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Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read moreSee 4 more doctor answers
Had caudal epidural steroid injection (with ketamine) for CRPS left foot. Relief for 7 days- will dr consider 2nd injection for prolonged relief?
Could a lumbar sympathetic block or nerve block help with restless leg syndrome or should I just use Requip (ropinirole) and lidoderm 5% patches?
RLS Rx: Do you have PRIMARY RLS (just RLS and nothing else) or secondary (due to neuropathy, sleep apnea, etc)? RLS happens in the BRAIN. I know of no evidence that blocks are effective for RLS. Whose notion was that? For same reason Lidocaine patches shouldn't help. Stick with ropinirole, pramipexole, gabapentin, pregabalin, levodopa. If secondary, try to treat underlying cause as well. ...Read more
Emg & ncv2 unit test result:sensory polyneuropathy & possible bilateral c8, t1, l4& L5 rediculopathy.What does that mean? Not alcoholic nor diabtc & hiv
Possibly: All corticosteroids have anti-inflammatory effects, affecting cyclooxygenase pathway, interfere with inflammatory cascade, reduce the release of inflammatory mediators, cytokines, TNFs involved in the inflammatory response. Muscle tone and spasm are mediated through intrafusal and extrafusal fibers with gamma motor neurons. Corticosteroid may reduce muscle spasm caused by inflammation. ...Read moreSee 1 more doctor answer
I've been having severe jaw pain from my tmj and chipped jaw bone. I've tried Tylenol (acetaminophen) heating pad ibeprofen. Nothing has helped. What should I do?
See OFP specialist: TMJ disorders are serious medical problems related to the joint and does not go away on its own. Tylenol (acetaminophen) or NSAIDs gives temporary relief of pain but does not address the cause. The most important thing however is to have your condition diagnosed properly by a qualified professional, such as Orofacial Pain specialist. ...Read moreSee 3 more doctor answers
Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read moreSee 3 more doctor answers
After working with burlap & inhaling small fiber particles have tightness in upper throat epiglottis area & tightness in chest X 2d. Opinion? Tx?
Get checked: 2 things seem likely: either irritant/allergen/exercise induced asthma exacerbation or irritant induced vocal cord paroxysmal motion. Both are more easily diagnosed while symptoms are present and both are treatable. Depending on other risk factors, heart related chest tightness is always a consideration. If the symptoms are worsening, consider an urgent evaluation. ...Read more
Neck pain & stiffness for the past few months. Doc prescribed physical therapy, not helping. Jaw feels odd, heat & pressure in neck? Can't describe it
TMJ disorders: Tmj disorders is an umbrella term encompassing several pain disorders of the face and jaw; most common is musculoskeletal pain. Symptoms range from headache, jaw pain, neck pain, stiffness, etc. Consult your dentist (or an orofacial pain dentist) and your primary physician. ...Read more
Definitely: There have been very impressive results using tms in patients coming out of bariatric surgery. This was a double blinded-sham controlled study and it was repeated so it is very rigorous. People with active tms self-administered about 50% less narcotic from a pain pump than those with sham (fake) treatment. Without a doubt, tms works for certain types of pain and it is being explored for others. ...Read moreSee 3 more doctor answers
Can an anxiety disorder mimic symptoms like ms? Muscle twitches ,prickly sensation, numbness ?
Had normal brain,neck MRI and clean emg.
30 y/o injected rt bicep with testosterone, npp? And steroids rue comparent syndrome. Deltoid especially. Needed decompresion. Any thoughts?
Release: If compartment pressures are elevated it should be released. ...Read more
2Tarlov cysts at S2 (racepinephrine) 17X15mm and 14X13mm causing scalloping of bone. Feel head and ear pressure. Need surgical removal? Any other treatment methods?
Tarlov cysts: Hello, these are benign perineural cysts or cysts in between the coverings of the nerves, usually found co-incidentally at MRI of low back. Yours are 1.7cm and 1.5cm and are small by comparison. These should not be symptomatic, let alone need surgery, your head and ear pain probably unrelated. But see an expert ~ a neuro-surgeon to ask ! thanks ...Read more
No: No they do not.Get a more detailed answer ›
Male 31yrs. Getting sharp headaches lasting 1-2 seconds since about 10 days. History: lumbar radiculopathy last year-brought under control by therapy?
Paroxysms of pain: I would need more info to be of help- Where does the pain start on your head and does it radiate? What is the quality of the pain (i,e, sharp, pounding like you pulse, squeezing...)? What is the severity (0-10)? Does it change with exertion? What are the associated symptoms if any? What is the response to any therapeutic measures? ...Read moreSee 1 more doctor answer