Doctor insights on:
Fibromyalgia Treated With Opioids
I have been treated for fibromyalgia and degenerative joint and disc disease for years. Is marinol effective for chronic pain? I am very leery of opioids.
Marinol: Marinol seems to help more with nausea & stimulating appetite, than with chronic pain. People with cancer or other illnesses who have lost their appetites and have lost too much weight benefit from this. It's nothing like opiates for pain control. Many medicines and treatments can work better for fibromyalgia than opiates. I hope you and your physicians can find a helpful regimen for you! ...Read more
Is low dose naltrexone therapy an option for fibromyalgia pain? Do I have to stop taking opioids first?
When you have Complex Regional pain syndrome, Peripheral neuropathy, fibromyalgia and cns inflammation. Opiods dnt wrk. What is the best treatment?
Pain pills: 3 meds are FDA approved & are non-opiate pain pills. None proven to improve sleep disorder, a sentinel FM symptom. Alternative therapies treat various FM causal factors: weight loss, improved muscle tone & mass via aquatherapy, improved sleep & pain control with cannabis, pelvic girdle stabilization with SIJ belt & Prolotherapy, & mindfulness therapy for depression. ...Read more
Natural therapies: #fibromyalgia is treated successfully as several body systems treated concurrently, since disorder originates in musculoskeletal injuries, generalized deconditioning, social reclusiveness, mood disorders, obesity, and poor nutrition; my experience. Allopathic clinical sciences have several medications approved for fm, but these are merely synthetic pain pills. Medicinal cannabis is effective. ...Read more
No individual way: Pain is a very individual symptom. Fibromyalgia can range from an aching to a burning pain and needs to be in multiple areas to qualify. In addition there may be muscle spasms and areas of vague pain discomfort or even a feeling of numbness in areas (not really numb though) severe headaches are common too and on and on. You should se a physician experienced in fibromyalgia if you are concerned. ...Read more
Look into cause: Fibromyalgia under age 20 is unusual enough that other diagnoses need to be more carefully ruled out, jra, bone disease, thyroid disorder etc. But if certain of the diagnosis treatment should be basically the same except I would be much more careful using savella (milnacipran) or cymbalta. ...Read more
Yes of course. ..: The best treatment would be to stop taking opioids of any sort. Then gradually over a period of months, your body's pain sensitivity threshold will return to normal. I have had patients who obtained the same amount of relief from ibuprofen that used to require narcotics the year before. ...Read more
Nerve sensitivity: Fibromyalgia is a widespread pain disorder caused by increased nerve sensitivity. In addition to pain, fibromyalgia patients also can experience a range of other symptoms including fatigue, poor thinking, poor sleep, depression, anxiety and stiffness. There are 3 fda approved medications used to treat fibromyalgia: lyrica, Cymbalta and savella (milnacipran). Exercise is also an important treatment. ...Read more
Gentle exercise: Beneficial therapies for fibromyalgia are gentle exercises in a deep warm water environment, i.e., aquatherapy. Aerobic exercises not proven, these are usually too painful for fibromyalgia sufferers. The goal is to increase muscle strength & tone. Modern clinical evidence suggests that hyperextendable joints, which is inherited, might predispose to fibromyalgia development. ...Read more
I have been told that it is likely I have fibromyalgia and am being treated as such. Is there a chance that it could be multiple sclerosis?
Probably not: While patients with fibromyalgia share some of the symptoms of multiple sclerosis, there are distinct differences which should be discovered by a good neurologic exam. Furthermore imaging studies will show problems that could be related multiple sclerosis and not fibromyalgia. Good luck and I hope you feel better. ...Read more
What happens to people with fibromyalgia who are not being treated! I have no health insurance. Lost it not long after u was diagnosed with fibromyalg?
Can do a lot at home: Continue home treatments, exercises, pt that you did while you were on insurance. Home work is not covered anyhow. Make sure to eat a clean diet, organics, grow your own veges (cheapest), and avoid carbs, and note food allergies that you may not have known that rob you of your energy. You can write to drug companies who can give you samples for compassionate use. Ask a county hosp. Dr. To assist. ...Read more
Treated for lupus for 5 years and then changed to fibromyalgia I believe is not possible, since I have medical records saying its lupus. Could my dr just want nothing more to do with me as a patient?
Drastic change.: Lupus is diagnosed based on symptoms and physical exam, lab tests are only secondary. There are no lab tests for fibro, just tender points on exam. A skilled rheumatologist should have no trouble telling one from the other. If your lupus is in remission, your current doctor may only be seeing fibro (having both is common.) ask your doctor. Consider 2nd opinion with different rheumatologist. ...Read more
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
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 more
Can fibromyalgia be mistaken for muscular dystrophy? I was diagnosed with fibromyalgia but recently in x-rays learned I have scoliosis in my spine. The pain I deal with on a day to day basis is awful. I am worried if am not being treated for the right thi
Not likely here: Md can cause scoliosis but scoliosis is not diagnostic of md. Fibromyalgia is very misunderstood and involves widespread "four quadrant" pain sleep disorders and occasionally other things like irritable bowel you could have that but haven't listed those other things. Keep talking to your doctor and asking questions. ...Read more
I have been treated (meds & ther) for depression and ptsd? Still exhausted and super sensitive. My mom & sis have fibromyalgia. Odds that I have that?
Treated for fibromyalgia, new symts: brng pain of the spine at the waistline & shoulders. Aches & pains, rt elbow, rt hip & leg, neck stiffness & pain?
Fibromyalgia vs. Lym: Lyme is always in the differential diagnosis of fibromyalgia for me but also have you been checked for spine problems, pinched nerves, etc. Of the spine. Inflammatory arthritis is in the differential diagnosis. It all involves working with your physician at arriving at an accurate diagnosis. ...Read more
Why all a sudden chronic hep b is showin up. Have I had it all my life I jst had surgery a year ago. I was being treated for fibermyalgia?
It can be difficult: To assess when hbv was acquired. Have you ever given blood? It would have been tested for if you did donate blood. ...Read more
Hi, thank you for your time. My husband has brown urine (like tea) it gomes and goes but on this past sunday it was all day. So beinging treated for fibermiagila - lyrica-150mg-2x a day tramadol-50mg-2x a day vitamin d sup.- perscription-1.25mg-1x a week
Your History and exa: The diagnosis of fibromyalgia is made by history and physical exam. There are at present no blood tests or x-rays that confirm this diagnosis. A history of generalized muscular pain that is both in the upper part of your body and below the waist that has been present for at least 3 months without a clear cause is suggestive of this diagnosis. A positive tender point exam is needed to confirm. ...Read more
Anyone: Anyone can develop fibromyalgia. It is more common in women, typically beginning in the 2nd-4th decade. I do see it more commonly in my clinic among patients who have a 1st degree relative who suffers from alcoholism, among patients with remote history of physical or sexual abuse, and occasionally after a traumatic injury. A higher incidence of depressive and anxiety disorders may be associated. ...Read more