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Doctor insights on: Chronic Pain Management

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What is an alternative to opiods or weed for chronic pain management?

What is an alternative to opiods or weed for chronic pain management?

Chronic pain: First & foremost, with the help of your doctor, find the cause of the pain! ...Read more

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Dr. Laurence Badgley
1,110 doctors shared insights

Chronic Pain (Definition)

classic definition is pain older than 6 months. More recent definitions: Pain beyond the normal healing period, pain associated with psychological impact. Any pain that started as acute after and injury to surgery, but continues beyond the healing ...Read more


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Is there any real hope for chronic pain management for addicts, especially those who'd like to be honest with their docs, but not get judged?

Pain control: You assume that pain control requires narcotics. There are many strategies for pain control that don't. The strategy depends on the cause, source and type of pain. Sometimes there are physical methods, e.g. Yoga and/or accupuncture, or cognitive strategies, including hypnosis and other coping mechanisms, and various other types of non-addictive medications. Consider consulting a pain clinic. ...Read more

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What is better for chronic pain management fentanyl patches or buprenex (buprenorphine)?

What is better for chronic pain management fentanyl patches or buprenex (buprenorphine)?

Neither: Neither. See a pain specialist who does not hand out narcotics. If you must have one, try for generic ms-contin. Less absue and diversion potential. ...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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I was diagnosed with Nerve root disorder, Lumbar radiculopathy, chronic, and my pain management said surgery is not needed and nothing more he can do.

Second Opinion: Your pain doctor may know much about your problem, but is not a surgeon. A surgeon has different experiences and training, and may have better insight for advanced treatments for which the pain doctor has no first hand experience. I would absolutely see a surgeon for at least an opinion. Surgery is not always the best treatment, but if it is a viable option it should be offered. ...Read more

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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. ...Read more

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How do I find a dr to give me more effective pain management for chronic pain of fibromyalgia? My current dr. Refuses to increase the vicodin

Not indicated: Opioids are not clinically indicated for fibromyalgia. This is a tough condition with few proven treatments. I would recommend a comprehensive approach to your pain. If you do respond to opioids then i would question the diagnosis of fibromyalgia as the main source of your pain. ...Read more

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I have prescriptions for level two medications for chronic pain. I am having difficulties locating a pain management doctors. What are your thoughts?

Unfortunately: The current climate of the profession is making it difficult to find doctor's that are willing to treat chronic pain. Even if you find a pain management doctor, he or she may be unwilling to prescribe your medications. Try finding a localgeneral practice or internal medicine doctor. Have your medical records with you. If your condition warrents the meds, you should be ok. ...Read more

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Looking 4 help with pain. Had 4 r cuff surgeries, have chronic pain, cause unknown, MRI good, in pain management, on exalgo 16mg. Ice and heat don't help.

Rotator cuff: Other options - raising the dose of Exalgo as long as you do have side effects from this, topical medicants like pennsaid, possible a tens unit, compounded medicants that have a variety of different medications in them, cold laser (loe level laser treatment), shoulder joint injections may be considered as well. As a last resort a peripheral nerve stimulator or possibly a spinal stimulator. ...Read more

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I need better pain management meds for chronic pain from shrapnel inside me that can't be removed.I currently take tramadol and oxycodone?

I need better pain management meds for chronic pain from shrapnel inside me that can't be removed.I currently take tramadol and oxycodone?

Many wish there was: Many chronic pain sufferers wish there were better choices! Medical marijuana is a worthy possibility and - lucky you! It's legal in your state. Other than that - I was trained in a VA pain program in the dark ages and we used hypnosis training, lots of education, individually selected exercises, therapy and it was great! You might find the pieces and create your own program. Wishing you well! ...Read more

Dr. Praveen Mambalam
374 doctors shared insights

Persistent Pain (Definition)

Persistent pain is a symptom in which a person's pain doesn't come and go, but instead is present all the time. The pain can be mild, moderate, or severe, but its constant presence usually means there is ...Read more


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