There is a reason there are so many similar medication on the market. Some people respond d... Read More
A 31-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Yes but why?: Exedrine migraine contains aspirin, acetominophen and caffeine. The asirin is an anti-inflammatory agent, good for menstral cramps while acetominophen... Read More
A 21-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Injections.: When i hear "bad back", it sound like this has been going on for some time. Therefore the number one cause of chronic back pain is arthritis of the lu... Read More
A 32-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Doc Now: Could be a severe radiculopathy from the cervical spine with nerve impingement. You need a full work up including a neck MRI to look for causative pat... Read More
A 47-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Relax: Not sleeping before surgery is fairly normal and expected. You make the anesthetists job easier, thats all. That has nothing to do with waking up. You... Read More
A 46-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Depends: It all depends on which local anesthetic was used. Different ones have differnent lengths of action. Pure Lidocaine should be gone in an hour, where l... Read More
A 32-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
NSAID: Etodolac (lodine) is a non-steroidal anti-inflmmatory agent used for many things inflammed. Any soft-tissue pain = myofascial symptom, can benefit fro... Read More
A 36-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Maybe: Heat is good for muscle tightness and spasm. Ice best for soreness and tenderness from inflammation. If it hurts to touch, ice it first, then put the ... Read More
A 23-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Counseling: I'm trying to understand the question. If you are talking about getting in contact with a medical professional who will sit down with you and discuss ... Read More
A 34-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Comprehensive care.: Ideally, it is a center where you can have a medical professional diagnose the underlying cause of your chronic pain patterns and offer a variety of t... Read More
A 32-year-old member asked:
Dr. Kenneth Choquette
Pain Management 36 years experience
Further treatment: Beyond "breaks" is the more usual causes of pain, which is inflammatory issues of the joints and soft-tissues of the lumbar spine. If the conservative... Read More

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

2
Recommendations
554
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Choquette is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Choquette is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
thank you so much for helping me my friend has the same thing they dignosed her and gave her some medication for seizures kinda freaked me out a little im going to use my income taxes so i can go see ...Read More
HealthTap member
Thank you, your answer or tip was very helpful! I never had even my specialist explain it to me such as this. Thanks for the clarification.
HealthTap member
Thanks for your quick reply! Its been 7 years with this painful condition. I need a pain specialist in my area to understand and help

Education & Training

Medical/Graduate school

Midwestern University Chicago College of Osteopathic Medicine, IL
Graduated 1986MD

Awards

HealthTap Founding Doctor
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