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Doctor insights on: Chronic Pain Physical Medicine Rehabilitation Specialists

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Addiction medicine or pain management?

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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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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Whats occupational medicine vs physical medicine and rehabilitation?

Whats occupational medicine vs physical medicine and rehabilitation?

Focus: Occupational medicine focuses on return to work. Physical medicine and rehabilitation is much more diverse. Some specialists in pmr do occupational medicine, but many have other focuses like pain management, brain injury, spinal cord injury or pediatrics to name a few. ...Read more

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Whats occupational medicine/physical medicine and rehabilitation?

Whats occupational medicine/physical medicine and rehabilitation?

REad below: Physical medicine and rehabilition (pm&r) concerns bringing a person to his or her individual highest level of function regardless of the underlying illness or disability. Most pm&r speicialists (physicatrist) specialise in particular disorders such as spinal cord or brain injury, nerve injury or musculosckeletal injury, or occupational health, or children's physical problems. ...Read more

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Addiction medicine = pain management?

Addiction medicine = pain management?

No: Two completely different specialities but closely connected. Addiction does not only mean to pain medications. ...Read more

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Which is occupational medicine/physical medicine and rehabilitation?

Which is occupational medicine/physical medicine and rehabilitation?

They have a lot of: Overlap. Occupational medicine focuses on medical issues related to work/occupational function, injuries related to specific occupations, workplace safety and function and ability of patients for certain work. Pm;r also deals with a lot of this, but also works with many other neurologic issues, such as brain injuries, sports injuries, spinal cord injuries, etc. Pm;r deals more with overall functio. ...Read more

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What kinds of symptoms do interventional pain management specialists treat?

What kinds of symptoms do interventional pain management specialists treat?

Unpleasant sensation: The symptoms of pain include any unpleasant sensation. The pain may be described as sharp, electrical, or burning. Constant or intermitten in occurrance. Aggravating and alleviating factors should also be noted. Where the pain originates from and where it spreads to is helpful in identifying the source of the pain. ...Read more

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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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Best pain medicine for ms?

Best pain medicine for ms?

Neuroleptics: Often the best first line meds are neuroleptic medications such as Neurontin and lyrica (pregabalin). Cymbalta is also a good choice. This will focus more on nerve symptoms. If you are dealing the spasm and spasticity then a muscle relaxant may help. Opioids may also help but should not be used as the first line medication. Physical therapy is the best non-medication alternative. ...Read more

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Can chinese medicine for chronic prostatitis work?

Can chinese medicine for chronic prostatitis work?

Prostatitis: There are chinese formulas for prostatitis but i've had a better clinical response from a western natural supplement formula called prostathera. This is available through natural and conventional docs. ...Read more

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Who should I see for scoliosis? Chiropractor? Physical therapist? Orthopedic specialist?

Who should I see for scoliosis? Chiropractor? Physical therapist? Orthopedic specialist?

Structural problem: Most scoliosis problems that I have seen originate from three load bearing areas. The TMJ can cause postural avoidance of pain/airway going down the body, the hips both ascending/descending issues, and feet problems ascending up the body. Everything is connected. You could have a single problem or several overlapping. You may need to see several specialist to get diagnosis and treatment. ...Read more

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What makes up this "team" of providers for interventional pain management ?

What makes up this "team" of providers for interventional pain management ?

Pain team: The best pain groups will comprehensively address the history of your chronic pain condition, review diagnostic tests and or order new ones, perform a detailed pertinent physical examination, then design an individualized treatment plan which can include injections, braces, creams, medications, physical therapy and more options. This may also include acupuncture, massage, pain psychology and rehab. ...Read more

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Pain management specialist that has treated patients with RSD/CRPS ?

Pain management specialist that has treated patients with RSD/CRPS ?

Pain Management: Your doc or your local medical association can refer you to a pain management specialist. They do lots of good work but please do not forget behavioral approaches such as clinical hypnosis (see www.asch.net), biofeedback, massage therapy, talk therapy, etc. Peace and good health. ...Read more

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Physical therapist or chiropracter for back pain?

Physical therapist or chiropracter for back pain?

Both: At our institute we have both. I feel thar formal physical therapy is important. I feel that a well-trained chiropractor can also help. If either makes you feel worse, then i would stop that type of treatment. ...Read more

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What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness? Physiatrist , orthopod, neurosurgeon? Xrays best?

What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness?  Physiatrist , orthopod, neurosurgeon?  Xrays best?

See below: Harrington rods surgically implanted usually for severe scoliosis. This is a major surgery and is usually determined by an orthopedic spine specialist. ...Read more

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Physical therapy vs. Physiatry? Which is better for neck pains?

Physical therapy vs. Physiatry?  Which is better for neck pains?

Different: A physiatrist is a medical doctor who takes a history, reviews your records, & examines you to identify the source of your pain & give a medical diagnosis. A physical therapist can evaluate your neck and design therapies (stretching, strengthening, manual therapy, heat, traction, electrical stimulation, joint mobilization). Best to get a diagnosis first, them customize therapy for the diagnosis. ...Read more

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Medical opinions: nootropics, tcm, &chiropractors a safe alternative to psych meds for ptsd & mood disorders and pain medicines for chronic pain?

Medical opinions:  nootropics, tcm, &chiropractors a safe alternative to psych meds for ptsd & mood disorders and pain medicines for chronic pain?

Really complicated: So many therapeutic approaches are in your question, it's impossible to answer. Even the "nootropic" part is extremely complicated. These can be food substances like phenethylamine and l-theanine (found in chocolate and green tea) or many other things. Different ones have different characteristics, safety, & effectiveness. An integrative physician could help guide you. www.holisticboard.org. ...Read more

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Chiropractors, massage therapy, acupuncture, physiotherapy - which is the best treatment for back pain?

All and none: Everything depends what is the cause for pain. If your family doctors rules out serious pathology, i.e. Fracture, cancer, infection, etc., then try acupuncture, pt, chiropractor, depending on your preferences. Stay away from motrin, alive, celebrex, (celecoxib) etc. There is no inflammation with back pain. Use of this type of drugs actually proven to delay healing in spite of "helping"(more like masking) pain. ...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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Fore treatment-resistant depression. No local psychiatrists prescribe it, so seeking anesthesiologists or pain management physicians .

Fore treatment-resistant depression.  No local psychiatrists prescribe it, so seeking anesthesiologists or pain management physicians .

Seeking doctor: Please contact your local state medical society for referrals. Also consider a virtual consult through HealthTap. TMS therapy is used by some docs. Here's a link https://neurostar.com/?gclid=CNOQvtat7NECFdQ2gQodErgAZQ Peace and good health. ...Read more

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Dr. Craig Morton
387 doctors shared insights

Physical Medicine And Rehabilitation (Definition)

Physical medicine and rehabilitation or physiatry is a medical specialty focused on the diagnosis, treatment, and rehabilitation of disorders that limit a person's ability to take care of themselves, work, or participate in society. In other words, it focuses on medical problems that affect how people move, walk, or interact with each other (most commonly muscle, bone, ...Read more


Dr. Timothy Silver
158 doctors shared insights

Physical Medicine (Definition)

Physical Medicine & Rehabilitation (PM&R) is a field of study in which a doctor trains to become a specialist in the problems of recovery after injuries, paralysis, or amputations, in addition to sports injuries and work injuries. PM&R doctors are called physiatrists (not to be confuses with psychiatrists, who are specialists in mental ...Read more