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Dr. Mehul Desai

Pain Management
Washington, DC
20 years experience male

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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

Doctor Q&A

141 Answers
8 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Depends: A lot depends on positions that cause problems (bending forward or back). This has an impact in exercises that help. So if you have pain with sitting ... Read More
A 30-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Depends: This may not mean anything. What's more important is are you having symptoms? If you are having neck or arm pain further treatment is likely warranted... Read More
A 41-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Yes: It is a commonly used anti-inflammatory medicine like Ibuprofen that also affects pain. In the us it requires a prescription.
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Acetominaphen: Tylenol (acetaminophen) as long is you can take it is a good supplementary medication. If that doesn't work consult your dentist.
A 44-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Yes: Commonly any other anti-inflammatories such as ibuprofen, advil, Naproxen all are affected by diclofenac.
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Couple of things: Anything from a slipped disc to arthritis to thoracic outlet syndrome (a compression of nerves from bone, muscles or even veins/arteries) can cause th... Read More
A 32-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
See your doctor: This is unusual particularly depending on when this occurred after the shot and where the shot was delivered. I would definitely discuss it with your ... Read More
A 31-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Options: Antiinflammatories and tylenol (acetaminophen) are the first choice. Prescription strength medications are typically reserved for severe cases.
A 48-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
No standard answer: There is no specific starting dose although 5 mg is common. This medication is most intended for short term pain or for breakthrough pain.
A 44-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Maybe: It is hard to predict. It depends on the magnitude of the initial injury and what you do to treat the injury.
A 35-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Tylenol (acetaminophen): Percocet is oxycodone + tylenol, (acetaminophen) roxicodone is a generic name for oxycodone alone.
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Posture: Work on your posture particularly your pelvis, consider consulting a physical therapist.
A 33-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Yes: There is no reason that lumbago or low back pain should interfere with boogey boarding. Consider stretching first.
A 40-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
No: A brace is very unlikely to help with sciatica. If you back muscles are weak, pt may help that and a back brace may be helpful for certain positions s... Read More
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Weaker: Tylenol (acetaminophen) #3 is tylenol (acetaminophen) plus codiene, roxicodone is oxycodone. It is more potent than tylenol (acetaminophen) #3.
A 40-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Small difference: These medications are related and only small differences exist between them.
A 45-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
See your doc: Consider an evaluation with your primary physician. They can look into whether this is caused by something serious and also treat it appropriately.
A 47-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Many options: A treatment plan typically includes medications (antiinflammatories, etc), physical therapy and possibly epidural injections. Surgery may be needed if... Read More
A 40-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
May be the same: An epidural injection just indicates where the injection is delivered, this is typically what is meant by a cortisone injection, although cortisone in... Read More
A 43-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
No difference: These terms are typically used interchangeably. Rheumatoid arthritis on the other hand is quite different from osteoarthritis in that it much more inf... Read More
A 43-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Hard to tell: Bulging discs are a normal part of aging. They can happen spontaneously or as a result of injury. Particularly between your late 20s and 50s you are b... Read More
A 32-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Different: Sprains affect ligaments and connective tissue strains affect muscles.
A 31-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Possibly: Depends on how you are using the word lumbago which essentially means low back pain. Low back pain is typically episodic and self-limiting. If you mea... Read More
A 31-year-old male asked:
Dr. Mehul Desai
Pain Management 20 years experience
Unlikely: Although one chinese study demonstrated positive results efforts to reproduce the results in other populations have been discouraging.
A 39-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Maybe: There is no data to support this modality in low back pain, that doesn't mean that it doesn't work. Some people may respond to it.
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Definitely: This is an excellent way to address spondylolisthesis. Core stabilization and strengthening along with pelvic floor and low back strengthening togethe... Read More
A 18-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Not typically stress: Chronic low back pain of > 3-6 months is not likely from stress. Certainly musculoskeletal causes including sitting position and posture may contribut... Read More
A 23-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Multiple causes: The causes are multiple, they include but are not limited to hemorrhoids, anal fissure, mass, spinal issues, prostate issues including infection. If t... Read More
A 72-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Leg weakness: This scenario suggests extension related or change in posture related nerve compression. If persistent should be evaluated.
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
No relationship: There is unlikely to be a relationship between cramps and vi odin not working.
A 43-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Lymphedema: You may wish to consult a physiatrist or pm&r specialist focusing on lymphedema.
A 43-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Yes: The only medications fda approved for intrathecal use for pain are morphine and ziconitide. Off label other opioids, local anesthetics and other medic... Read More
A 38-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Hour: In general the manufacturers recommend an hour or less at a time. Most likely there is no danger with longer but i would follow those recommendations.
A 48-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Standing xrays: Standing xrays of the lumbar spine in flexion (bending forward) and extension (arching back) are best for evaluating both the misalignment and helping... Read More
A 37-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Good question: Itching can be a particularly bothersome symptom of neuropathy is related to the specific damage to the nerves present in neuropathy.
A 42-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Same thing: Solumedrol (methylprednisolone) is simply one version of an injectable cortisone.
A 40-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Core stabilization: Physical fitnes weight management and core stabilization as well as pelvic floor strengthening are likely important. Furthermore most people are worse... Read More
A 35-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Not stronger: Talwin (pentazocine) is not stronger than oxycontin. It sounds as though the cause of the pain should be identified rather than finding stronger drugs... Read More
A 31-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Probably not: It may help transiently but typically not very effective for low back pain alone.
A 36-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Low back pain: Lumbago=low back pain some people may also use it to describe mild lumbar disc degeneration.
A 41-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Depends: It may be used as a pain medication or to treat heroin addiction.
A 19-year-old female asked:
Dr. Mehul Desai
Pain Management 20 years experience
See your doc: This is unlikely related to your low back. More likely related to urinary tract infection or a condition such as hemorrhoids.
A 38-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Symptoms: What are your symptoms? Typically if you have low back pain with sitting or leg pain in one or both legs that is a radiating shooting pain you may hav... Read More
A 38-year-old male asked:
Dr. Mehul Desai
Pain Management 20 years experience
Yes: Yes, headaches can be caused by high blood pressure.
A 34-year-old female asked:
Dr. Mehul Desai
Pain Management 20 years experience
Options: Pain related to spondylolisthesis may be related to lateral recess stenosis, facet pain, central stenosis, discogenic pain or pain from the instabilit... Read More
A 19-year-old female asked:
Dr. Mehul Desai
Pain Management 20 years experience
Hard to say: Difficult to say but seems like a poor combination nevertheless.
A 28-year-old female asked:
Dr. Mehul Desai
Pain Management 20 years experience
Multi possibilities: There are multiple possibilities. Anything from a stress fracture in the foot to a pinched nerve in your foot, leg or possibly even back. Talk to your... Read More
A 26-year-old male asked:
Dr. Mehul Desai
Pain Management 20 years experience
How?: How and when did this start? Was there trauma involved? Often posture and work can play a role.
A 46-year-old member asked:
Dr. Mehul Desai
Pain Management 20 years experience
Options: Options include physical therapy, exercise, weight loss. The bulge is not inherently a problem. But pain may be the manifestation of the bulge.

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

2
Recommendations
329
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Desai is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Desai is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I also take this medicine not exactly sure as to why except that's what my doc prescribed. But my feet have inflammtion...BAD. So he says.
HealthTap member
Thank you so much for the efforts you make in calming our nerves on conditions that would have otherwise been worsened.
HealthTap member
Thank you, your answer or tip was very helpful! I have Fibro, hypothyroid, and adrenal insufficiency. Oh, and diabetic

Education & Training

Medical/Graduate school

University of Sint Eustatius , 2002 , 2002
Graduated 2002MD

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
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