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Dr. Michael Gofeld

Pain Management
WA
33 years experience

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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

170 Answers
11 Agrees
The number of answers this doctor has agreed with.
A 33-year-old female asked:
Dr. Michael Gofeld
Pain Management 33 years experience
See a doctor: Serious conditions must be excluded by physical examination and tests (eg abdominal ultrasound, blood work).
A 43-year-old male asked:
Dr. Michael Gofeld
Pain Management 33 years experience
See full answer : Nsaids have maximal safety dose. For Ibuprofen it is 2400 mg a day. No difference in absorbtion.
A 21-year-old male asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Unlikely : Mri can't "miss" an obvious disk herniation or stenosis. However sometimes back pain with radiation to legs are caused by other problems. For example ... Read More
A 18-year-old female asked:
Dr. Michael Gofeld
Pain Management 33 years experience
See specialist : Most probably you have a problem with the temporomandibular joint (TMJ) see an orofacial specialist.
A 42-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Depends: First of all, which nerve? Does it hurt or create motor problem? Ultrasound examination, MRI and EMG help to assess the magnitude of damage. Treatment... Read More
A member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Disc herniation : I would recommend to do checkup for a disc herniation. These symptoms may also appear in care of spinal stenosis or any other compression of nerve ro... Read More
A 20-year-old female asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Side effect : This is a common side effect of topamax (topiramate).
A 42-year-old female asked:
Dr. Michael Gofeld
Pain Management 33 years experience
See below : It's of course not normal. However, as you describe, you had 3 surgeries and damaged nerves. Assuming the damage is permanent and no further correctiv... Read More
A 43-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Face: Trigeminal neuralgia is a disorder of the 5th cranial nerve. Pain may be limited to one, two or all three areas of face.
A 57-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Chronic pain: Unfortunately after 18 months the condition is chronic. Treatment is predominantly medical: Gabapentin or pregabalin, tricyclic antidepressants, Lidod... Read More
A member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Yes: Cluster headache is one of the most painful conditions in humankind.
A 25-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
May be: New onset headaches may be a symptom of serious condition. Your friend must see a doctor.
A 52-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Severe pain : Cluster headache is considered the worst headache of human kind. Usually it affects men and associated with other symptoms, such as flushing of face, ... Read More
A 23-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Nerve damage : Herpes virus damages nerve cells in the spinal cord. Disballance between different nerve fibers may cause numerous abnormal feelings including the itc... Read More
A 50-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Carbamazepine : Usually the fist choice is carbamazepine. Other antiepileptics may be useful as well as baclofen.
A 32-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
No: Trigeminal pain is a severe and intractable condition. Medical or procedural management is required.
A 36-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
No: Citalopram is ineffective for trigeminal neuralgia.
A 23-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Subspecialty : Pain psychiatrist is a mental health specialist who usually work as a part of pain medicine program and addresses psychiatric conditions that make chr... Read More
A 23-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Definite treatment : Sometimes Amitriptyline may help. However, i would strongly recommend to have definite treatment: surgery or radiofrequency ablation.
A 23-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Probably not: Tegretol may not make the pain worse. It simply doesn't work in your case. In my practice, i try two or three medical options and if the pain is not c... Read More
A 52-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Several: Spinal cord stimulation is a minimally invasive method of electrical modulation of nerve signals transmission to brain. It may be effective for treatm... Read More
A 33-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
A lot: Although Elavil (amitriptyline) is an antidepressant, the medicine is out of traditional repertoire for depression. Very high dose will be required, a... Read More
A 45-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Yes: This type of pain is often called visceral and propagated via the autonomic nervous system. Ablation of the superior hypogastic plexus is often helpfu... Read More
A 25-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Yes: I assume 2tablets = 600mg. Yes it will be ok.
A 39-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Probably not: I would advice against NSAID in your situation.
A 52-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Physical therapy : Physical therapy along with massage and daily exercises may help to restore muscle function and reduce pain.
A 41-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Probably not: Practice of medicine is not something definite and indisputable. Every doctor has beliefs and practice within personal comfort zone limits. I would su... Read More
A 42-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
No: Not at all and usually surgery is a bad option.
A 36-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Triptanes: Medications called triptanes (eg imitrex) work good in case of occasional migranes. They need to be taken just when you started feeling the attack is ... Read More
A 32-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Steroid injection : First of all, it should be diagnosed. Ultrasound examination will be the most appropriate. Steroid injection may help. Also prp can be useful.
A 45-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Tramadol : Tramadol is fairly strong pain killer, specifically when combined with NSAID and have very low potential for addiction.
A 38-year-old male asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Probably not: Although disc replacement may be effective for a one-level problem, multilevel disc degeneration cannot be helped with this procedure. Multidisciplibs... Read More
A 48-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Yes: Unfortunately it may be related to vertebral or rib metastases.
A 30-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Gout: Hot, painful and swollen toe is a typical picture of gout. You need to do the uric acid test. If it's negative other less common causes should be inve... Read More
A 41-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Yes: Unfortunately in majority of cases - yes unless the pain was caused by some medications used to cure lymphoma.
A 34-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Side effect : Up to 12% of people who tske Lipitor (atorvastatin) develop painful joints (artralgia). This is not an inflammation but sometimes the only way to deal... Read More
A 43-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
End of life care: Palliative care deals with comforting patients at the end of life period. When a disease is in advanced stage and can't be cured or even temporally s... Read More
A 33-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Lots: Fish oil, arnica, turmeric, feverfew, jalapeño pepper, willow bark (natural aspirin) and many other. Naturopathic doctor may find tye right remedy for... Read More
A 40-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Possibly: Metastatic involvement of pelvic bones is commonly seen with prostate cancer.
A 36-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
No: Injected or transdermal opioids initiallt bypassing liver but then will be metabolized there anyway.
A 42-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Many reasons : Cancer pain may be caused by direct tumor invasion of nerves, pressure on neighboring structures, bowel obstruction, release of toxic byproducts, etc.
A 29-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Numerous : Difficult to answer, i suggest a few: lumbar disc herniation, peroneal nerve injury, muscle hernia. Please consult with specialist.
A 48-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Of course: Any severe pain requires medical attention.
A 36-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Addiction : Non-narcotic pain killers are all different classes of drugs. The main differences: narcotics stronger and have definite addiction potential.
A 44-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
24-48 hours: Usually a couple of days. If you do not feel beter after 5 days, the block failed.
A 41-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Depends : It depends on type of pain you have. The best advice is to see a specialist ( neurologist or pain physician ).
A 45-year-old member asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Unlikely: Tramadol may cause urunary retention.
A 35-year-old female asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Neuralgia : This sounds like a neuralgia that may be caused for example by herpes infection.
A 32-year-old female asked:
Dr. Michael Gofeld
Pain Management 33 years experience
Probably : Headache when standing or bending forward, stiff neck, sensitivity to light are all symptoms of so-called postdural puncture headache. Fluid intake, c... Read More

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

3
Recommendations
514
Thank you notes
HealthTap member
Jul 13, 2017
I need someone who is sympathetic my unique systems, they are extremely painful and I didn't ask for this. I wasn't out searching drugs they were given to ME so I'd be halfway normal. Since I've been
HealthTap member
Mar 30, 2015
Dr. Gofeld is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gofeld is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! You got that right and few seem to care. After a few days of clusters younger like you've been badly beaten up
HealthTap member
My wife is 45 and has bad knee pain and swelling above and below the knee. Taken to artho and after xray diagnosed as will need a joint repl
HealthTap member
This wasn't my ? just joined trying to see tge caliber of the physicians i am confiding in, really happy and thankfull for your reply.

Education & Training

Medical/Graduate school

CMA
Graduated 1989MD

Awards

HealthTap ClubMD
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
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