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Doctor insights on: Chronic Pain Management

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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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Analgesia (Definition)

Analgesia is the decrease or absence of pain sensibility without a loss of consciousness. Experiencing pain relief may happen without a person ...Read more


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Pain management clinics treat pain for what conditions?

Pain management clinics treat pain for what conditions?

Really all types: Most pain clinics will treat pain due to many different problems...arthritis, pinched nerves, chronic back pain,etc. Generally speaking though, the source of the pain should have been evaluated and treated to the fullest extent before a pain clinic would take over. ...Read more

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Can fibromyalgia pain require narcotic pain medication?

Can fibromyalgia pain require narcotic pain medication?

Rarely: Opioids are a last resort and are only considered an option if all traditional medications have failed. ...Read more

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Back pain pain management. Any help/thoughts?

Back pain pain management. Any help/thoughts?

Back pain: The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement ... The treatment depends on the cause of the pain. It might include physical therapy, exercise, medication, accupunture, chiropractic therapy, injection ... If your pain persists, you should seek help from a pain management doctor. You might benefit from a comprehensive evaluation and treatment. ...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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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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Suffering chronic mouth pain issues. Suggestions?

Suffering chronic mouth pain issues. Suggestions?

Many causes: If you have not had a thorough evaluation to find the cause of your mouth pain, then this needs to be your first stop. I would suggest seeing a doctor or dermatologist who specializes in oral diseases. There are many causes for chronic mouth pain and the treatments are quite different depending on cause. Best of luck to you. ...Read more

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How does acupuncture help pain management for severe back/leg pain with sciatic pain?

How does acupuncture help pain management for severe back/leg pain with sciatic pain?

Acupuncture: It is considered a viable additional or adjunctive therapy that can help contribute to relief. Acupuncture involves placement of almost microscopic needle tips into 'meridians'. It is not painful. ...Read more

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What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

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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Addiction medicine or pain management?

For what: If you are addicted to pain medications see an addiction specialist. If you have pain see a pain management specialist. ...Read more

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Manageing back pain

Manageing back pain

See below: There are many potential causes of lumbago or low back pain. The most common causes are related to strain or injury to the mucles and/or structures of the lower spine. While a "cure" often depends on the actual cause, prevention can be obtained by maintaining a healthy weight, good flexibility, and a strong core. See your physician if you have pain greater than 2 weeks. ...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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Narcotics for treating chronic back pain and side effects?

Narcotics for treating chronic back pain and side effects?

No: Narcotics can be used in the short term, but you need to find out what is the cause of your pain. Seek a spinal specialist. ...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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How addictive are pain medications for chronic pain?

How addictive are pain medications for chronic pain?

Addiction vs : Dependence. Chronic administration of narcotic analgesics will result in a physical dependence, meaning that the body accommodates to a number of the medication effects and if suddenly stopped the person will go through a withdrawal. Addiction is a pattern of maladative use leading to an inability to function normally. Chronic pain patients on appropriate medication can function well. ...Read more

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Severe abdominal pain with chronic diarrhea, several mis-diagnosis'?

See details: The causes are many including ibs, celiac disease, lactose intolerance and inflammatory bowel disease. The only reasonable advice is to speak with a gastroenterologist or seek a 2nd one if you have already seen one previously. ...Read more

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Can lyrica (pregabalin) help with my chronic myofascial pain syndrome?

Can lyrica (pregabalin) help with my chronic myofascial pain syndrome?

Possibly: Lyrica (pregabalin) does a good job with diabetic peripheral nerve pain, and may be useful with other pain syndromes. Another drug, cymbalta, has now been approved for a variety of non-nerve pain syndromes, and may be a bit more useful with "myofascial pain". You could try either, but high dosage levels may be important, if you can adjust to side effects. ...Read more

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Chronic regional pain syndrome, any advice on coping?

Chronic regional pain syndrome, any advice on coping?

CrPS: Find out about some local support groups - they are all over. Go to them and you will get the support and coping advice you seek. ...Read more

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I have severe muscle pain- myofascial muscle pain. Treatment and medication recommendations?

If indeed it is as U: say, & not due 2 exercise, & U feel that it is fibromyalgia, U need 2 B evaled. by a neurologist who specializes in this. Or an MD in physical medicine & rehabilitation. ...Read more

Dr. Satvinder Dhesi
1,456 doctors shared insights

Pain Management (Definition)

Pain management is the control of pain through medication, ...Read more