Dr. David Dechellis

Pain Management 15 years experience

Indirectly : Referred pain from hips typically occur in groin or down thigh. That beig said any referral pattern is possible. A possibility may also be your hip av... Read More

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5.4k viewsReviewed >2 years ago

A 29-year-old female asked:

I had a sacral nerve stimulator put in on feb.7th. i am now having sever pain in my lower left side of my abdominal are those 2 things related?

Pain Management 15 years experience

Evaluation needed: Any pain following a procedure should be discussed with the physician who performed the procedure, as they are better qualified to answer your questio... Read More

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5.3k viewsReviewed >2 years ago

A 21-year-old female asked:

The muscle in my upper thigh in left leg feels very tight what could be the reason for this i also have burning pain in my spine with this?

Pain Management 15 years experience

Possible nerve: May represent a radiculitis vs radiculopathy if it is associated with concurrent low back symptoms. I would see pain specialist or physiatrist to help... Read More

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5.5k viewsAnswered >2 years ago

4 thanks

A 34-year-old female asked:

I have heard, that methodone is more effective w/ chronic pain than opiates, & less addictive. do not believe, and can't possibly understand it to be.?

Pain Management 15 years experience

Unique opioid: Methadone inherently has properties that slows tolerance and also help affect neuropathic pain which makes it unique in the opioid class. No opioid is... Read More

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5.4k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

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A 40-year-old male asked:

I have a sore burning pain for over a month lower left side above waist nothing visible sensitive to touch some days worse than others?

Pain Management 15 years experience

Nerve mediated?: Burning pain that is associated with sensitivity to light touch may be related to an irritated/injured/pathologic nerve. Formal evaluation by pain phy... Read More

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5.4k viewsReviewed >2 years ago

A 45-year-old male asked:

I have an intermittent shooting pain just above my ankle on the inner side of my left leg after two weeks of vigorous running. what should i do?

Pain Management 15 years experience

Tendinitis?: Posterior tibial tendinitis would be high on my differential. This is often seen in people who change running workouts or shoe wear. Over pronation is... Read More

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5.5k viewsReviewed >2 years ago

Dr. David Hettinger and 2 doctors agree3 doctors agree

2 comments

A 32-year-old member asked:

What are nerve stimulator implants side effects?

Pain Management 15 years experience

Risk vs benefits: Infection is the #1 risk which is less than 4% per 2004 study in journal neurosurgery spine. Less common risks include bleeding, nerve irritation/dama... Read More

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5.5k viewsReviewed >2 years ago

Dr. Darrell Herrington agrees1 doctor agrees

A 41-year-old member asked:

Can you mix vicodin and flexeril (cyclobenzaprine hcl)?

Pain Management 15 years experience

Ask your physician: It is always best to ask your physician prescribing your medications about safety and ability to take concurrent medications. They are familiar with y... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 41-year-old female asked:

Had carpal tunnel surgery back in 2009 and my fingers and arm are still going numb and wake me up out of my sleep... what could this be?

Pain Management 15 years experience

New exam. Maybe EMG: A new examination by a physician who specializes in nerve pain (dysesthesias) is warranted. The key would be to perform a physical exam and history to... Read More

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5.2k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 48-year-old female asked:

I have pain in left elbow up to left shoulder, i hit my elbow hard , 3 moths later my pain has moved up shoulder and burning stabbing pain ?

Pain Management 15 years experience

Nerve-mediated?: Consider evaluation by physician who specializes in muscle and nerve pathology ( physiatrist or neurologist). A physical examination including electro... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 23-year-old female asked:

How many tramadols can you take at once?

Pain Management 15 years experience

Talk to your doctor: 100mg is the max dose per single administration, however this dose is not a starting dose and you should never vary from the specific prescription giv... Read More

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5.5k viewsAnswered >2 years ago

A 47-year-old member asked:

How long should i wait to have a drink after taking acetaminophen-cod 3 (tylenol 3)?

Pain Management 15 years experience

Avoid: Alcohol should be avoided period while taking any opioids! both can cause respiratory depression and could be life threatening if taken concurrently. ... Read More

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5.3k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 50-year-old female asked:

How to treat neuropathy?

Pain Management 15 years experience

Many ways: Neuropathy in of itself can be related to many different disease processes, such as diabetes. Improved control of the disease process may result in so... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 78-year-old female asked:

Does gabapantin use have a goal? is there a point where i'm cured of post chemo neuropathy?can i take metanx with i t? chemo 1999.numb feet 3 years.

Pain Management 15 years experience

Gabapent doesnt cure: Gabapentin is in the anticonvulsant drug class but is rarely used as a primary agent to treat seizure. Its frequently used to "calm" overactive nerves... Read More

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5.5k viewsReviewed >2 years ago

A 18-year-old female asked:

I have a sharp pain on the right side of my body by the side of my ribs. it hurts very badly to sneeze or stretch. should i be worried ?

Pain Management 15 years experience

MSK-related? buut..: My first question would be how it started. Trauma related? If so imaging may be a good idea. If not, may be related to either muscle injury near ribs ... Read More

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5.5k viewsReviewed >2 years ago

A 40-year-old member asked:

How soon could i expect results from [hysical therapy for sciatica/s.i. joint pain?

Pain Management 15 years experience

Varies: That is a very difficult question for any physician on here to answer. Many factors need to be considered such as appropriate diagnosis of the symptom... Read More

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5.5k viewsReviewed >2 years ago

A 36-year-old male asked:

Please suggest some do's and don'ts for reducing stress.

Pain Management 15 years experience

Finding: Finding time to perform a home exercise program for chronic pain can be difficult, but rewarding.

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5.3k viewsReviewed >2 years ago

109 thanks

A 29-year-old female asked:

Am 7week pregnant got back pain is that normal?

Pain Management 15 years experience

Back pain common: Back pain during pregnancy is extremely common, and can be from many different causes including muscle/myofascial strain/tension, back joints(facets) ... Read More

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5.5k viewsReviewed >2 years ago

Dr. Miguel Cano agrees1 doctor agrees

A 18-year-old female asked:

I have bad pain starting in my hip/pelvis area.gone down through my leg and i have to use my hands to move my leg because of the pain, what causes this?

Pain Management 15 years experience

Evaluation: Any pain that is significant enough to limit function warrants a formal evaluation by a physician. Depending on inciting event surrounding the initia... Read More

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5.4k viewsAnswered >2 years ago

A 20-year-old male asked:

Can a patient weaned himself off of oxycontin in four days?

Pain Management 15 years experience

Talk to doctor: Weaning off opioid medications like Oxycontin need to be scheduled by a physician, as if done incorrectly can lead to withdrawal symptoms. Discuss thi... Read More

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5.2k viewsReviewed >2 years ago

A 21-year-old member asked:

What kind of exercise is good for a herniated disc?

Pain Management 15 years experience

McKenzie: Talk to your therapist about mckenzie directional-preference based therapy. In most people excercises of lumbar extension help to centralize pain, but... Read More

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5.5k viewsReviewed >2 years ago

Dr. Thomas Dowling agrees1 doctor agrees

A 20-year-old male asked:

Should i pay for an orthopedic consultation, shoulder injury from motorbike 8 months, tried physio an has not helped, but my doctor still insists phsy?

Pain Management 15 years experience

Yes and yes: Either an orthopedic or a non surgical musculoskeletal physician (physical med&rehab, or sports medicine) should evaluate. Continued joint/muscle ... Read More

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432 viewsAnswered >2 years ago

A 31-year-old female asked:

Lump on right hip and 24 hour pain and hurts to walk and run and painful when standing or sitting and when im sitting or standing my right leg falls asleep and takes 20 mins to wake up and not able to sleep because of the pain. ?

Pain Management 15 years experience

Formal evaluation: I strongly recommend a formal evaluation by your local physician given severity of symptoms which are constant in many activities and positions, with... Read More

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432 viewsAnswered >2 years ago

A 36-year-old female asked:

What are the symptoms of tennis elbow and what can i do to relieve the pain?

Pain Management 15 years experience

Conservative care: Symptoms typically include pain on the outside of the elbow that occur with prolonged hand/wrist activity as well as pulling the wrist back towards yo... Read More

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429 viewsAnswered >2 years ago

A 35-year-old male asked:

Can a herniated disc heal by using an inversion table? lumbar stretcher? yoga?

Pain Management 15 years experience

Real question: The real question i hear you asking is can conservative treatments such as ones listed improve pain/symptoms associated with disc herniation? The answ... Read More

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5.5k viewsReviewed >2 years ago

Dr. Eric Bluman agrees1 doctor agrees

5 thanks

A 25-year-old female asked:

Why is my neck stiff and i have a headache 3 days after lp?

Pain Management 15 years experience

Post dural HA?: Ha after a LP can be common, and may be related to a condition know as post dural puncture ha (often worsens with sitting up/standing, and improves so... Read More

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5.4k viewsAnswered >2 years ago

A 36-year-old male asked:

Please suggest some good questions i should ask my doctor about back pain.

Pain Management 15 years experience

Ask: Ask your physician if specific braces may help improve ability to tolerate work and activity.

Created for people with ongoing healthcare needs but benefits everyone.

5.3k viewsReviewed >2 years ago

A 34-year-old female asked:

How long does it take to get over a thoracic strain, and is it normal to still be having severe burning pain after almost 5 weeks of injury?

Pain Management 15 years experience

Eval: Any pain that is persistent or progressively worsening should be reevaluated by a physician. Burning pain may represent a pain etiology other than a s... Read More

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5.4k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 28-year-old male asked:

Please describe the medication: oxycodone?

Pain Management 15 years experience

Opioid: Schedule ii controlled medication. Opioid (semi-synthetic) used for analgesia in patients.

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5.4k viewsReviewed >2 years ago

12 thanks

A 33-year-old male asked:

I have a cervical herniation between c5-c6. i have had severe pain in my neck, arm, shoulder for over a month. when can i expect it to heal, if ever?

Pain Management 15 years experience

Disc herniations: Once occured, disc herniations do not "heal". They may improve over time or they may herniate to a further extent.How they r managed depends on sympto... Read More

Created for people with ongoing healthcare needs but benefits everyone.

5.3k viewsReviewed >2 years ago

A 36-year-old male asked:

Please provide some do's and don'ts about dealing with back pain.

Pain Management 15 years experience

Don't: Don't avoid seeing a physician because you think there is little they can offer.

Created for people with ongoing healthcare needs but benefits everyone.

5.3k viewsReviewed >2 years ago

A 41-year-old member asked:

How do i get rid of muscle soreness after a workout?

Pain Management 15 years experience

Multi component: One key is supply your body with the rebuilding blocks it needs including hydration with water and well structured diet. Proper sleep also helps the b... Read More

Created for people with ongoing healthcare needs but benefits everyone.

5.5k viewsReviewed >2 years ago

A 34-year-old member asked:

Is there a non-narcotic pain reliever for the permanent bursitis?

Pain Management 15 years experience

Why permanent?: Bursitis is often a secondary cause of another underlying issue.Rarely does bursitis occur spontaneously without some other defect contributing to its... Read More

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5.5k viewsReviewed >2 years ago

A 43-year-old member asked:

Should i go to my primary care physician or go straight to an orthopedist for knee pain issues?

Pain Management 15 years experience

Depends: Depends in the musculoskeletal knowlegde base of your primary care, the conservativeness of the surgeon, and if you have any reservations about conser... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 38-year-old male asked:

I have disc degeneration from s1 - l5, with l2-l3 almost 100% gone. this is causing severe pain and immobility. please suggest treatment options.?

Pain Management 15 years experience

Control inflammation: Lbp is an extremely common phenomenon, and disc disease is a common cause. The key is to remain active with exercise that doesn't exacerbate the pain ... Read More

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5.5k viewsReviewed >2 years ago

Dr. M. Jay Petruska agrees1 doctor agrees

5 thanks

A 61-year-old female asked:

I am going for a lumbar discectomy 3 weeks after having a steroid epidural for back pain. is this ok or shall i leave the epidural.?

Pain Management 15 years experience

Right hand left hand: 1st i'd make sure both your surgeon and pain physician both know what the other doctor is doing. That always leads to best outcome. An epidural can be... Read More

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5.5k viewsReviewed >2 years ago

A 57-year-old male asked:

50 mg of diclofenac is equivalent to how many mg of ibuprofen?

Pain Management 15 years experience

?: Diclofenac does not have a clear conversion to Ibuprofen as its selectivity for specific cyclooxygenase (cox) is different than ibuprofen.

Created for people with ongoing healthcare needs but benefits everyone.

5.4k viewsReviewed >2 years ago

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A 46-year-old member asked:

What can i do to fight depression after suffering a neck injury?

Pain Management 15 years experience

Common: Chronic pain and depression go hand and hand. Numerous studies have tied depression to higher pain levels in people with chronic pain. It is imperativ... Read More

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5.5k viewsReviewed >2 years ago

A 62-year-old female asked:

I've got trigeminal neuralgia it's been in remission i've got flare ups strong today. will a pain pill help. i'm on 150 trileptal 1 daily.?

Pain Management 15 years experience

Talk to personal doc: Trigeminal neuralgia flares can be exceedingly painful and often require medication to provide pain relief. The type of pain medication used for flare... Read More

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5.5k viewsReviewed >2 years ago

Dr. Ankush Bansal agrees1 doctor agrees

A member asked:

My sister has severe pain and swelling on the inside of her ankle and she has not had any injury. she is 52 years old and works standing all day on concrete kitchen. whatshould she do?

Pain Management 15 years experience

Recommend evaluation: Swelling and pain to a localized region of a joint without known injury or trauma always warrants a formal physician evaluation. Work up may include v... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 30-year-old member asked:

I have shoulder pain, numbness in my hand, tingling sensation from my wrist to my elbow, and neck pain. what could it be?

Pain Management 15 years experience

Electrodiagnostics: The differential of your pain generator/s is large. Nerve conduction studies, electromyography, and possible advanced imaging such as mris may be warr... Read More

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5.5k viewsAnswered >2 years ago

A 47-year-old member asked:

How to relieve shoulder pain from playing lacrosse?

Pain Management 15 years experience

Evaluation needed: Shoulder pain can be caused by a variety of problems, so the 1st step is having an exam to find the causes. Common pain generators may be bursitis, te... Read More

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5.5k viewsReviewed >2 years agoMerged

Dr. M. Jay Petruska agrees1 doctor agrees

A 30-year-old male asked:

How long does hydromet stay in your system for a urine test?

Pain Management 15 years experience

Ranges: There is no definitive answer to how long metabolites of any medication stay in the body, only ranges.

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5.5k viewsReviewed >2 years ago

A 31-year-old member asked:

Ruptured disk --alternatives to back surgery?

Pain Management 15 years experience

Many options: Signs & symptoms are important to consider. Any signs of neurological compromise may warrant surgery.If pain is the main/only symptom then many option... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 26-year-old female asked:

Is muscle soreness common after a professional massage?

Pain Management 15 years experience

Can be: Depending on the type of massage soreness can be common. Deep massages are notorious for having this effect, which is often very transient based on pa... Read More

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5.5k viewsAnswered >2 years ago

A 40-year-old member asked:

Is there a connection between having a bad back with sciatica and cold feet?

Pain Management 15 years experience

Evaluation rec'd: Back pain causing leg pain and vascular problems causing leg pain can be very similar in presentation. It's never a bad idea to have a specialist phys... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 50-year-old male asked:

Have a burning pain in my back on both sides?

Pain Management 15 years experience

Vague symptoms: Other information such as inciting event/truama, time course, exacerbating/relieving factors, referring areas of pain, and concurrent symptoms( fevers... Read More

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5.4k viewsReviewed >2 years ago

A 25-year-old male asked:

I walked with my foot inverted to "fix" my flat feet. i think this caused my hip/back pain for the last 8 years. which doctor should i see for this?

Pain Management 15 years experience

Physiatrist or Pain: A musculoskeletal physician (physiatrist, pain management, sports docs) are best to address injuries and pain associated with biokinetic deficiets lea... Read More

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5.2k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 30-year-old female asked:

Does weak muscles in back have anything to do with sciatic pain?

Pain Management 15 years experience

Indirectly maybe: Directly unlikely. Indirectly, weak "stabilizing" core muscles may lead to the condition. As core stabilizing muscles of the spine/abdomen/pelvis beco... Read More

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5.4k viewsReviewed >2 years ago

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A member asked:

I usually take tramadol for pain but i've recently been given diclofenac 75mg dr tab pac will i have the same results as i was with the tramadol?

Pain Management 15 years experience

?: Those two medications have different mechanisms of action and affect different types portions of the pain pathway. Both may be effective in treatig p... Read More

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5.4k viewsReviewed >2 years ago