Doctor insights on:
Injections For Pain Management
Depends: It depends on the cause of the neuropathic pain. Standard pain drugs such as advil or tylenol (acetaminophen) do not work. Sometimes drugs such as Gabapentin or Lyrica will work. Narcotics sometimes help as well. Drugs such as antidepressants and anticonvulsants are sometimes uses as adjuvant therapy. Depending on the cause treatment such as epidural steroid injections or other invasive techniques maybe help. ...Read moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
Depends: It depends on cause of back pain. If you have pain from lumbar facet joints, the epidural will have almost no effect on your back pain. If the pain shoots down a leg or two and is from a disk herniation, you have a good chance the pain will go away for a while (a week to a year). If you also do physical therapy, there may be even more chance of improvement. Talk to your doctor and good luck. ...Read moreSee 1 more doctor answer
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 moreSee 5 more doctor answers
Can be very good: Acupuncture is highly effective for many pain conditions but ineffective for others. It is used throughout asia and europe. The United States appears to slow in accepting it. It is being fully embraced my the army, navy & air force with more & more military physicians being trained in medical acupuncture every year. ...Read moreSee 2 more doctor answers
I have a C5 herniation. What is the recommended treatment for pain management? Surgery? Chiropractor? Physical therapy?
Depends: Surgery maybe recommended if you are having weakness. If no true weakness conservative treatment with osteopathic manipulation, chiropractic manipulation, and/or physical therapy may all help. Often a short course of steroids may be appropriate. Other medications that may help include anti-inflammatories and medications such as neurontin, Lyrica (pregabalin) and flexeril. ...Read moreSee 3 more doctor answers
Likely: Likely will work, the question is how long they last. ...Read more
Any pain management interventional treatment such as nerve blocks available for restless leg syndrome?
Depends: There are basically two forms of RLS: a subjective version (symptoms, no visible cause), and an objective one (symptoms with solidly visible underlying mechanism). You mention chronic pain and fatigue and you are young: so it is statistically more probable you have the first - the more difficult. If so, nerve blocks won't work - or will only work temporarily. Emphasize looking for cause. ...Read more
Expert opinions? Which is better, epidural or patient-controlled analgesia for pain after surgery?
Depends on surgery: But for first few acute days, more likely to have patient controlled analgesia and is more appropriate in most situations. ...Read more
Are steroid epidural injections and physical therapy effective treatments for severe spinal stenosis?
Depends: Both specialists overlap quite a bit. Just depends on what you are comfortable with. Physical therapy is now doing a lot of manipulation therapies and vice versa chiropractors are noting the benefit of active exercise therapy for their patients as well. Often times seeing an sports medicine physician might be helpful since they have experience with both care types to guide you. ...Read moreSee 3 more doctor answers
Pain tips: Practices that offer a comprehensive approach are the best. This means the practice support comprehensively addressing the history of your chronic pain condition, reviewing diagnostic tests and or order new ones, performing a detailed pertinent physical examination, then designing an individualized treatment plan which can include injections, braces, creams, medications, physical therapy and more. ...Read moreSee 1 more doctor answer
Steroid: Too much steroid can cause osteoporosis no matter where it is placed. Oral, IV or epidural steroid may increase chance of osteoporosis. The amount of steroid used in epidural injection for a herniated disk is less than the amount of steroid consumed as a Medrol (methylprednisolone) dose pack taken orally to treat the same symptoms. Generally, though, we do not recommend more than 3 steroid injections in 6 months. ...Read moreSee 2 more doctor answers
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