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Doctor insights on: Analgesia

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Analgesia (Overview)

Analgesia is the decrease or absence of pain sensibility without a loss of consciousness. Experiencing pain relief may happen without a person needing to be unconscious.


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What is analgesia and how is it used during a root canal?

What is analgesia and how is it used during a root canal?

None during RCT: Analgesia is not trypically used during rct, as the procedure is done under local anesthesia. Your dentist may prescribe nsaids after the procedure if necessary.

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Analgesia (Overview)

Analgesia is the decrease or absence of pain sensibility without a loss of consciousness. Experiencing pain relief may happen without a person needing to be unconscious.


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I hear people talk about pain management doctors. What exactly do they do?

I hear people talk about pain management doctors. What exactly do they do?

Good ones: Perform a comprehensive evaluation of your painful condition and develop a plan to further evaluate the condition if needed, as well as a treatment plan to address the pain. Treatment may include counseling and lifestyle modification to medications, interventional injections and surgical consultation if needed. Any doctor can call themselves a pain management specialist, so beware.

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Dr. Brian Le Dr. Le
1 doctor agreed:
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How common is it to be prescribed methadone for pain management?

Dr. Brian Le Dr. Le
1 doctor agreed:
How common is it to be prescribed methadone for pain management?

Methadone: Methadone is a narcotic medication. It is commonly known as medication for narcotic addiction. However, it's not uncommon to see Methadone used for chronic pain conditions.

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What will you do if the analgesia is not effective?

What will you do if the analgesia is not effective?

Different approach: If you are talking about pain after surgery, different types of pain relief are possible and may be used in combination. Your doctor may prescribe a narcotic (vicodin, dilaudid, etc.) along with tylenol (acetaminophen) or a NSAID such as ibuprofen. Depending on the type of surgery, a nerve block or epidural might be helpful for postop pain. We would need more information about the specific cause of the pain.

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Are there other pain management options than drugs that would work just as well?

Are there other pain management options than drugs that would work just as well?

Depends: Pain mgmt doesn't consist just of drugs. Drugs may be given to alleviate pain or treat the underlying problem. Depending on the particular problem anything from physical therapy and exercise to invasive procedures may be recommended.

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For pain management: how much vicodin is safe?

For pain management: how much vicodin is safe?

Vicodin: Vicodin 5/500 has been discontinued and replaced by 5/300 the max dose is listed at 6 per day for a short period

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Warfarin user refused neck surgery too dangerous need warfarin friendly pain management medicine artificial aorotic heart valve?

Warfarin user refused neck surgery too dangerous need warfarin friendly pain management medicine artificial aorotic heart valve?

Second Opinion: This is not an unusual problem. You cam be transitioned to another anti-coagulant with the help of your cardiologist prior to the operation. The surgeon can then do the surgery and you can be placed back on your coumadin (warfarin). Discuss with your cardiologist about recommendations for another surgeon.

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What are the main side effects of methadone (for pain management)?

What are the main side effects of methadone (for pain management)?

Many: I personally do not use Methadone as I feel the dangers outweigh any advantage over other opioids. The most significant side effects are that of breathing suppression and heart electrical conduction problems.

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Can my dr at pain management give me methadone for my chronic pain? Would it last longer than regular pain killers? I need opinions please.

Can my dr at pain management give me methadone for my chronic pain? Would it last longer than regular pain killers? I need opinions please.

Chronic Pain: You have to discuss with your pain specialist if Methadone is the right grug for your kind of pain and what else you can take and do including therapy, nerve blocks to spare the use of narcotics, which are very addictive and you develop tolerance if you use these long term narcotics are not the answer for all chronic pain.

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Pain Management: How long can the positive effects of a cervical facet joint nerve block diagnostic test last before retreatment (been 1 month now)?

Pain Management: How long can the positive effects of a cervical facet joint nerve block diagnostic test last before retreatment (been 1 month now)?

Facet block: Most patients report a benefit lasting 1-3 months although some patients report longer benefit. Benefits in the cervical paraspinals are limited compared to lumbar intra-articular facet blocks.

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Do you develop drug tolerance to analgesia?

Do you develop drug tolerance to analgesia?

Narcotics, yes: It's easy to develop tolerance to narcotic medications (morphine, demerol, dilaudid, vicodin, etc.) if they are taken for more than a few days. This means that it will take more and more drug to produce the same level of pain relief. Other types of analgesia, or pain relief, do not produce tolerance. These include local anesthetics, tylenol, (acetaminophen) or nsaids such as Ibuprofen or naprosyn.

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What will you do if the analgesia is not effective?

Different approach: If you are talking about pain after surgery, different types of pain relief are possible and may be used in combination. Your doctor may prescribe a narcotic (vicodin, dilaudid, etc.) along with tylenol (acetaminophen) or a NSAID such as ibuprofen. Depending on the type of surgery, a nerve block or epidural might be helpful for postop pain. We would need more information about the specific cause of the pain.

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What is the definition or description of: analgesia?

What is the definition or description of: analgesia?

Pain Relief: Analgesia is the decrease or absence of pain sensibility without a loss of consciousness. Experiencing pain relief may happen without a person needing to be unconscious.

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Dr. Satvinder Dhesi
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