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Specialists in pain mgt
chattanooga, TN
Phone
Practice website
About
Bio
Pain mgt specialist. Anesthesia 39yrs
Medical director specialists pain management chattanooga tn
Board member TNSipp
Member county regional health council
Chairperson subcommittee dependence and substance abuse new board certification pain medicine
Pain expert for DOJ and th dept of health
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.
Anesthesiology
Pain Management
Licenses
United States: Georgia, North Carolina, Tennessee
Languages spoken
English
Doctor Q&A
71 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 54-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Elbow: No reason not to try single injection of good steroid. Could try to aspirate to send for micro
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain: Be careful of treating x Rays only. I need a good physical exam to determine possible pain generators and conservative treatment probably also need t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Epidurals : post op epidurals are usually used to provide pain control for a region of the body with less sedation properties and only for a certain period of tim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Breakthru : methadone is a powerful analgesic with a long half life. Oxycodone is a short acting powerful pain medicine to be taken in your case only during a bre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain management : Pain management is the practise of controlling pain when there is no cure but interfering with a persons function and quality of life. There are many ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years agoMerged
A 48-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Demerol (meperidine hydrochloride): Demerol (meperidine hydrochloride) is a short acting drug and highly addictive because of euphoria. Also with too much can cause seizures. There are m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain: All pain meds should be matched for each person There is not a specific best for all individuals
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 45-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain control: this is not any easy answer. In general I would use various modalities to help a person to increase function and quality of life with difficult painfu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Muscle: At this point probably not from gabapentin so should look for other cause
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Diclo: Either way is not completely safe. Any NSAIDs can cause kidney function problems or stomach gastritis and bleeding. Suggest in moderation only and not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Cirrhosis: Always remember moderation instead of excess. Heavy dose tylenol (acetaminophen) greater then 3000-4000 mg per day. Alcohol can enhance with excess... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 49-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Shoulder : Unfortunately I have seen many patients like u continuing to have pain long after healing should have occurred. The surgery is mostly for increased ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years agoMerged
A 53-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Any nerve: Hopefully someone is also using one of the neuropathic pain meds you should have had at least 50% pain relief for 6 wks to have another. Be careful w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain meds: Because of abuse of some people. This includes some bad providers who have and continue to run pill mills requiring the government to set higher rules... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Patch: Butrans patch is only prescribe for chronic around the clock pain. However if a person is already on high dose pain pills not indicated. It is however... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Bier: we used to do bier blocks with various drugs for neuropathy of different types. It's been shown not to be that effective long term. If the pain is sy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
LaB: There are two types of uds. One is immuno in office sometimes false results however should be checked by gas chromatography for the sure results
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Roxi: Pcp is not an addictionologist and most likely refuse. U should go to the provider prescribing the short acting high dose oxycodone hopefully for some... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Butrans: Butrans is a 7 day patch for moderate-severe pain for continuous blood level however one should expect pain control by 1/3 or 30% and not 100% it is a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain patch: There are many different pain patches which could help. However I would try to find cause
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Shingles: Shingles is serious at any age. U should receive an antiviral and consider a ganglionic nerve block to prevent post herpetic neuralgia which is a ser... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Back surgery: unfortunately back surgery is not a cure all If pressure is all u have at this point consider urself lucky as i see many failed back surgeries with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain: Make sure that ur not dealing with side effects which at times can be controlled and not a true allergic reaction that is life threatening as this lis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Interventional: Pain management using various injections for diagnostic and/or therapeutic reasons should be done by well trained expert
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Spine: There are many treatments for spine problems. Imaging and a good physical should be done first to help determine the reason for the pain by a good Ind... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
NSAID : Hopefully someone has checked ur kidney function which can be impaired with hypertension. NSAID in general can create problem with kidney function
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 55-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Shoulder: Could be bursitis try ibuprofen 800mg 3 times a day for 4-5days with food and low heating pad. Try to give it a rest
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Lyrica (pregabalin): Your provider should know this it's possible might try one a day at night for a week or two. Again talk to provider
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Poppy: it comes from the plant from which natural drugs like morphine is derived
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Migraine: This drug should be for bailout only. If taken everyday can cause rebound headache and convert episodic migraine to chronic daily headaches
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pain: Stadol is an antagonist to most other normal pain meds. It has gone out of favor in most pain situations. It can cause delirium and poor pain control
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 19-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Lortab: Short time use of miralax (polyethylene glycol) or senna otc could be helpful If can not try ducolax suppository
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pills: Yes for controlled drugs such as pain pills and anxiety pills
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Oxycodone: Some are short acting Some have abuse deterrent properties some have timed release properties. Some contain additives such as acetaminophen
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Codeine: 4-6 hrs at most
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Tramadol : From normal doses it's quite easy and very little chance of physical withdrawal decrease by one pill every 3 days would be quite conservative. Of cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 23-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Withdrawal: At this point I would have to look for other reasons real hard for your symptoms
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Ok in combination: There is no interaction between these medicines. Remember however that Percocet contains acetaminophen and OTC Tylenol in addition could cause a liver... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Arthritis : There are 2 major types of arthritis. Osteo or rheumatoid. There are various treatments for either. Should discuss with your primary care person first
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 50-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Shoulder pain: And X-ray of shoulder is needed as well as good physical exam to delineate shoulder joint problem or neck problem referred to the arm
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Head pain: X-ray of neck could be helpful It is possible to be occipital neuralgia and treatable with neuralgia medicine and or nerve block
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 54-year-old male asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Arthitis: Assuming your pain is from the joints in your back(facets) check in to someone who injects them and can do radio frequency of the nerves to the joints... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 42-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Flex: This drug main side effect is sedation. Suggest try only at night otherwise can help muscle spasm
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Headache: If this is happening often u should keep a headache diary and start with ur primary care provider. Hate that ur having to miss school with it particul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Back pain: From those symptoms and length of time u certainly deserve an X-ray nog ur lumbar spine to help diagnose the problem
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 43-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Pancreatitis : Make sure u only use dilaudid for acute bout of pain as tolerance to that drug could be an issue in the future secondly ask your gi doc for someone wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Spinal: U should notify the person who performed the procedure ASAP as there are treatments to help prevent further problem. This can be a serious issue
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Tylenol (acetaminophen): The major problem with Tylenol (acetaminophen) is possible liver toxicity. Usually greater the 3-4000 mg per day. So liver enzymes should be checked
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Analgesics : Often used in combination work better then individually chemically because they work at different levels to interfere with pain
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 60-year-old female asked:
Dr. Thomas Milleranswered
Anesthesiology 48 years experience
Meds: Both these meds have acetaminophen codeine has a history of more nausea and upset stomach. Either one can help pain and depends on the individual resp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >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.
4
Recommendations
68
Thank you notes
HealthTap member
Feb 28, 2017
Dr Miller is a wonderful physician. He has treated me and I would highly recommend him. He is a very caring physician who is dedicated to his profession.
HealthTap member
Mar 31, 2015
Dr. Miller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Miller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for taking your time to help me. Not sure if anyone has checked my kidneys. I've had blood work done to check over all health?
HealthTap member
Thank you, your answer was very helpful! Thankyou, I thought something wasn't right, you have just confirmed ty
HealthTap member
Your answer was very helpful! Thanks :) Have had all mentioned done, I still have to seek ER/ recurring Acute
Education & Training
Medical/Graduate school
University of Texas Medical School at San Antonio, TX
Graduated 1975MD
Residency
North Carolina memorial chapel hill nc
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