Doctor insights on:
What Is A Good Step Down From Oxycodone In Terms Of Pain Relief
A recent study showed that in a hospitalized group of patients it was not the actual degree of pain relief that determined patient satisfaction. It was the perceived concern on the part of the heath care providers and their attempts to alleviate the degree of pain that mattered. Even ...Read more
Is it ok to take a pain reliever, if the cause of pain is the result from 2 hours workout. What is your advice? Thanks in advances...
You can have pain: relief, or you can have euphoria, but really you can't have both. The fact you are asking for what strain gets you "highest" leads me to believe that pain relief isn't really what you are looking for. I don't know if there are "brands" or "strains" of kratom, but generally the black market is such that claims about potency and kind of drug usually aren't truthful. Kratom itself is addictive. ...Read more
Please help! what is the difference between a facet block and an epidural injection for back pain relief?
Different: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. Epidural injections are into the spinal canal area or around the spinal nerve roots exiting the spine. ...Read moreSee 1 more doctor answer
I've a bulge in L5 and as a result i sometime feels acute pain in my left leg while walking. What is the best non surgical treatment for this problem?
My Dr is pressuring me to try methadone to treat my chronic pain in place of my usual narcotics. Is methadone effective for chronic pain and what are the risks?
Swim, bike at gym: Assuming you mean the low back, swimming and use of a recumbent (chair-like seat) stationary bike are usually the best options. Most true sporting activities are usually suspended while one has pain related to a disc tear, bulge or herniation. Common sense prevails and nonpainful low impacti/ntensity activities that do not require heavy pushing, pulling, lifting and rapid twisting should be ok. ...Read more
Time: This usually results from degenerative changes in the lumbar spine causing irritation to the nerve root. Often this pain will resolve spontaneously in 2-3 weeks, but may require further treatment including medication, physical therapy, injections, and/or activity modification. Your physician can help direct appropriate treatment. ...Read moreSee 1 more doctor answer
How is a diskectomy different from a spinal fusion? What's the difference between a diskectomy and a spinal fusion? Is one better than the other for back pain relief?
Discectomy : Discectomy is the removal of disk. Usually only small amount of disk which has leaked out of the disk space and is pinching a nerve is removed. Discectomy is done primarily for sciatica leg pain not for back pain. Recently surgeons have had success with endoscopic discectomy for treatment of back pan caused by degenerative disk disease with a rip in the disk (radial tear). Fusion surgery most of the disk is removed and cage/bone is put into the disk space. The vertebral bodies are held together with screws and rods. Over time the upper vertebral body fuse across the disk space to lower vertebral body forming "one big bone". Fusion surgery is the standard surgery for back pain. In the future endoscopic discectomy may replace fusion surgery for initial treatment of back pain from degenerative disk disease. Please see my health guides on endoscopic discectomy. Good luck! ...Read moreSee 1 more doctor answer
I've heard nubain is a good alternative to an epidural for managing pain in labor. What's the difference?
Labor pain control: Nubain is a semi synthetic opiate that can be used for pain control. When a woman is pregnant, opiodes given systemically (oral, intravenous or intramuscular) in such doses that can cross the placenta to the fetus and cause decreased awakening, respiratory compromise at birth and with nobaine, may affect fetal monitoring. All these side effects with epidural are way less and pain better controlled. ...Read moreSee 1 more doctor answer
Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. ...Read moreSee 1 more doctor answer
Whats best for pain relief for artheritis of the 2nd mattatasel of top of the foot from kickboxing ta?
Kick it: If you are saying that your second metatarsal has pain, the I would be concerned with a possible stress fracture of that metatarsal. If the pain is in the second toe then toe arthritis is possible. It depends on just how long you have been having the pain. Arthritis pain can be relieved, not reversed, with NSADS but care must be taken with your listed conditions. ...Read moreSee 1 more doctor answer
Please help! what is the best course of action for treating degeneration and bulging in all of my lumbar discs?
Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. ...Read more
What type of doctor is better to see for treatment of small fiber neuropathy in the legs- a neurologist or a pain management doctor? pain is bad
That might be impos-: Sible to achieve. It would depend upon the severity and extent of the injury. Rice ( = rest, ice, compression and elevation) + nsaids, muscle relaxers would all help to alleviate the symptoms in the first 3-4 days; and later replace ice with a heat pad 3 x a day to help. Unless its a very minor injury which might get relieved in a day, but generally it takes 4-5 days time. ...Read more
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