Doctor insights on:
Medicine For Chronic Pain Syndrome
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
Pain for 6 months: This is a diagnosis often given for patients who experience pain that has lasted for greater than 6 months. The source of the pain is specific for each patient and is usually a separate diagnosis. ...Read more
Chronic Pain: Chronic or persistent pain lasts 6 mos. Past the point of normal healing. Most people get into trouble when they continue to use methods appropriate for acute pain to treat chronic pain. Depression, pain, social isolation, poor social support, pain catastrophizing, sleep problems, chronic opiate use, and a strong somatic focus can all combine to make it difficult to cope with chronic pain. ...Read more
I see pain mang. 4 chronic pain syndrome. I was told not to stop taking my meds abruptly, but I can no longer pay for them. What can I do? Go 2 e.R.?
Some suggestions: First, phone your doctor and explain problem, and perhaps switch to generic medications. Secondly, consider haggling with your doc and pharmacy to lower fees. Thirdly, contact drug company manufacturer about a discounted or even fully compassionate program. Fourth, contact your insurance carrier (if you have insurance), and get advice to decrease your costs. Good luck. ...Read more
Very Similar: Both are problems with the central processing of pain. Fms seems to be a problem with the body's inability to ignore normal degrees of pain and discomfort with normal daily activities. Cps develops when the brain rewires itself to having pain sensations even in the absence of pain signals coming into it. Cps develops with constant incoming pain. Fms probably has multiple associate factors involved. ...Read more
Look for cause: In functional medicine, we hone in on the root cause of your pain and rid the body of it. Check out my website at http://www. Dasilvainstitute. Com/fuctional-medicine to learn more. Perhaps it's your mitochondria, your hormone imbalances, a food sensitivity, a parasite causing inflammation, which causes pain, or other. ...Read more
Not the same.: Complex regional pain syndrome (crps) is one of hundreds of causes of chronic pain. Crps has pain as the main symptom. However, there are many physical symptoms that help make that diagnosis. Chronic pain syndrome is generally used to describe physical and psychological changes due to chronic pain, which may can be pain from any number of causes, either known or unknown causes of pain. ...Read more
CRPS is localized: To the general area of an injury or disease process. If pain or other symptoms are more widespread or occur in other specific locations that weren't injured or otherwise affected, the physician, s/he will need to consider other diagnoses. Fibromyalgia, opiate addiction & abstinence syndrome, as well as a systemic disease process such as an autoimmune disorder, are among the possibilities. ...Read more
Anything. .. really: In the 50s there were a few md pioneers who concluded that chronic tissue pain was caused by numerous trigger points in muscle fibers causing the muscles to contract compressing nerves, vessels and alter the flow of lymphatics. Rds develops from this myofascial dz. Early therapy is the key with myofascial release therapy with massage, tissue therapy, trigger pt injs w Lidocaine and acupuncture. ...Read more
Compassion: You need to have a compassionate primary care physician as people with chronic nerve pain have other problems which cannot always be treated by pain doctors. A good PCP can keep your healthy in many ways to lessen the overall pain. After that, see a Pain Management doctor for meds but also consider yoga, meditation, other modalities of treatment as medications alone are not the answer. ...Read more
Is it reasonable for a doctor to recommend somebody with severe chronic pain syndrome to move to a warmer climate?
Yes: The reason why elderly people tend to be “snowbirds”, is that they feel better in warm weather. In my observations, it is the combination of cold and fluctuating air pressure but causes increased pain. Warm climates, such as the desert, have less changes in both temperature and air pressure. We are all familiar with people that can predict a storm coming by increased joint pain. ...Read more
I have chronic pain syndrome and on the medication suboxone. They refuse to give me sleeping medication. I have tried everything! &cant sleep. Now what?
Anxiety/ depression?: Often people with chronic pain have issues with anxiety and/or depression due to their health status. They report waking up in the night and not being able to go back to sleep. They also report that their mind is working overtime at night thinking about stuff they have no control over at the time. If this is the case, you may try a medication like zoloft (sertraline) and you may find you are sleeping better. ...Read more
Is chronic pain syndrome caused by anxiety? Keep having 1 type of pain after another which takes a long time to go away - ankle, lower back, neck, etc
Possible: Anxiety can definantly cause pain. It is not the only cause and other possibilities should be ruled out before it is blamed for your symptoms. Often doctors are reluctant to confront this head on. You should ask your doctor this directly. This will make it easier to open a frank discussion about the anxiety problems. ...Read more
What is the typical dose of oxycontin for a 48 year old female with sle, ra, fibromyalgia and chronic pain syndrome?
No answer: No two patients are exactly alike. Giving you a typical dose is impossible. ...Read more
A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?
I advise you see a holistic/integrative MD to determine the underlying causes. I would suspect chronic Lyme disease, which is common in NY but often not properly diagnosed. Even if not Lyme a holistic MD will do a thorough evaluation and refer you to appropriate specialists.
See http://www. Lymedisease. Org/lyme101/lyme_disease/lyme_disease. Html
and http://www. Abihm. Org/search-doctors ...Read more
Ankle pain when I walk. Starts with no injury and lasts for 3 months. Can it be caused by anxiety or emotional problem? Doc said chronic pain syndrome
Probably not: Any pain can be caused emotionally, but it would be very unusual for the kind of pain that you describe to be caused emotionally. If it has become a chronic pain syndrome, then it may have an emotional reaction, and possibly an amotional partial contribution to the continuation of the pain. But this would not be a "cause." ...Read more
Chronic pain syndrome. What is it? Info on it? Rheumo refer to pain doctor. Have ms. Bad joint pain stiffness. Same as another chronic pain on site
Cps is a poorly defined condition. Most authors consider ongoing pain lasting longer than 6 months as diagnostic, and others have used 3 months as the minimum criterion. Chronic pain syndrome (cps) is a common problem that presents a major challenge to health-care providers because of its complex natural history and poor response to therapy.
http://emedicine. Medscape. Com/article/310834-overview. ...Read more
High white blood count, low level of vitamin D, high level of inflammation in blood test, pain in all joint, chronic pain syndrome?
Chronic pain: Thanks for you enthusiasm and sense of curiosity. There are hundreds of different pain syndromes, some short term and some chronic. Most of life's aches & pains go away spontaneously, with "tincture of time". Some are helped with over the counter medications; some require a doctor's visit or even specialist care. Even after years of medical practice, I am still learning new syndromes.. ...Read more
I would like advice on ehlers danlos syndrome and chronic pain I have so much pain I am finding it hard not to think of killing myself I can't cope!
Ehlers-Danlos syndro: If over-the-counter pain relievers — such as Ibuprofen (advil, Motrin ib, others) and Naproxen (aleve) — aren't enough, your doctor may prescribe stronger medications for your joint or muscle pain.Have your doc help with keeping your blood pressure low. Exercises to strengthen the muscles around a joint can help stabilize the joint. There are specific braces avail to help prevent joint dislocations. ...Read more
Can Stress Out About Having Chronic Pain (patellofemoral pain syndrome) Make You Have Anxiety. Been Having pain forweek now.& then the attacks happen.
Unlikely: Thoracic outlet affects lateral neck, shoulder blade, lateral upper chest, and radiates down the arm typically to digits 4 and 5 of the hand, if the neurogenic variety. A more distal variation seems focalized to the lateral chest and armpit, (pectoralis minor). T-6 is too low for tos. Severe pain there is more likely of discogenic origin, if within the spine, or referred pain from internal organs. ...Read more
I have Ehlers-Danlos Syndrome and take chronic pain med's how do I get my doc to prescribe a med for the intense daily pain EG morphine? Thank you! :)
Chronic Pain: The treatment of chronic pain is complex and the best methods depend on the exact reason for your pain. Most of the time opioids such as morphine are NOT a good solution for chronic pain. Most patients build tolerance and can even become addicted. Speak with your doc who knows you best! Many times physical therapy and stretching help the most. ...Read more
I have chronic pain from spinal injuries. Are there any new treatments since radio frequency denervation for facet syndrome? I had radio frequency denervation on both sides of my neck and low back for a few yrs. It helped a lot, but was very expensive an
Not Really Anything: That is cheaper, your insurance should cover repeat treatments though. Stem Cell Therapies are available but generally are not covered by insurance so more expensive. Check out Regenexx. Com. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. ...Read more
Opioids (narcotics): Opioids are the agents that when used to treat chronic pain carry the greatest risk for dependency and severe side effects. ...Read more
Many options: Chronic pain can be difficult to treat. What works for one person might not work for someone else. If you have chronic pain it is best to see a pain specialist to go over the various options. Some would include nsaids and anti-depressants. Narcotics are usually a last resort due to the risk of dependence, tolerance, and addiction. ...Read more