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Dr. David Teicheira

Pain Management
Sacramento, CA
38 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

134 Answers
51 Agrees
The number of answers this doctor has agreed with.
A 40-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
EMERGENCY!!!!!!!!!!!: Anxiety, chest pain and very high heart rate is a very bad combination.If you are still having those symptoms right now, this is a medical emergency. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. David Teicheira
Pain Management 38 years experience
Probably not: If you're having an abdominal myomectomy, you will probably need to have your abdomen inflated so the surgeon can see all internal organs and manipula... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes: Out of date on meds means the guarantee of potency has expired. Meaning it might not work quite as we'll as expected.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Obviously it depends: On your technique. Pregnancy isn't a disease, it is a normal state that requires modification of some things we normally do. But no, you can't damage ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Bladder infection: Bladder infections can come on quickly. Recommendation is cranbury juice, preferably unsweetened for a few days. Hippuritic acid in cranberry juice wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. David Teicheira
Pain Management 38 years experience
Opiate allergy: True allergies to opiates are very rare. Usually we're talking about side effects including nausea, vomiting, constipation and other side effects. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. David Teicheira
Pain Management 38 years experience
Nope: Anytime you get an inflammatory response in the skin, there may be residual healing including coloration changes. They fade with time. The length of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. David Teicheira
Pain Management 38 years experience
Urine test?: Urine tests generally are positive for opioids 2 to 3 days after ingestion. The Pee in a cup tests are less accurate. If it is sent to the lab the 2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Lexapro!: Abdominal pain and cramping is a common side effect after starting Lexapro. I just found this out after doing 30 second Google search on "Lexapro an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Stable is no change: For a radiologist to note that it was stable means that the MRI is being compared to a previous MRI. It just means there is no change between the tw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. David Teicheira
Pain Management 38 years experience
Wet wax?: Wet wax is genetic. It should not develop all of a sudden. I would be concerned that in the process of cleaning out your ear, the eardrum was punctu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Alternatives: Psychological help does not have to come from a psychologist or psychiatrist only. You can have a therapeutic or healing conversation with just about ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Ask for help: You need to be referred to a pain management specialist for this. There is no one medication or treatment for everyone.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Alternatives: Psychological help does not have to come from a psychologist or psychiatrist only. You can have a therapeutic or healing conversation with just about ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
A few hours: The common local anesthetics used to numb up hands should last for a number of hours. Occasionally, I have done nerve blocks for surgery with large vo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
generally yes: Some fairly recent studies have shown that people in Methadone maintenance programs require more post operative pain relievers and people who were not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Possible arthritis: Morning pain in finger joint pain is fairly common in early arthritis. The joints in the hands and fingers or the most used joint in your body. After ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
With help/commitment: Big question. Is he asking for help, or not? Is he saying "i should quit" or "i want to quit"? Should is a word that sounds like "i need to..." but r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Generally unpleasant: Salvia is a potent kappa opioid stimulator. Wiki it. It will change your mental state, but it's generally un-fun. It is an anti-opioid. Datura is just... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
The danger in mixing: Alcohol and tylenol (acetaminophen) is not direct, unless we're talking about large amounts of both. Some heavy drinkers develop glutathionine deficie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Very unusual: Spinal taps are not done routinely, so you must have some serious symptoms to get that test. The only expected side effect of a tap is a spinal headac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Appendicitis: In my personal experience, the last time I had this symptom I ended up with a ruptured appendix. Appendicitis does not necessarily lead to a ruptured... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. David Teicheira
Pain Management 38 years experience
Ancient wisdom: In medical school, we were taught to combine Demerol (meperidine hydrochloride) and Promethazine because they provided better acute pain relief. There... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes sometimes: Sleep apnea causes disruptions of normal sleep architecture ( √ wikipedia). This can cause low level (i.e. You're still functional) neurologic change... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
It's possible: Lortab is a combination of hydrocodone in tylenol (acetaminophen). Hydrocodone causes nausea more frequently than most of the opiate pain relievers.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Like the flu: Withdrawal symptoms from opioids depend on the person. The severity of symptoms is variable. Comparing it to a bad stomach flu for a few days is proba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Hmmmmmm: Drug addicts tend to have shorter, unstable and unhealthy lives. 80 years old and drug addict don't tend to go hand-in-hand. If we are talking about ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Possibly: Increasing doses of opioids to try to chase the pain, unsuccessfully, can sometimes result in “opioid induced hyperalgesia”. Typically, fibromyalgia d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Call the office.: Medical practices are among the most highly regulated businesses. The paperwork is enormous. What we are required to do for each person gets more comp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
You can't.: Costochondral separations at the sternum generally repair themselves over time. Unfortunately, because the rib cage never stops moving, this may take... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
no: Tens uses electrical stimulation of nerves in the skin. The electrodes are large patches. The generator is the size of a cell phone. There is sometim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Sigh...: Unfortunately, jag, that is one of the great unanswered questions. We do know however that without an intact pain system, people start to damaging t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Teicheira
Pain Management 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
It will go away: This answer is just from one human to another. I obviously don't know your medical history. The things that come out of nowhere tend to go away with t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
minimal: Roxicet is a brand name for oxycodone plus tylenol (acetaminophen).
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
They are similar: Both work in the brain, spinal cord and peripheral nerves to decrease transmission of pain signals. Neither will eliminate pain signals however. They ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
By blocking NMDA.: Ketamine works as an nmda blocker and is rarely used as an anesthetic agent. Ketamine can half very significant, and unpleasant, side effects, and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Medical evaluation: The brain is a delicate structure encased in a ball of bone. It has little capacity to manage increases in pressure. If your cyst has grown over the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. David Teicheira
Pain Management 38 years experience
maybe nothing: If your neuropathy is manifesting as numbness, then that is a secondary effect of sensory malfunction. You just can't feel what you used to be able to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. David Teicheira
Pain Management 38 years experience
Abcess: These things are obviously delicate. The hair follicles are exposed to gastrointestinal bacteria. Usually, these go away with time. In the typical ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes: The number 1 treatment for spinal headaches is caffeine and fluids. Between this and lying down, most spinal headaches resolved in a few days. If you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Keep an eye on it.: Realistically, pains that come out of nowhere generally resolve and go away in a short period of time (days to weeks). Major nerve pain, like sciatica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
It varies: It is sometimes difficult to understand the difference between physical dependence and addiction. Physical dependence is expected to occur if you're e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Different: I assume were talking about opioids. If that person is been accustomed to the high dose, you may see very little in the way they act. Especially if th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
To identify them: Many manufacturers choose to make their pills uniquely shaped or colored to help with identification. Obviously, confusing one medication for another ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes...: Tramadol is a "broad spectrum analgesic". It works in multiple ways. One way is blocking nmda receptors (google this). In some people, this can tri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes, but....: Cold medicines, encompass a large variety of over-the-counter medications. Generally cold medicines are combination of multiple ingredients meant to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes: Although tylenol (acetaminophen) is a liver toxin at large dosages, it is generally considered safe if you limited to 3 to 4 g per day. The anti-infla... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
Yes: The reason why elderly people tend to be “snowbirds” , is that they feel better in warm weather. In my observations, it is the combination of cold an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Teicheira
Pain Management 38 years experience
yes: Studies have shown that pretreatment before surgery can decrease a flareup of rsd from about 70% to 25%. Unfortunately, these studies have dealt with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

3
Recommendations
310
Thank you notes
Mar 29, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 30, 2015
Dr. Teicheira is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 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
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