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Dr. David Teicheira

Pain Management
Sacramento, CA
36 years experience male

Locations

Office

Sacramento, CA

Address

83 Scripps Drive, Site 310, Sacramento, CA
Directions

Practice website

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

175 Answers
59 Agrees
The number of answers this doctor has agreed with.
A 34-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Start a slow taper: Ask the clinic to put you on a tapering schedule. I assume that you are taking liquid methadone. Ask them for something that is reasonable and stick w... Read More
A 22-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Inflammation: The presence of green mucus is usually an indication of an inflammatory process. The green color actually has been shown to be secondary to the breakd... Read More
A 19-year-old male asked:
Dr. David Teicheira
Pain Management 36 years experience
Need a description : Sugar is an issue in many medical problems, like diabetes.Take some time, google a few things and rewrite your question . Or describe what is botherin... Read More
A 28-year-old male asked:
Dr. David Teicheira
Pain Management 36 years experience
Many concerns here..: With your supplement particular, there's actual very little scientific evidence it provides a benefit. Recent studies actually show that carnitine get... Read More
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Yes: We understand how long most medicines stay in our bodies. However Methadone is different for each individual. Changing the dose of Methadone requires ... Read More
A 44-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
They are the same.: Neuralgia, means “sick nerves”. Causagia is an old medical description for burning pain from nerve damage. Both refer to symptoms secondary to damaged... Read More
A 44-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Your doctor: Ultracet is a combo of tramadol and tylenol (acetaminophen). It is prescription but not a controlled substance. Any md shoud be happy to provide you ... Read More
A 37-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
P, S and C: You need a plan, support and committment. If you dio this alone, you are alone.Find out what your options are. If you are on methadone, it's for pain... Read More
A 35-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Avoid tylenol (acetaminophen): The only pain pill which is always liver toxic is tylenol. Eat a bottle and you are dead.Some meds with tylenol (codeine, hydrocodone, oxycodone) hav... Read More
A 43-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Not a bit: Codeine has almost no analgesic activity in most people. After it is absorbed by the gut, the Codeine dissolved in blood passes through the liver whe... Read More
A 43-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Anti-inflam foods: There is a lot of reseach (and marketing) of medicinal foods.Most famous = omega3 fatty acids (oils) and green tea.Om3 are only anti-inflam from fish.... Read More
A 34-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
You Change......: Addiction is a psych diagnosis. It sounds like physical dependence to a drug, but it goes a big step further. Example: you go to a friend's (relativ... Read More
A 36-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Which medicine?: Opiate pain relievers frequently cause physical dependence. The difference between dependence and addiction is often confusing. Dependence means that... Read More
A 34-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
#1= infection, #2 =?: Obviously you've had a urinalysis. The next step would to go over this with your M.D. The question is what caused the infection, and is it secondary t... Read More
A 46-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Meditation: True tension headaches are very common. Relaxation of the muscles in the cervical spine and shoulder region are very important. Meditation classes whi... Read More
A 30-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
I'm concerned: A worst case scenario would be something going on inside of your skull that increases pressure. This could be bleeding, aneurysm or some sort of swe... Read More
A 48-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
I doubt it: Symtoms are the complaints your body tells the brain when somethin's wrong. You were treated for a bladder infection: successfully as it sounds. Your... Read More
A 33-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Send to collection: You probably signed a document on your 1st visit with your doctor that you agree to be financially responsible for your medical care. It's like all th... Read More
A 32-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
The fastest acting: The opioids that cross quickest from blood into the brain provide the fastest “reward”. In rough order of what's available in the us: heroin, fentany... Read More
A 34-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Anti-inflammatories: Broken ribs take longer to heal than some injuries because the ribs are always moving. The only truly “natural” pain reliever are the endorphins your ... Read More
A 39-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Just opiates...: Other sources include poppy seeds (culinary poppy seeds are opium seeds), cough syrup with dextromethorphan, diarrhea meds like lomotil (diphenoxylat ... Read More
A 32-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Find your triggers: Anxiety and depression are closely linked.Some thoughts are triggering the anxiety.Stress and anxiety are part of modern life, but controlling your re... Read More
A 33-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Hmmmm: Phantom limb pain is very specific: it is pain in a part of your body that no longer exists. If, for instance you're feeling pain in your arm, but th... Read More
A 21-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
bladder infection: The combination of antibiotics, hospital, and a catheter is a setup for a urinary tract infection. But, this may be just and inflammation secondary to... Read More
A 19-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Probably a urinary: Infection from the antibiotics they gave you to prevent an abdominal infection.Strangely enough, antibiotics kill only some bacteriaallowing others to... Read More
A 18-year-old male asked:
Dr. David Teicheira
Pain Management 36 years experience
Caffeine /chocolate: Should be eliminated for at least a few months to se if they are triggering.
A 58-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Updated terminology: Crps(complex regional pain syindrome) is the most recent "formal" term for a group of symptoms that include pain and visible signs (malfunction of aut... Read More
A 33-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Think about your: Question. Formats like this with short questions and answers are difficult from both ends. Focus on what you are trying to discover and resubmit. Be s... Read More
A 39-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Yes it can: If your are going through withdrawls. This is the famous "heebie-geebies". Much more rare is histamine release from morphine which can cause allergi... Read More
A 30-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Occasionally: Metaxalone is not a drug of abuse, so most labs won't te st for it. Unless someone asks. Most urine tox screens are 2-part: a dipstick immediately to ... Read More
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Older pain med: People like demerol (meperidine hydrochloride). It's a fact. There's something about it that gives a better comfort to those suffering with pain. Unf... Read More
A 48-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Of course...: Anything that can cause a mental “change in state”, will be used or abused by someone to achieve a brain change. Some substances, like alcohol, caus... Read More
A 41-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Many reasons: 15 years ago, using opiates to treat non-cancer pain was not acceptable. Our culture, placed physicians in danger of losing their licenses or felony ... Read More
A 38-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Your pain Dr.: I'm confused as to why you think there is something you can do to maintain the pump. Other than checking the pump electronically, reprogramming it, an... Read More
A 46-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Tissue micro-tears: Whenever you use your body past it's limits (like how many lbs a rope is rated for). You risk tearing tissue. There is a limit to what your body is ra... Read More
A 33-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Yes but...: Experienced obstetricians can deal with pregnant women on opiates, but the question is how much are you taking and do you want your newborn to go thro... Read More
A 43-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Common sense: Alternate ice and heat. Keep bending stooping twisting and lifting to a minimum. Over-the-counter anti-inflammatories were appropriate. The worst th... Read More
A 45-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
With time: Causalgia is an old medical term meaning “burning pain”. It is usually the result of damage to nerves. Nerves can repair themselves, but only simple ... Read More
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Talk to the doc: It is your right to have your medical diagnoses and care plan described to you so that you understand it. Not everybody is a great communicator. Some... Read More
A 41-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
generally yes: Neurochemistry of addiction and physical dependence are different.You need to start with a very truthful conversation with yourself as to why you are ... Read More
A 31-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
1 to 3 days: Lortab is a combination of hydrocodone in tylenol (acetaminophen). Whether or not it shows up on a drug test depends on the type of test that is done... Read More
A 39-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
The problem with: Opiates are that they only "take the edge off".They can be a useful tool if you understand this. Asking them to relieve all your pain all the time is... Read More
A member asked:
Dr. David Teicheira
Pain Management 36 years experience
Whoa!!!!: Until proven otherwise, this is an infection. Like most infections your body is able to manage them with time. Your body will make anti-bodies to the ... Read More
A 18-year-old female asked:
Dr. David Teicheira
Pain Management 36 years experience
Mastitis: At your age and it only two days of having symptoms, which are describing is some sort of inflammatory process. If we tie the two together, then some ... Read More
A 46-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Heart pain ?: One of the 1st “unusual” symptoms we learn in medical school is that heart pain sometimes shows up as left arm pain. At your age this is a distinct po... Read More
A 42-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Neither: Ultracet is the common nation tramadol plus tylenol (acetaminophen). Both medicines produce similar results depending on how much relief the extra tyl... Read More
A 39-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Nearsightedness: That's the obvious answer. You need an eye exam to find out if it's really that simple.
A 37-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Rare but possible.: Tramadol has a minor effect on opiate receptors (morphine, vicodin, etc.) there are rare reports of people taking large amounts of tramadol experienc... Read More
A 34-year-old member asked:
Dr. David Teicheira
Pain Management 36 years experience
Yes but...: Migraine is a complex cascade of neurologic symptoms, the most prominent being the pain. Other effects of migraine include vision changes, loss of mus... Read More
A 19-year-old male asked:
Dr. David Teicheira
Pain Management 36 years experience
They are all similar: You are in an unfortunate position, 19 and already on major, major opiates. Opiates only take the edge off. They do not relieve pain completely. They... Read More

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

3
Recommendations
311
Thank you notes
Mar 29, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 31, 2015
Dr. Teicheira is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 30, 2015
Dr. Teicheira is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I have facit syndrome, degenerative disc disease, fibromyalgia, opiate addiction. Could be ok to be prescribed methadone for and opiate add?
HealthTap member
thanks for responce i have been told it just takes time i broke 3 ribs about 4,5 weeks ago i now have a dry couch that has gotten worce the last 2 days is that normal
HealthTap member
I have chronic pain and I just started methadone people have told me I look happier alive and physically stronger!! I love your responce

Education & Training

Medical/Graduate school

Keck School of Medicine of University of Southern California, CA
Graduated 1985MD

Awards

Top Pain Management Specialist , First Place, California - Winter
2013
Top Pain Management Specialist, Third Place, the Nation - Spring
2017
Top Pain Management Specialist, Third Place, the Nation - Fall
2017
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