Doctor insights on:
Treatment For Myofascial Pain Syndrome
CRPS: Crps is a difficult condition to treat. Often, a combination of various therapies is necessary. It might include: - medication (anti-seizure, antidepressants, topical cream, pain killers...) - physical therapy, biofeedback - interventional therapies (sympathetic nerve blocks, spinal cord stimulation ...). ...Read moreSee 1 more doctor answer
Really all types: Most pain clinics will treat pain due to many different problems...arthritis, pinched nerves, chronic back pain,etc. Generally speaking though, the source of the pain should have been evaluated and treated to the fullest extent before a pain clinic would take over. ...Read moreSee 1 more doctor answer
What type of pain management treatment can a pain management specialist provide for chronic ankle injury to Anterior Tibialis and Post Tibial tendons.
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 moreSee 1 more doctor answer
Any pain management interventional treatment such as nerve blocks available for restless leg syndrome?
Depends: There are basically two forms of RLS: a subjective version (symptoms, no visible cause), and an objective one (symptoms with solidly visible underlying mechanism). You mention chronic pain and fatigue and you are young: so it is statistically more probable you have the first - the more difficult. If so, nerve blocks won't work - or will only work temporarily. Emphasize looking for cause. ...Read more
Can be useful add'l: There are several forms of biofeedback: peripheral (focuses on Autonomic Nervous System and Muscle activity-EMG), and neurofeedback (focuses on Central Nervous System-EEG). I have found it is a useful modality for chronic pain such as CRPS, but used in combination with other treatments: medication, physical therapy, and psychotherapy,. Look for a biofeedback provider who is certified by BCIA. ...Read more
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
NIH Definition: Complex regional pain syndrome (CRPS) is a chronic (lasting greater than six months) pain condition that most often affects one limb (arm, leg, hand, or foot) usually after an injury. CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems. CRPS 1 is without a confirmed nerve injury and CRPS 2 is when there is a confirmed associated nerve injury. ...Read moreSee 1 more doctor answer
This is variable: I would assume that there is no correctable abnormality in your case and you are dealing with chronic pain. Treatments range from coping mechanisms, biofeedback and pelvic therapy to medications, injections and even neuromodulation. I would say the most common treatment would be medication management. You should seek out a specialist to manage your pain. ...Read more
Many things: First of all it is important to get a good physical examination to confirm the diagnosis of piriformis syndrome. A physiatrist is probably best for this. If it is piriformis syndrome, specific stretching exercises are helpful and then sometimes we will inject the piriformis muscle directly with local anesthetic and cortisone. Sometimes it needs to be done more than once. ...Read moreSee 2 more doctor answers
A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?
Holistic/Integrative: 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
Usually Steroids: Your doctor will likely prescribe corticosteroids taken by mouth. Corticosteroids are often started even before a biopsy confirms the diagnosis. Aspirin may also be recommended. Most people begin to feel better within a few days after starting treatment. However, you need to take medications for 1 - 2 years. The dose of corticosteroids is slowly reduced. ...Read more
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 moreSee 1 more doctor answer
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