Doctor insights on:
Fibromyalgia Treated With Pain Medication
Pain Management: Your doc or your local medical association can refer you to a pain management specialist. They do lots of good work but please do not forget behavioral approaches such as clinical hypnosis (see www.asch.net), biofeedback, massage therapy, talk therapy, etc. Peace and good health. ...Read more
Possibly: Lyrica (pregabalin) does a good job with diabetic peripheral nerve pain, and may be useful with other pain syndromes. Another drug, cymbalta, has now been approved for a variety of non-nerve pain syndromes, and may be a bit more useful with "myofascial pain". You could try either, but high dosage levels may be important, if you can adjust to side effects. ...Read more
Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more
Diagnosed with mononucleosis 2 months ago; consistent, serious, vestibular migraines along with intermittent muscle achiness. Amitriptyline prescribed?
Find cause of N & V.: Fibromyalgia is a syndrome of generalized pain and weakness in numerous parts of body. It is called a syndrome because one can not find any objective evidence of a problem. One mistake the pt and doc make is that once a person is labelled as having "fibromyalgia", there is a trap other sx are part of the syndrome: n & v is not. Doc needs to look for true cause, then rx will become clear. ...Read more
Can cymbalta (duloxetine) help with fibromyalgia pain? Does fibromyalgia cause leg pain along with temperature changes in the leg?
I have chronic back pain (herniated l4-s1) treated by opioids, which are making migraines worse- other options to treat pain in 27 y/o f? Pt failed
Back pain options: Sorry to hear about your pain. Other options in no particular order might include: 1. Disc decompression 2. Acupuncture 3. Core strengthening 4. Epidural steroid injections 5. Medial branch blocks/radiofrequency for associated facet pain 6. Tens unit 7. Non-narcotic meds 8. Surgery. ...Read moreSee 2 more doctor answers
Possibly: There is good evidence that tricyclic antidepressants are helpful in many chronic pain conditions. In addition they can be helpful for sleep. This class of medication does have adverse effects and should be discussed with your physician. Medication in combination with physical therapy, exercise and healthy diet is always more effective. ...Read moreSee 1 more doctor answer
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