Doctor insights on:
Neurontin And Rsd
I take Neurontin for rsd, and i'm noticing an uncontrolled movement of my lower jaw. It's a little uncomfortable from the tension. Is this common?
Tardive Dyskinesia: Is an abnormal involuntary movement disorder that encompasses a broad spectrum of hyperkinesias. In the orofacial region, patients may exhibit erratic movements of the orofacial musculature including lip smacking, tongue protrusions, pouting, chewing, and other irregular movements of the head and neck. It is not common for neurontin. Rec.: see prescribing physician for evaluation. ...Read more
Complex regional pain syndrome (CRPS) is a condition in which a person has a chronic pain problem in his arms or legs, but can also be in other parts of his body. Perhaps the pain is due to problems with the nerves in the area, or there may be a problem with the immune system, leading to inflammation ...Read more
I was diag. With rsd in 2009. What are the best medications for rsd.? Currently i take gabapentin & tomax. Any diet restrictions?
Tough to treat: Rsd does not readily respond to numerous meds. The drug mexilitine may be better than most but is difficult to manage. Sympathetic blocks may be useful for a brief time. Dorsal column stimulators help in some. Dietary restrictions do not work. You are best advised to seek a pain management specialist, and discuss all of the above. ...Read moreSee 1 more doctor answer
IMMEDIATE TREATMENT: Reflex sympathetic dystrophy (rsd) requires immediate and aggressive attention starting in a progressive and logical fashion. Usually membrane stabilizing drugs (i.e. Lyria/neurontin) and sympathetic injections (i.e. Lumbar sympathetic blocks) play a critical role in breaking the cycle of inappropriate nerve firing. When these measures fail spinal cord stimulation remains an excellent option. ...Read moreSee 1 more doctor answer
Some options: Antiinflammatories like Motrin or aleve may help with minimal side effects. Topical Lidocaine also has minimal side efects and may help. Common side effects of neuropathic pain medications like Neurontin or Lyrica are drowsiness and weight gain, and Cymbalta can cause nausea. You could also consider a sympathetic block which may help with symptoms without requiring a daily medication. ...Read more
A complex condition: A chronic pain condition that is believed to be the result of dysfunction in the central or peripheral nervous systems and abnormal excitation of nervous tissue, leading to abnormal impulses along nerves that affect blood vessels and skin. This can be acquired after minor trauma or surgery. It can be treated my a pain specialist, the sooner the better. ...Read moreSee 2 more doctor answers
Do you mean: Rsd and crps? For all intensive purposes they are pretty much the same with slight difference. A terrible pain syndrome that is often very difficult to treat. Early on it seems intense physical therapy may help. It is good to seek out treatment with docs that have experience with treating this condition. ...Read moreSee 2 more doctor answers
Intense nerve pain: Reflex sympathetic dystrophy is renamed to complex regional pain syndrome to acurately reflect the localized nature of this illness. It is often result of trauma to the area injurying the nerve which healed abnormally and thus becomes hypersenstive. It can be severe and disabling for some, but i don't believe it is generally regarded as catastrophic. Consult doc if u r having trouble. Good luck. ...Read moreSee 1 more doctor answer
RSD is complicated: according to most drs.The pain, is traditionally considered multifactorial & sustained by an overactive sympathetic nervous system.Nerve blocks try to stop the symp. overactivity.New, controversial thought is the pain is maintained due to peripheral nerve inflamm. by tiny nervi nervorum.Some pts. receive more benefit with Vit D, Prologel creams, B12 supplementation followed by neuroprolotherapy. ...Read more
Endstage muscle dz.: 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 moreSee 1 more doctor answer
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