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Doctor insights on: Best Chronic Pain

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What kind of pain reliever works best for chronic back pain?

What kind of pain reliever works best for chronic back pain?

There is no one type: That works best but since pain is usually related to an inflammatory source, non steroidal anti inflammatories are frequently recommended if no contraindications to their use. Other meds include: cymbalta, (duloxetine) gabapentin, Amitriptyline especially if the pain is neuropathic in origin. Sometimes they are used in combination. ...Read more

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Pain management for chronic back pain?

Options: Always start conservative with any chronic pain, if you can, depending on the severity of the symptoms. If over-the-counter medications, short rest, ice/heat, stretching/exercise, doesn't relieve the problem, seek professional advise. You might need different prescription meds, injections into the pain generators of the spine, physical therapy, to help decrease the pain. ...Read more

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Chronic pain symptoms. What is fibromyalgia pain?

Chronic pain symptoms. What is fibromyalgia pain?

Specific pattern: Fibromyalgia is a syndrome that consists of widespread muscle pain often associated with fatigue, poor sleep and joint stiffness and specific tender points. It is a real disorder yet not yet well-understood. Sometimes other conditions like lyme disease are misdiagnosed as fibromyalgia. Mainstream treatment tends to focus on symptom relief but a more holistic approach is often helpful. See comment:. ...Read more

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What are the best pain relievers for severe chronic joint pain as with arthritis?

NSAIDs : Nsaids are the first line agents- be careful of GI or cv side effects. Dont forget about stretching and exercising! ...Read more

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What pain medication is strongest for chronic back pain?

Complicated Answer: It is not so much which medication is strongest, but rather which one is best for you depending on the cause of your pain and anticipated duration. Also, one must consider kidney and liver function when prescribing various types of pain medications. Some of the classes of drugs used to treat pain include narcotics, anti-inflammatories, anti-depressants, and topical applications. ...Read more

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Ideas? What pain killer is the best for severe back and chronic pain that works?

See pain management: There are numerous types of medications as well as minor surgical procedures that can control your pain. A pain management specialist can diagnose and treat your pain reasonably well. ...Read more

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How to relieve chronic pain from RSD?

How to relieve chronic pain from RSD?

Multifaceted : The term reflex sympathetic dystrophy is spoken of nowadays as complex regional pain syndrome. The approach to as you correctly stated "relieving pain"requires skill and patience on both the doctors as well as the patients parts. Proper medication, psychotherapy, exercise therapy, and other ancillary support interventions are usually found to be the best. Unfortunately, no one size fits all here. ...Read more

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What is new in non-narcotic chronic back pain management?

Complementary: Chronic pain has been traditionally been treated by either using opiod based narcotics or non-opiods as ibuprofen/tylenol. Now usage of central acting meds like Gabapentin or Cymbalta (duloxetine) has gained grounds. For non traditional approach, complementary health such as acupuncture works! ...Read more

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How to manage back pain chronic back pain?

How to manage back pain chronic back pain?

Conservative is best: Start with conservative treatment such as physical therapy(including strengthening and stretching)& anti-inflammatory meds. Regular exercise, weight loss & smoking cessation are also helpful. Opioid pain medicines not ideal for chronic back pain as they can reset pain tolerance and lead to dependence. Be sure to see a physician first to evaluate whether there is any significant underlying pathology. ...Read more

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Dr. Brian Le Dr. Le
3 doctors agreed:
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What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

Dr. Brian Le Dr. Le
3 doctors agreed:
What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

Pain killers: The best pain killer for the hip and leg pain is the one that relieves your pain. It can be over the counter medication like Ibuprofen or tylenol, (acetaminophen) or prescription medication like nsaids, muscle relaxants, narcotics ... ...Read more

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What OTC pain medicine is best for back pain. ?

What OTC pain medicine is best for back pain. ?

Not a best: Nonsteroidal anti-inflammatory drugs (NSAIDS) can help with both pain relief and in reducing inflammation. Examples are ibuprofen (like Advil, Nuprin or Motrin), Naproxen sodium (like Aleve, (naproxen) Naprosyn, Anaprox) or Asprin (such as Bayer, Ecotrin, Ascriptin). Avoid NSAID's if pregnant or allergic to them. In that situation can consider acetaminophen. ...Read more

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What pain relief is best for pancreatitis?

What pain relief is best for  pancreatitis?

Intestinal rest: Basically the principle is to rest the intestine, so that there is minimal pancreatic secretion. Pancreatic enzymes degrade protein, but with injury or malfunction of the pancreas it may autolize or damage nearby tissues. So parenteral feedings for acute bouts and appropriate narcotics to treat the pain and decrease stress. ...Read more

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What pain medication is best for severe pain?

What pain medication is best for severe pain?

One that works: There is no best medication. You would be well advised to start at the lowest dose and titrate up under a dictor's direction. ...Read more

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Chronic piles with back pain. Kindly assist?

Chronic piles with back pain. Kindly assist?

Sure, but...: Need diagnosis first. "cure" depends on if simply just hemorrhoids/fissure or something serious. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? History of colitis, infection, rectal/anal trauma or high risk? With back pain, best to get checked now. ...Read more

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What is the best remedy for chronic back pain from bad bed?

New bed: I would suggest starting with a new mattress. Rest, gentle stretching and heat are good treatments in addition to otc nsaids. ...Read more

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Best pain meds for sciatic pain?

Another option: For sciatic pain is acupuncture. It can work well hand in hand with standard western medicine approaches. ...Read more

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What are the best medicines for severe chronic pain?

See details: It depends on the cause of the pain. There are numerous options including gabapentin, lyrica, (pregabalin) Cymbalta and opioid pain meds. ...Read more

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What is the best treatment for chronic neck pain & associated occipital headaches?

What is the best treatment for chronic neck pain & associated occipital headaches?

Several: Treatment for neck pain/occipital headaches may include: physical therapy, massage, accupuncture, trigger point injections, chiropractic and occipital nerve blocks. You may want to start with the least invasive treatments first. ...Read more

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