Doctor insights on:
Gabapentin And Nerve Pain
Yes and No: Short answer is that any opiate or narcotic, oxycodone, hydrocodone, morphine etc, will help just about any pain. But one develops rapid tolerance to such drugs and in time they become less effective. Most all neuralgias are much more effectively treated with more "nerve specific" meds like Gabapentin and carbamazepine. ...Read moreSee 2 more doctor answers
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Yes and no: Traditionally, lyrica (pregabalin) helps primarily for neuropathic pain and so was used for conditions such as diabetic neuropathy. But lyrica (pregabalin) has now been approved for fibromyalgia, which is characterized by pain coming firm the muscles, facia, and other superficial soft tissues. So it would lead one to think it can help although the mechanism is not clear. ...Read more
Will Neurontin (gabapentin) and percocet control pudenal neuralgia pain , ddd, stenosis in neck, severe chronic abdominal and pelvic pain?
Better option are: : Better options are available for each conditions listed. Severe ddd/c-s stenosis: epidural/surgery. Pudendal neuralgia: surgical decompression is the preferred treatment; pads to avoid pressure while seated; pudendal nerve stimulation; local injection; chronic abd/pelvic pain: opiod induced constipation can worsen this; should work with gyn & GI for better option. Neurontin (gabapentin) okay. ...Read more
I have lumbar hypolordosis, sacroiliac joint pain and sciatic nerve pain and numbness, can these symptoms be linked?
Both can be helpful: Both Lyrica (pregabalin) and Gabapentin are used to treat the pain of neuropathy (burning, tingling and sharp, stabbing pain). People respond differently to different medications, so one might work better for one person than another. Some people have side effects to one or the other. If one doesn't work (at what should be an effective dose), it would be worthwhile to try the other. ...Read more
Can ADHD meds cause nerve damage? Ie numbness in fingers and joints, neck/shoulder tenseness, crippling sciatic nerve pain. Are these all related?
No. Stimulants can : Constrict blood vesselsraise blood pressure (usually by 5-6 mm hg) & ? pulse (usually by 5-6 beats/minute), but they don't cause impingement of nerve roots with numbness, tingling & pain in the areas served by specific nerves. See your primary care to initiate evaluation for the cause of your symptoms. ...Read more
Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem i see is practitioners titrating to a high enough dose to get a reduction in pain. ...Read more
Does nerve conductive study and emg prove nerve damage or nerve pain like sciatica? Can you have sciatic pain and normal results ftom these tests
Shows function loss: Emg and nerve conduction studies are very good at detecting nerves that have been damaged to the point where the nerves are losing function, but are not always sensitive to less severe damage that is causing nerve irritation without loss of function, or to disease elsewhere in the body, such as in the brain or spinal cord. ...Read moreSee 3 more doctor answers
Depends...: It's not possible to predict how medication will work on a specific person.It also depends on which pain patch you are talking about and how severe the pain is.If only topical patches and pain is mild to moderate it can help,if pain is severe most likely not.If the pain patch is fentanyl or any other strong narcotic it should help for severe pain.Make sure it has been prescribed by your doctor. ...Read more
I have bilateral carpal tunnel syndrome, also c5-6 pinched nerve, will carpal tunnel surgery lessen the pain and numbness and tingling?
EMG/NCV: I suggest you get a emg/ncv study (if you have had symptoms more than 3 months) to determine if you have carpal tunnel syndrome and/or c5/6 radiculopathy. This is the best way of determining your actual diagnosis and not a steroid injection. Good luck. ...Read moreSee 6 more doctor answers
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