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Doctor insights on: Chronic Pain

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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.

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Dr. Praveen Mambalam
374 Doctors shared insights

Persistent Pain (Definition)

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 ...Read more


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How much does chronic pain costs the healthcare system and society as a whole?

How much does chronic pain costs the healthcare system and society as a whole?

Societal Pain Stats: Chronic pain exacts a huge toll on society, in the tens of billions of dollars per year, mostly in lost productivity due to absenteeism from work secondary to pain. Direct costs for the provision of care are also staggering as is the cost to provide oversight and surveillance by healthcare, pharmaceutical and police enforcement organizations. As we live longer, pain is likely to affect us all.

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Can cutaneous non albican candidiasis affecting skin folds (foreskin) cause epididymo-orchitis/prostatitis symptoms? Chronic pain, pelvic region too

Can cutaneous non albican candidiasis affecting skin folds (foreskin) cause epididymo-orchitis/prostatitis symptoms? Chronic pain, pelvic region too

Yeast infection: If confined to cutaneous areas it will not produce the symptoms you are describing. Suggest you see a urologist and be fully evaluated soon.

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Want to get on with my life. How is chronic pain diagnosed? When can treatment start?

Want to get on with my life. How is chronic pain diagnosed? When can treatment start?

Chronic pain: Chronic pain can be due to many problems: trauma, injury, chronic diseases, cancer, inflammation, etc. It is best to speak with your doctor and explain how long have you had, what worsens or improves it, how long it last and they can better assist you. Also engage in alternative therapies such as yoga/tai chi, acupuncture since all of this can help with chronic pain.

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Would it be useful to do an rnp test for chronic pain and joint pain? What would it show?

Would it be useful to do an rnp test for chronic pain and joint pain? What would it show?

See details: The rnp has little value except high values may be associated with mixed connective tissue disorder. If mctd is not suspected on clinical grounds, the test will not help.

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What causes chronic pain in some, but not others, given similar/same circumstances?

Variability: The answer is very complex, and somewhat theoretical. No two people are the same. Processing of pain is different in different people. No two injuries are the same. People's percetion of pain and pain tolerance differs. As you see there are many variables.

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How can I treat chronic pain?

How can I treat chronic pain?

IV Myer's: I have had great success with my patients with chronic pain using a combination of IV nutritional support (myer's cocktail) along with msm 5 gm/ vit c 2 gm 3x/day. This anti-oxidant power house is great at relieving the oxidative stress that perpetuates the pain cycle, neuro feedback is also shown to help break the cycles of pain (www. Clearmindcenter. Com).

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What kind of doctor treats chronic back pain?

What kind of doctor treats chronic back pain?

Many doctors do: Great question: there are many doctors that are qualified to treat back pain. To start off, the family doctor and other gps treat back pain. When they need to enlist the help of a specialist they can refer to a physiatrist, neurosurgeon, orthopedic surgeon, or an osteopathic doctor for omt. Certain doctors perform injections that can help these include: radiologists, physiatrists, and anesthesia.

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I am treated for chronic pain and depression, but it takes all I have to make it to work daily. What else can I do?

Dep./Chronic pain: If you are already in therapy (counseling) & prescribed medications, you might want to look into pain management specialists, acupuncture, meditation/yoga, hypnosis. Ask your doctor or therapist about those.

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What's your opinion on treating chronic pain?

What's your opinion on treating chronic pain?

Treating chronic pai: Treating chronic pain is not "taboo". You need an in depth evaluation and examination by a board certified pain specialist. This is important in order to determine a treatment plan. All too often the pmd starts with medications which may or may not be appropriate.

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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.

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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.

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Is removing mesh aftet iguinal hernia repair is complicated? And what can be done to cure chronic pain after suegery?

Is removing mesh aftet iguinal hernia repair is complicated? And what can be done to cure chronic pain after suegery?

No but: What the reason to remove, is complicated, like infection inside tissue planes, must speak to your surgeon, most common cause for chronic pain the nerve being pinched by scar tissue

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And how do you get rid of chronic pain?

And how do you get rid of chronic pain?

Important: Certain meds perpetuate and worsen chronic pain. Make sure your regimen is not working against you.

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What are effective prescription drugs for chronic pain?

Many options: Chronic pain can be difficult to treat. What works for one person might not work for someone else. If you have chronic pain it is best to see a pain specialist to go over the various options. Some would include nsaids and anti-depressants. Narcotics are usually a last resort due to the risk of dependence, tolerance, and addiction.

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Osteonecrosis of both hips surgery or tablets - have chronic pain take methadone for the pain family want me to have surgery but dr wants to try meds?

Osteonecrosis of both hips surgery or tablets - have chronic pain take methadone for the pain family want me to have surgery but dr wants to try meds?

Hard to say: Depends on your surgical risk. If average which I would assume looking at your age, then it is my opinion that surgical treatment would be only option as eventually the hips would further necrosis making hip replacement less successful. And more difficult you also do not want to be dependent upon opioids for the rest of your life starting at age 46. Imo Methadone not a good choice in treatmen.

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Eating from chronic pain & chronic fatigue. Advice on preventing this maladaptive response?

One idea: You might need to see a specialist to talk this out but one suggestion I have is to change your snacks. Instead of eating processed foods, replace it with something healthy instead like celery sticks, carrots... These have zero to low calories and require a lot of energy to chew which might help you with weight, as well as your digestive system. Good luck.

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I live n chronic pain 24?

Pain Management: Hello: please make an appointment with a pain management specialist who can diagnose the cause of your pain and create a treatment plan to relieve or reduce the pain. Best regards: mark reed, dpm www. Footpain. Org.

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