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Doctor insights on: Relief Pain Fibromyalgia Polymyalgia Other

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Dr. Laurence Badgley
1,370 doctors shared insights

Fibromyalgia (Definition)

A condition that affects the muscles and soft tissue of the body, causing widespread ...Read more


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Can fibromyalgia pain require narcotic pain medication?

Can fibromyalgia pain require narcotic pain medication?

Rarely: Opioids are a last resort and are only considered an option if all traditional medications have failed. ...Read more

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Are joint pains, weakness, and pain associated with anything other than fibromyalgia?

Are joint pains, weakness, and pain associated with anything other than fibromyalgia?

Yes: There are a lot of diseases that cause pain, joint pain and weakness. There are several autoimmune diseases including rheumatoid arthritis, lupus, polymyositis, and mixed connective tissue disease. Infections like lyme and endocrine disorders like hypothyroid. A complete evaluation should be done to rule out other causes, before a diagnosis of fibromyagia can be made. ...Read more

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What are other chronic pain syndromes/conditions besides fibromyalgia?

Many: There are many causes of chronic pain. Just to mention a few, polymyalgia rhematica, rhematoid and related connective tissue diseases are the most common, multiple myeloma, multiple sclerosis, on and on. ...Read more

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Can lyrica (pregabalin) help with my chronic myofascial pain syndrome?

Can lyrica (pregabalin) help with my chronic myofascial pain syndrome?

Possibly: Lyrica (pregabalin) does a good job with diabetic peripheral nerve pain, and may be useful with other pain syndromes. Another drug, cymbalta, has now been approved for a variety of non-nerve pain syndromes, and may be a bit more useful with "myofascial pain". You could try either, but high dosage levels may be important, if you can adjust to side effects. ...Read more

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Chronic pain symptoms. What is fibromyalgia pain?

Specific pattern: Fibromyalgia is a syndrome that consists of widespread muscle pain often associated with fatigue, poor sleep and joint stiffness and specific tender points. It is a real disorder yet not yet well-understood. Sometimes other conditions like lyme disease are misdiagnosed as fibromyalgia. Mainstream treatment tends to focus on symptom relief but a more holistic approach is often helpful. See comment:. ...Read more

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Possilbe pain relief for facet joints?

Possilbe pain relief for facet joints?

Options: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read more

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Does lyrica (pregabalin) help with muscle pain aswell as nerve pain ?

Yes and no: Traditionally, lyrica (pregabalin) helps primarily for neuropathic pain and so was used for conditions such as diabetic neuropathy. But lyrica (pregabalin) has now been approved for fibromyalgia, which is characterized by pain coming firm the muscles, facia, and other superficial soft tissues. So it would lead one to think it can help although the mechanism is not clear. ...Read more

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Do pain patches work better than narcotic pills to control chronic joint pain from ankylosing spondylitis?

Many options: Several pain medications are available as patches (fentanyl and buprenorphine). A better answer is that you may benefit from any long acting opioid (pill or patch) given the around the clock nature of your pain. ...Read more

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50mg tramadol isn't giving me relief at all for fibromyalgia or behcets joint pain. Any other pain med recommendations?

50mg tramadol isn't giving me relief at all for fibromyalgia or behcets joint pain. Any other pain med recommendations?

See details: First of all, your doctor has to try to determine whether the pain is related to fm or to behcet's. I agree fibromyalgia pain should be treated with meds such as cymbalta, gabapentin, Lyrica or savella (milnacipran). Behcet's induced arthritic pain will respond to other approaches including prednisone, Methotrexate or tnf agents. ...Read more

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How we can differentiate musculoskeletal pain , neropathic pain and psychosomatic pain?

Chronic Pain: It is very difficult to differentiate musculoskeletal, neuropathic or psychogenic pain because they manifest similarly and they affect the same system. The association with certain lesions in the spine, with chronic diseases like diabetes, herpes infection or cancer may indicate the diagnoses, or the presence of post-traumatic stress disorder could be diagnostic as well. Work with your doctor. ...Read more

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Muscle ache, joint pain, headaches, pain== if fibromyalgia what's the best treatment, medication?

Muscle ache, joint pain, headaches, pain== if fibromyalgia what's the best treatment, medication?

Multiple treatments: Fm is a quirky entity to treat. We really don't know what causes it and a lot of doctors "don't believe" in it. Find a good pain medicine or rheumatology doctor who is familiar with it and follow their advise. Exercise, warmth, decreasing stress and various medications such as cymbalta, lyrica, savella (milnacipran) and narcotics can help somewhat although none are "cures". ...Read more

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What are the best pain relievers for severe chronic joint pain as with arthritis?

NSAIDs : Nsaids are the first line agents- be careful of GI or cv side effects. Dont forget about stretching and exercising! ...Read more

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Have fibro and arthritis uppper arms muscle spasms would cymbalta help more than lyrica (pregabalin) need pain med?

Have fibro and arthritis uppper arms muscle spasms would  cymbalta help more than lyrica (pregabalin) need pain med?

Apples & oranges: While both medications have indications from the fda for the treatment of fibromyalgia, they are very different. Cymbalta is an serotonin-norepinephrine reuptake inhibitor also indicated for the treatment of major depression as well as generalized anxiety disorder. Lyrica (pregabalin) works through GABA and is also indicated for seizure disorder. Your physician should be able to help you decide. ...Read more

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Does Lyrica (pregabalin) work on muscular pain aswell as nerve pain ?

Does Lyrica (pregabalin) work on muscular pain aswell as nerve pain ?

Possibly: Lyrica (pregabalin) has many uses and is approved for peripheral neuropathy which is nerve pain. It is also approved for fibromyalgia which has significant muscle pain and tenderness. Overall the answer to your question is yes, it can be used for both muscle and nerve pain ...Read more

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Will Neurontin (gabapentin) and percocet control pudenal neuralgia pain , ddd, stenosis in neck, severe chronic abdominal and pelvic pain?

Better option are: : Better options are available for each conditions listed. Severe ddd/c-s stenosis: epidural/surgery. Pudendal neuralgia: surgical decompression is the preferred treatment; pads to avoid pressure while seated; pudendal nerve stimulation; local injection; chronic abd/pelvic pain: opiod induced constipation can worsen this; should work with gyn & GI for better option. Neurontin (gabapentin) okay. ...Read more

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How does pain in fibromyalgia differ from other chronic pain?

How does pain in fibromyalgia differ from other chronic pain?

Fibromyalgia Facts: Fibromyalgia is believed to be a hyperactivity of peripheral pain sensors in the body. The pain therefore can be diffusely located in muscles and other soft tissues. As it involves multiple sites and seems to be triggered differently in different people, it differs greatly from other types of chronic pain syndromes that are often a direct result of trauma or a specific disease entity. ...Read more

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