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Doctor insights on: Persistent Pain

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Dr. Praveen Mambalam
374 Doctors shared insights

Persistent Pain (Overview)

Persistent pain is pain that occurs most of the day, on most days. Pain that last for more than 4-6 months is called chronic pain. Persistent pain doesn't go away in an expected time frame for the injury. For example, your doctor says it'll be fine in a couple of weeks; if the pain is still present, more days than not, at 3-4 weeks out, its persistent. And, it should be re-evaluated by the doc


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Could gallstones cause persistent pain?

Could gallstones cause persistent pain?

Yes: Abdominal pain, especially if it doesn't go away, may be caused by gallstones. This is called biliary colic and can be cured by removing the gallbladder. See a doctor and get testing done which includes labs and an abdominal ultrasound looking at the gallbladder. ...Read more

Dr. Praveen Mambalam
374 Doctors shared insights

Persistent Pain (Overview)

Persistent pain is pain that occurs most of the day, on most days. Pain that last for more than 4-6 months is called chronic pain. Persistent pain doesn't go away in an expected time frame for the injury. For example, your doctor says it'll be fine in a couple of weeks; if the pain is still present, more days than not, at 3-4 weeks out, its persistent. And, it should be re-evaluated by the doc


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My knees and elbows are very painful. I have chronic pain which has worsened recently. Today, the pain reached my hips. Also, the skin at my elbows and knees is painful to touch. Is it possible that I might be suffering from fatigue?

My knees and elbows are very painful. I have chronic pain which has worsened recently. Today, the pain reached my hips. Also, the skin at my elbows and knees is painful to touch. Is it possible that I might be suffering from fatigue?

Joint Pain: Yes, I agree polyarthritis is arthritis in multiple joint which is often associated with a rheumatologic disorder (rheumatoid arthritis, lupus...). Migratory arthritis, where your pain jumps from one joint to another, brings up the possibility of lyme's disease and other conditions. Definitely talk to your pcp. ...Read more

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Managing Neck Pain (Checklist)

Use your pain medication as directed
once
Avoid fast movements
Once
See your doctor if your neck pain hasn't improved in 1 week
once
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Persistent pain in left leg since childhood, particularly in calf area. How do I treat this?

Persistent pain in left leg since childhood, particularly in calf area. How do I treat this?

Get it evaluated: I doubt that you can treat this yourself. If you have never had the problem evaluated, it is now time to do so. See an orthopedist. ...Read more

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Sore throat, headaches, sharp pain on back of neck & persistent pain (3/10) at base of left ear only. Recently treated 4 bronchitis. Causes?

Sore throat, headaches, sharp pain on back of neck & persistent pain (3/10) at base of left ear only. Recently treated 4 bronchitis. Causes?

New infection: Sounds like you have an upper respiratory infection. An infection of the throat by a virus can cause pain to radiate up into the ear and vise versa. Try taking some ibuprofen, drink lots of fluids and rest. If you develop shortness of breath or high fever then you should see your doctor again. If your throat is red, swollen and has white patches on it, then you should see your doctor. ...Read more

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Managing Knee Pain (Checklist)

Try to determine the cause
Once
If swollen, ice the knee with a bag of ice, frozen peas, etc.
once
See a doctor
Once
Consider seeing a physical therapist
Once
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Where do I even start getting treatment for chronic pain?

Where do I even start getting treatment for chronic pain?

See your physician: Your physician can help evaluate you and decide the correct diagnosis and the best therapy. The treatment of chronic pain can include medications, physical therapy, exercise, sleep evaluation, psychiatric therapy to name a few. It is best if you avoid narcotics or other habit forming meds. This just makes it more difficult for the long term. ...Read more

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What are the advantages and disadvantages of different treatments for chronic pain?

What are the advantages and disadvantages of different treatments for chronic pain?

For which pain?: Can't accurately answer the question without knowing which pain state we are talking about. There are good and bad therapeutic options for all chronic issues but we have to know the specifics and region in question. Get us those details and we will be more than happy to give you more detailed answers. ...Read more

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Managing Pain from Cancer (Checklist)

Ask an oncologist to refer you to a cancer pain specialist
Once
Ask a pain specialist about both interventional and medication options
Once
If you have pancreatic cancer, ask about a celiac plexus block
Once
If you have neuropathy, request a trial of ketamine-based topical creams
Once
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How do I get rid of this persistent back pain?

How do I get rid of this persistent back pain?

Evaluation: There are many causes of persistent back pain. Most cases respond to lumbar strengthening exercises and anti-inflammatories. For persistent pain, the best recommendation is to be evaluated by a spine specialist to understand the cause of the pain, and the best way to treat it. ...Read more

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Living with Ongoing Pain (Checklist)

Go to a physician who is trained to treat chronic pain
Once
Continue to look for more therapies that might be right for you
Once
Make sure to keep moving, as pain will only get worse
Once
Consider counseling for coping strategies
Once
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How can I prevent persistent muscle pain in my back?

How can I prevent persistent muscle pain in my back?

Stay active: Daily stretching along with a physical fitness program is essential to preventing recurrent back pain. If need be anti-inflammatory medications such as advil (ibuprofen) and Motrin will help. ...Read more

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Painful/itching glands/lymphnodes slight, persistent pain and itching in my gland/lymphnode area for the last weeks/months. Seem to be swollen. This seems to get worse when I am stressed out, but I am worried it could be something more serious than simpl

Painful/itching glands/lymphnodes slight, persistent pain and itching in my gland/lymphnode area for the last weeks/months. Seem to be swollen. This seems to get worse when I am stressed out, but I am worried it could be something more serious than simpl

Hard: Hard to know from the description. You have 75-80 lymph nodes in each side of the neck. If they persist for more than 2-3 weeks, they should be checked by a physician. Worrisome things do not fluctuate in size or get bigger just with stress. ...Read more

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Managing Back Pain (Checklist)

Lose weight
Daily
Reduce stress by moving gracefully with tai chi, yoga, or dance
Once
Increase flexibility with gentle exercises and/or physical therapy
Once
Gradually increase muscle tone and strength to support your back
Daily
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What is the definition or description of: Persistent pain?

What is the definition or description of: Persistent pain?

Pain almost daily: Persistent pain is pain that occurs most of the day, on most days. Pain that last for more than 4-6 months is called chronic pain. Persistent pain doesn't go away in an expected time frame for the injury. For example, your doctor says it'll be fine in a couple of weeks; if the pain is still present, more days than not, at 3-4 weeks out, its persistent. And, it should be re-evaluated by the doc ...Read more

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Managing Chronic Pelvic Pain (Checklist)

See your doctor for an evaluation
once
Have a pelvic exam
once
Have an ultrasound
once
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What could be causing a strange, persistent pain at the left ribcage area?

Costochondritis?: You could have inflammation of the cartilage where your ribs connect to your sternum. Other common possiblilites are acid reflux or trapped gas in the colon. As with all persistent pain, it's very important to have your doctor evaluate this for you, and rule out more serious disease. ...Read more

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I have persistent pain in my left side, waist high and lower. It hurts worse when I push in. What could this be?

Must R/O ovary, bowe: Bowel problems, could be muscle or otehr you need an evauation by your doc so give your doc a call today, your doc is on call or has someone covering for him or her. ...Read more

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I'm a healthy 25 y/o male- lots of exercise and a clean diet. For the past few days I've had a minor, but persistent pain on the left side of my chest?

I'm a healthy 25 y/o male- lots of exercise and a clean diet. For the past few days I've had a minor, but persistent pain on the left side of my chest?

? muscle strain: This question is impossible to answer without more specific info and the ability to examine you. It is probably a minor muscle strain. Give it time to heal. If it persists, see a doctor. ...Read more

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My boyfriend has persistent pain in his neck. Why?

My boyfriend has persistent pain in his neck. Why?

Many possible causes: Too many possibilities to list them all: arthritis, disc injury, thyroid problems, swollen lymph glands, strained muscles, referred pain from another part of the body, problems with the shoulder, rib dysfunction, pinched nerve, etc. A good history & physical examination, including an osteopathic hands-on exam could help find and possibly even treat the problem. ...Read more

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What could be the cause of dull, persistent pain in left side of chest?

What could be the cause of dull, persistent pain in left side of chest?

See details: The 3 most common causes are chest wall issues, cardiac or pulmonary disease, you need to have this problem evaluated by a doctor to rule more serious issues. ...Read more

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Hello, I'm having mild and persistent pain on my right testicle for the past two weeks and am worried what this could be please help?

Hello, I'm having mild and persistent pain on my right testicle for the past two weeks and am worried what this could be please help?

Urologist: Several possibilities here but the best thing to do is see a urologist or your primary care doc. He or she can check for possible hernia or torsion to be safe. If torsion this is a medical emergency so please go to doc ASAP. Peace and good health. ...Read more

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I have been waking up, and then subsides, with a persistent pain in my right side towards the back just about the waistline. What could be causing it?

Severl possibilities: It would be good to see your MD or Ob/Gyn as the list is long & could include infection, muscle strain, disc disease, pelvic pain causes to name a few. Your MD would do a complete physical exam, get more history and determine if tests are needed to make the right diagnosis. W/that the correct treatment can be used. In the meantime try massaging area, anti-inflmmatory &/or ice & tell your MD the result ...Read more

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I've been having a persistent pain on my left side of my back a little below my shoulder blade. It has been a month. What could be some causes for this?

Muscle Spasms: Persistent pain on back near shoulder blade on one side is usually muscle. You don't really need a reason to have back pain. Back and neck muscles are small and difficult to stretch. Also problems can begin so slowly they go unnoticed for months - even years. Often when first noticed back muscle pain has been present at low level for a year or so. Likely other muscles/areas involve too ...Read more

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Could gallstones cause persistent pain?

Yes: Abdominal pain, especially if it doesn't go away, may be caused by gallstones. This is called biliary colic and can be cured by removing the gallbladder. See a doctor and get testing done which includes labs and an abdominal ultrasound looking at the gallbladder. ...Read more