Doctor insights on:
Chronic Pain And Musculoskeletal Pain
Foiled Fibromyalgia: Many believe that fibromyalgia is a 'dysregulation' of the normal sensory input of the body. If true, this irritability can lead to chronic pain for some. The most successful patients seem to be those who remain active despite their symptoms and address chronic inflammation through proper diet, herbal supplements and medication as appropriate. Address the mind-body connection with meditation. ...Read moreSee 1 more doctor answer
Interested in biofeedback device to help with chronic musculoskeletal pain & severe anxiety. Do I have to get an rx, or can I order something online?
Generally not but...: For biofeedback devices like the emwave from heartmath no prescription is required, though if you want to use it as a medical expense deduction a prescription would help. Some other types of devices that might help, such as the alpha-stim, do require prescriptions. For optimal relief it would be best to do both biofeedback and microcurrent devices. ...Read moreSee 2 more doctor answers
Chronic pain syndrome. How to treat oversensitive nerves that cause pain in musculoskeletal system? Use psychiatric drugs?
Intelligent: Your question is exceptionallly intelligent. You know that chronic pain involves oversensitized nerves. It also tends to involve emotional factors, which then further worsen the pain and its impairments. Those factors can be treated with "psychiatric drugs," -- certain ones -- but it takes an informed clinician to handle the pain, the drug iteractions, etc. This can actually reduce the pain. ...Read more
A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?
Holistic/Integrative: I advise you see a holistic/integrative MD to determine the underlying causes. I would suspect chronic Lyme disease, which is common in NY but often not properly diagnosed. Even if not Lyme a holistic MD will do a thorough evaluation and refer you to appropriate specialists. See http://www.lymedisease.org/lyme101/lyme_disease/lyme_disease.html and http://www.abihm.org/search-doctors ...Read more
See below: Idiopathic is simply a fancy term to say that we do not know what the cause is. In this case, this would be a very general term that states that the person has musculoskeletal pain and we do not know the cause. The condition that comes closest to this is fibromyalgia which is widespread muscular pain whose cause is unknown. ...Read more
Amplified pain.: This pain syndrome is more common (or more documented) in children. When a painful stimulus is experienced, the body doesn't process the message in the normal way. The pain message gets rerouted along additional nerve pathways. But the pain is amplified because of the additional pathways. Need more room for more. A rheumatologist or neurologist can best help first. ...Read more
Challenging: This is a diagnosis of exclusion, meaning that no other diagnosis can be found. If may require a long workup. ...Read more
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