Dr. Francisco Alencar jr
Pain Management
MILWAUKEE, WI
21 years experience male
Locations
In transition - Marquette University School of Dentistry (last one)
About
Bio
DDS,MS,MS, PhD with clinical, teaching and research experience in the Chronic Pain field, specifically TMD, Myofascial Pain, Neuropathic Pain, Chronic Headaches, Atypical Facial Pain and associated Sleep Disorders.Focus on conservative management and the use of non opioid medications.
SpecialtiesDoctors 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.
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
22 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 42-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Depends: If it is a new onset headache you should have an MRI to rule out any brain cause for the headache. If it is a chronic headache, meaning you have heada... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
You may but...: It is going to be hard to use it only on tendons. Tens unit can be used in pain inputs, and this can be related to muscle, fascia or tendon pain. But ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Francisco Alencar jranswered
21 years experience
Comprehensive treat: If you have fibromyalgia you probably have also a sleep disorder, meaning most of the days you wake up feeling tired. A sleep disorder can affect your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Celebrex (celecoxib): Because the chances to develop gastric discomfort/pain with Celebrex (celecoxib) is much lower and also because you can take it once or twice a day on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 37-year-old female asked:

Dr. Francisco Alencar jranswered
21 years experience
Pain prior : It is common to have post surgical pain and it will depend on how traumatic the surgery was. However headaches are usually related to myofascial pain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Francisco Alencar jranswered
21 years experience
Wisdom: Wisdom teeth do not have to be extracted if there is enough space for them in your mouth.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Depends: When you bite in one side only, for example right side, you will alleviate the pressure inside the right TMJ and increase the pressure on the left tmj... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A member asked:

Dr. Francisco Alencar jranswered
21 years experience
No, depends: There are preventive and abortive medications. Several different kinds in each category. Best solution is to talk to your doctor and come up either wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Maybe: It can make patients constipated in 1 to 10% of the cases but usually when it is used in IV form, not orally.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Yes: Most of the times poor sleep postures are also associated with daytime poor postures. This creates fatigue and overload in some muscles leading to pai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Depends: A pinched nerve has an etiologic factor, a reason. It could be trauma or bad posture or even muscle contraction. If the etiologic factor is controlled... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Myofascial pain: You might have a neuromuscular trigger point (myofascial pain) that when activated (muscle used) cause pain in the area and also at a distance. Someti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Maybe: Tmj pain when related to an inflammation in the joint is usually exacerbated by heat and alleviated by cold. However if you have a neuromuscular disor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Francisco Alencar jranswered
21 years experience
Confusion: There is no sternocleido musclevsyndrome. It is probably myofascial pain disorder or myofascial pain syndrome which in fact is a sub division of tempo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old male asked:

Dr. Francisco Alencar jranswered
21 years experience
Conservative: Conservative therapies are preferred over invasive ones such as surgery and occlusal adjustments.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Parafunction: Most of the time oral parafunctions such as sleep bruxism and daytime clenching are the major causes for the TMJ pain. Changing the occlusion or bite ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Autonomic system: You should have it checked to be in the safe side, such as having a physical and mri. However, this can be sign of overstimulation of your brain by p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Muscle relaxant: For muscle pain you can use Ibuprofen 400mg or even a central action muscle relaxant, such as Flexeril (cyclobenzaprine hcl) or cyclobenzaprine. This ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 49-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Yes: However there are more especific medications for migraine, such as the triptans (sumax) that are more effective.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Francisco Alencar jranswered
21 years experience
Soft appliance: I agree with the 2 other doctors and would add that due to the fact that these appliances need to be soft to be self adjustable, is a problem. Researc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 34-year-old male asked:

Dr. Francisco Alencar jranswered
21 years experience
Yes and maybe: Central sensitization can be reversed most of the times. Sometimes depending on the patient and pain duration, it can create a nerve pain named neurop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Francisco Alencar jranswered
21 years experience
Chronic: Chronic headaches might be related to myofascial pain and TMJ syndrome.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
18
Thank you notes
Mar 20, 2015
Great doc.
HealthTap member
Mar 31, 2015
Dr. Alencar jr is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Alencar jr is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for expertise. I am 44 and have IBS GERD anxiety &sleeping
HealthTap member
Thank you, your answer was very helpful! Thanks
HealthTap member
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
University of Minnesota, School of Dentistry, TMD and Chronic Orofacial Pain, Graduate School
Graduated 2002MD
Awards
Top Pain Management Specialist , First Place, Wisconsin - Summer
2013
Publications
Botulinum Toxin, Lidocaine, and Dry-Needling Injections in Patients with Myofascial Pain and Headaches
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