Doctor insights on:
Cold Therapy Treat Chronic Pain
Yes: Pain affects all aspects of one's life. In chronic situations, pain may have devastating effect on a patient's emotional well-being. A psychiatrist or a psychologist can help patient deal much more effectively with depression, anxiety, etc. They can also help with improving patient's coping skills. ...Read moreSee 1 more doctor answer
Which opioid medication or combination of opioids, is most effective to help treat chronic neuropathic pelvic pain?
Hypnosis, mixed bag: You would be surprised that only 5 % of human population are hypnotizable and you cannot be hypnotized unless you are a willing participant. A lot of studies have looked at hypnotherapy and results are a mixed bag. A lot depends on the hypnotherapist s /therapist expertise. Remember hypnotherapy is not considered a treatment of choice in mainstream psychiatry or medicine. ...Read moreSee 1 more doctor answer
I have chronic back pain (herniated l4-s1) treated by opioids, which are making migraines worse- other options to treat pain in 27 y/o f? Pt failed
Back pain options: Sorry to hear about your pain. Other options in no particular order might include: 1. Disc decompression 2. Acupuncture 3. Core strengthening 4. Epidural steroid injections 5. Medial branch blocks/radiofrequency for associated facet pain 6. Tens unit 7. Non-narcotic meds 8. Surgery. ...Read moreSee 2 more doctor answers
Lifestyle changes: Not smoking, weight control and regular exercise are the key ones. Modifying activity that aggravates the back, trying a back support and use of medication if not medically contraindicated can also make a difference. Physical therapy and injections through pain management may help. Most are treated non operatively. ...Read more
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
Butrans: Butrans is a 7 day patch for moderate-severe pain for continuous blood level however one should expect pain control by 1/3 or 30% and not 100% it is also not a replacement for people taking high doses of controlled pain meds ...Read more
Yes: Complaints of fatigue are present in over 80 percent of patients with active ra. Successful treatment of the RA with medications decrease these symptoms. It is felt that the fatigue is due to pain. Another factor is depression which can be treated with medications. ...Read moreSee 1 more doctor answer
Depends : PT is one of my primary treatment options for PF. I find about 80% of patients see a benefit. night splinting, good footwear, rest from offending activities and possible orthotics and non-corticosteroid injections such as PRP & amniotic membrane injections are often part of my treatment plan as well. If I can help, join my care team & virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more
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