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Doctor insights on: Tactile Allodynia Treatment

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35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

Neuro exam?: Interesting case, but I'd like to know about her neuro exam. By the history, her symptoms haven't progressed in a length-dependent manner (especially given the facial sensory involvement) and this points me toward a sensory neuronopathy aka sensory ganglionopathy. These patients would be expected to have proprioceptive impairment-- if she is still a dance instructor, I doubt her proprioception is impaired. If her neuro exam and nerve conduction study are truly normal, I suspect any additional testing will be normal as well. ...Read more

Tactile (Definition)

Pleural fremitus is a palpable vibration of the wall of the thorax caused by friction between the parietal and visceral pleura of the lungs. See pleural friction rub for the auditory ...Read more


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What are some common pathogenic causes of allodynia?

What are some common pathogenic causes of allodynia?

Hopefully the link: Below would help. Excessive bruising or traumatic injury to a body part may contribute to allodynia. Http://chronicfatigue. About. Com/od/glossary/g/allodynia. Htm. ...Read more

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Can you have allodynia as well as hyperalgesia?

Can you have allodynia as well as hyperalgesia?

ALLODYNIA/HYPERALGES: Theorotically it is possible for both to co exist but these are two distinct conditions with different etiologies and it is not so common to see them in same person.
Allodynia is feature of painful conditions like neuropathies, complex regional pain syndromes, post herpetic neuralgia, fibromyalgia and migraine
and hyperalgesia is pain limited to viscera with different etiology. ...Read more

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What are the techniques for managing allodynia?

What are the techniques for managing allodynia?

Pain sensitivity: Pain that occurs from a stimulus that ordinarily does not provoke pain is called allodynia. This can occur from nerve stimulation from injury. If the source of the nerve pathway problem is found, then nerve blocks done soon after the onset of the disorder might have a better chance in reducing the pain. Some newer medications that are not narcotics have been found by neurologists to help. ...Read more

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Which tests would u recommend to ddx? Hist: 2 yr cond. (9/10 daily pain, Para + Hyperaesthesia, Allodynia&episodes of 10/10 pain+intermittent back spasms

Which tests would u recommend to ddx? Hist: 2 yr cond. (9/10 daily pain, Para + Hyperaesthesia, Allodynia&episodes of 10/10 pain+intermittent back spasms

Deficiencies: Deficiencies of magnesium, calcium and potassium come to mind. B12 deficiencies cause neuropathy but not muscular spasms. I assume a complete history and physical examination have been done. Less common entities would be toxic substances, porphyria. Consider consulting a neurologist. ...Read more

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What should I do if I have nerve pain in my hand and wrist, what is allodynia?

What should I do if I have nerve pain in my hand and wrist, what is allodynia?

See PMS: See pain management specialist for further investigation. The more chronic is neuropathic pain the more refractory it is.
When a stimulus that normally is not painful (such as light touch) causes pain, the condition is called allodynia. ...Read more

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Can you get opiate induced allodynia, numbness, changing of neuropathic pain from one recreational dose of opium? Took 2 weeks ago, will it pass?

Not aware of such: There is such a thing as opiate induced HYPERalgesia which is paradoxical increase in pain sensations or sensitivity, however, I'm only aware of this through LONG TERM use of opiates. I'm unaware of a 1 time recreational dose causing the phenomenon. I'd first check to see if other mechanisms aren't at work since you have known pathology for the problem. Appointment? Www. Healthtap. Com/drsaghafi ...Read more

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DDx pain Symptoms:stiffness-spine back&neck, hyperaesthesia, Allodynia, Paraesthesia, 9/10 pain Findings:Undissipated Central canal, few overactive reflexs

DDx pain Symptoms:stiffness-spine back&neck, hyperaesthesia, Allodynia, Paraesthesia, 9/10 pain Findings:Undissipated Central canal, few overactive reflexs

Several possibilitie: Your history is not entirely clear. I am assuming that the stiffness is only in the neck? Or the entire spine? Is there a history of fever? If so meningitis should be in the differential. Also, where are the hyperesthesia, allodynia and parresthesia complaints present? I am assuming in the limbs limbs possibly. If so, central nervous conditions should be entertaihed such as MS or T myelitis. ...Read more

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DDX pain stiffness (spine, back&neck), Para+Hyperaesthesia, Allodynia, 9/10pain, episodes of 10/10 pain+intermittent back spasm find:diolated central canal

More information: I would need more information of radiological results but your symptoms are quite intense and I would hope you have an orthopedic spine specialist on board with your case. Your question is bit unclear too. ...Read more

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Six weeks post TLIF and developed moderate allodynia on top of foot. Is this CNS or PNS nerve damage? Is regeneration possible? If so, how long?

Six weeks post TLIF and developed moderate allodynia on top of foot. Is this CNS or PNS nerve damage? Is regeneration possible? If so, how long?

Can improve: Painful sensory changes in the lower extremity following back surgery are likely manifestation of stretching of the nerve root. This is a condition known as neuropraxia. This can improve, and may take up towards 12 to 18 months. Beyond that, improvement is not likely. Medications like Neurontin (gabapentin) may help minimize painful sensations. Certainly you should discuss with your surgeon. ...Read more

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I am near the end of my Orthodontic treatment and I am unsure if my bite is positioned correctly. Are all of your posterior teethe supposed to touch?

I am near the end of my Orthodontic treatment and I am unsure if my bite is positioned correctly. Are all of your posterior teethe supposed to touch?

Yes: Yes they should be touching is some form or fashion. Just present your question to your orthodontist and they will gladly help you;) ...Read more

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Gum around tooth is turning white and painful to touch. Have appt w/ dentist on wednesday. O.K. To wait until then? Treatment until then?

Gum around tooth is turning white and painful to touch. Have appt w/ dentist on wednesday. O.K. To wait until then? Treatment until then?

Call your dentist: It would be prudent to call your dentist and describe these symptoms to him, and ask to be seen as soon as possible. Until you see him, taking Ibuprofen may relieve the pain temporarily. ...Read more

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Happened at home, I had a sharp pain on the side of my neck and now I have a hard bump that burns and hurts to touch. Any idea of cause & treatment?

Happened at home, I had a sharp pain on the side of my neck and now I have a hard bump that burns and hurts to touch. Any idea of cause & treatment?

You need to be seen: To get any kind of a diagnosis. A video consult on HT might be sufficient, but better to have someone who could see and feel and examine you for other signs of anything concerning. Good luck. ...Read more

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I want treatment for ocd. I keep thinking about a certain thing and I'm really worried I think that I have to touch things with both hands please help?

I want treatment for ocd. I keep thinking about a certain thing and I'm really worried I think that I have to touch things with both hands please help?

See a psychologist: The best treatment for symptoms of OCD are behavioral therapy by a psychologist experienced in treating OCD and in some cases concurrent use of anti-depressants (Zoloft, Prozac, (fluoxetine) etc.) ...Read more

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What is causing touch sensitivity to tooth 2 months after root canal treatment?

What is causing touch sensitivity to tooth 2 months after root canal treatment?

Root canal hurts: The first thing your dentist needs to check is the bite. If the bite is off you will be sensitive to hot and cold and maybe have a dull ache or inflammation and bleeding around the gums. You be clenching or grinding at night that can make it worse. It also can be the roots are not perfectly clean (which can sometimes be difficult). Have your dentist take an x-ray to see if there is an abscess. ...Read more

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Can painkillers act as a treatment for people hypersensitive to touch? Do you think that would work?

Can painkillers act as a treatment for people hypersensitive to touch? Do you think that would work?

Hypersensitive: It seems like you have neuropathic pain. It is quite well established that this condition is relatively opioid resistant. If opioids do help it will only decrease the pain but not obliterate totally the sensitivity. ...Read more

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My neck and back are sore to the touch after steroid treatment for bronchitis. Why could this be?

My neck and back are sore to the touch after steroid treatment for bronchitis. Why could this be?

Depends: You were probably coughing really hard, short of breath maybe wheezing. At any rate you were pretty sick I bet. We're you laying around too?! all of these things can make your neck and back sore. ...Read more

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I had root canal treatment almost 3 years ago. The tooth is now in pain, I believe it is infected and sensitive to touch. Amoxcillin any help?

I had root canal treatment almost 3 years ago. The tooth is now in pain, I believe it is infected and sensitive to touch. Amoxcillin any help?

Possibly: Depending on how the tooth was restored after the root canal was completed will be a determining factor as to the cause of a possible infection. Recurrent growth of bacteria may temporarily respond to the antibiotics, but long term prognosis can be determined by your dentist or endodontist. A fracture of the tooth could cause the same symptoms and render the tooth hopeless. ...Read more

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Sex last night w/cock ring, today feel like a bruise within pubic mound when I stand. No pain to touch. Any thoughts on cause? Treatment? See a doc?

Sex last night w/cock ring, today feel like a bruise within pubic mound when I stand. No pain to touch. Any thoughts on cause? Treatment? See a doc?

Was the cock ring: Too tight? On too long? I think you may find this information helpful - http://www. Sfcityclinic. Org/drk/menshealth22.asp. Read & decide if you need evaluation. ...Read more

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I got an itch in my groin it isn't round and is reddish and feels rough to touch what it could be please suggest treatment. Hve acne is is on isotritinoin?

I got an itch in my groin it isn't round and is reddish and feels rough to touch what it could be please suggest treatment. Hve acne is is on isotritinoin?

Itchy groin: The common cause of groin itch is an infection with a fungus which is called tinea cruris. This condition is commonly called "jock itch". The fungus is contageous, and grows in moist warm areas of the skin.
Treatment with anti-fungal cream e.g. Lotrimin (clotrimazole) (butenafin) applied twice per day, change shorts after exercising and sweating in groin area to keep area dry, change towels or use paper. ...Read more

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Is it safe to reuse a partial syringe of juvederm for touch-ups after initial treatment? The doctor I talked with said that he can save any juvederm left in the syringe in case I need touch-ups in a few weeks. Is that safe? .

Is it safe to reuse a partial syringe of juvederm for touch-ups after initial treatment? The doctor I talked with said that he can save any juvederm left in the syringe in case I need touch-ups in a few weeks. Is that safe? .

I: I agree with dr grossman.

Once I asked a company rep about a similar product. The answer was > "it can be saved for about two weeks, if it is for the same patient".

But, I don't feel comfortable > saving and re-using. ...Read more