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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
Physical Medicine and Rehabilitation
Languages spoken
English
Doctor Q&A
51 Answers
2 Agrees
The number of answers this doctor has agreed with.
A 44-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Many ways: Oral medications like baclofen, tizanidine, or botox/phenol injection therapy........But you shoyld always to stretching exercises at home with spasti... Read More
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends: It depends upon the type and severity of pelvic fracture and also on functional improvement with possible prognosis.
5.9k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Yes: Why you want to replace baclofen? It depend upon the indication and severity of spasticity. Traditionally, two other choices are diazepam and dantrole... Read More
5.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
None.........: Atypical migraine can happen with unusual causes..........I would suggest you to go to headache specialist to make sure that you have atypical migrain... Read More
5.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
May be....: If it is migraine than it may be okay.......But you need to see headache specialist for diagnosis. You may need MRI to r/o other conditions.
5.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Not known: It is a movement disorder. Most of the time causes are unknown but in few cases, it occurs after conditions affecting brain like parkinson's, huntingt... Read More
5.9k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends.....: It ranges from nothing to headache, infection causing meningitis, encephalitis...............
Most of the time nothing or headache treatable with tyle... Read More
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Nerve compression: Chronic back pain may be due to arthritis and bone spur or other pathology may compress nerve roots. Go to the docotr start with x-ray and if necessar... Read More
5.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
No: It is a chronic syndromes meaning it lasts more than at least 6 months.
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Drowsy: It is like gradually falling a sleep after taking sleeping pill.......
5.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
1-2 days: 1-2 days the most if you are very sensitive or you can straight can go to work even........
5.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Yes!!!!: You can take both together, if you mean that.
5.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Do people who have juvenile rheumatoid arthritis have a shorter life expectancy than regular people?
Dr. Tapan Joshianswered
Pain Management 28 years experience
No: No, but they may have more systemic problems.
5.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends: Depends on acuity and severity, to be safe to to er.
5.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends: Depending upon the type of fracture and intervention and age of the pt but generally about 6 months.
5.9k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
No: It means your body is sensitive to them............Before getting addicted you will have other side effects so take it as needed and at a lower dose t... Read More
5.9k viewsReviewed >2 years ago
A 81-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Nothing: If you have pain due to neuropathy, there are many options but to treat numbness due to neuropathy, no treatment. Be careful......Daily skin inspectio... Read More
5.6k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Tylenol, (acetaminophen) narcotics, : Tylenol, (acetaminophen) narcotics, ultram.
5.6k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Percocet,vicodin etc: You can't take t#3 or #2 but try with percocet, vicodin, oxycodone etc.
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Percocet, oxycodone: Percocet, oxycodone.
5.9k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
5.9k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
PM&R: Pm&r, physiatrist, rehab physician.
5.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Soon: Soon after cardiac event.......Only the intensity will depend upon severity of the condition.
5.9k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends: If it is for labor, then no medication but explanation.....
If it is not for labor like surgery or pain control, conscious sedation is an option.
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Not known: Fibromyelgia is a "bag of worm", though there are definite criteria set as well as few approved medications in the market . Clinically, all criteria n... Read More
5.9k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
No: Whay to see pain doctor only once a year......If you have stable and controlled pain then just see your pcp. I am sure insurance company also agrees w... Read More
5.9k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Many: Physical therapy, oral medicine, Botox and phenol treatment, intrathecal Baclofen pump in graded fashion.
5.9k viewsReviewed >2 years ago
A 52-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Swelling: Inacute injury, generally ice better in stiffness heat is better. If you develop swelling after trauma, never apply heat.
5.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends on fracture: It all depends upon the ffracture type of the pelvic bone fracture.........If you only have pubic rami fracture then mostly does not need rehab but id... Read More
6k viewsAnswered >2 years ago
A 56-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Many reasons: Check electrolytes, make sure you drink enough fluid not water.......Make sure you are not deconditioned.....Other reason can be diabetes, vascular, r... Read More
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Nothing: Sensory input does not get processed so pt does not feel anything.
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends.....: It depends upon the severity and type of intervention.........
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
6-10 weeks: Depending upon the surgical techniques........ If microsurgery than 2-3 weeks if open 4-8 weeks.
5.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Man y things: There are classic signs and symptoms described which are rarely found in practice (at least for me). In short, it is a "bag of worm", you rule out eve... Read More
5.9k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Rare: Tramadol is a weak narcotics so withdrawal is not that common compared to strong narcotics like morphine or dilaudid.
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
No,: No, if it is a simple fracture. Arthritis develop in any joints after fracture mainly due to 3 reasons,
(1) fracure due to high velocity trauma (whi... Read More
5.9k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
May be: If chronic you can control the pain by taking sij injection.
5.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Until the wound heal: Until the wound heals.
5.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends: Lots of factors are involved like loss of counsciousness, bleeding inside the head, fracture of skull, comorbidities, age etc.
5.9k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Yes...........: Shin splints are due to musculoskeletal reasons......For leg cramps fist thing rule out deonditioning. Vitamin B12 has nothing to do with it. See a go... Read More
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Head muscles: Depend upon the distribution of headache..........Mostly in temporal, frontal muscles are included rest depend upon the distribution.........
5.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Yes: Yes or try to increase the duration fist in hours then in days.
5.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Not sure..: There is no level one evidence in the literature for that.
5.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Closed chain ex: I do not understand by "hs". I always prefer leg press with differnt amount of resistance and required knee flexion depending upon degree of patellofe... Read More
5.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Depends: It depends upon the frequency, strength of the medications.......Mostly hyperalgesia for few days....But not much. Vocidin is not a strong narcotic bu... Read More
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
It may come back.: It may come back or may not. They may not remenber how theygot into accident. Once they start remembering day to day activites, they are on the path o... Read More
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Good: It reduces gravity and so body weight and provide gentle resistance which is what you want while having rehab. It also increases circulation and decre... Read More
5.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Early stage: If it is stage one then good, stage 2 you may try after that not much. Make sure you also strengthen your quadriceps and stretch hamstrings.
5.9k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Many things: Start with otc pain meds and stretching esercises, if no relief then physical therapy for myofacial release, tapping, modalities with stretching and ... Read More
5.9k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Tapan Joshianswered
Pain Management 28 years experience
Not necessary.......: It will depend upon your lifestyle and how active are you. If not highly active, try conservative treatment like pain management with medication, ster... Read More
5.6k viewsReviewed >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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.
2
Recommendations
135
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Joshi is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Joshi is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for answering I can't get an MRI due to Pacemaker (ICD)
HealthTap member
Thanks for the answer but how to control this migraine
HealthTap member
Thank you, your answer was very helpful! Thank you.
Education & Training
Medical/Graduate school
India , 1994
Graduated 1994MD
Awards
PVA Iowa Chapter
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