Doctor insights on:
What Therapies Can Be Used For Sciatic Nerve Pain
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
I'm experiencing excruciating chronic sciatic nerve pain due to a pinched sciatic nerve caused by a herniated disc. Are there any non narcotic prescription meds that would be effective with this pain?
Natural pain methods: Some things that help for irritated nerve pain naturally are: Magnesium malate or glycinate 1000 mg- This is a natural muscle relaxer. Work your way up to 1000 mg. If loose stool, reduce dosing. Omega fish oil- I like combinations of omega 3 and omega 7 for their anti-inflammatory effects. Up to 5000 mg. Vitamin D- If levels are low, can help with back pain. Good Luck ...Read moreSee 2 more doctor answers
Conservative care: Unless the disc is so large on MRI scan that nothing short of surgery will help, patients should be started on non steroidal anti-inflammatory meds, muscle relaxants, pain medications, steroids if necessary. Try pt for some time. If symptoms persist, then i agree that epidural injections and surgery should be considered. ...Read moreSee 2 more doctor answers
What can be done to relieve pain caused by tmj? Are there alternatives to medicinal therapy for long term relief?
Can be complicated.: Tmj disorder can be complicated, and i agree with the other doctors' answers. I will add a couple of things. I have advanced training from the university of michigan concerning tmd. You should certainly stick with a soft diet, with no chewing gum. Try to massage the affected joint. Take Ibuprofen to lessen the pain and reduce inflammation. See a dentist for an x-ray and overall evaluation. ...Read moreSee 5 more doctor answers
Good medicines for..: Few anti epileptic medications like for example Lyrica, (pregabalin) gabapentin, tegretol have been used with success for fibromyalgia. Tricyclic and other antidepressants like amytriptiline, Cymbalta can help with symptoms as well. In some people antiinflamtory meds and muscle relaxants can also provide relief. However, the mainstay of treatment is regular aerobic exercise at least 3-4 times a week. ...Read moreSee 1 more doctor answer
What medications can be used to treat thorasic back pain. MRI shows spurs and some minor impingement. Soma does nothing.
Neuromodulators: besides over-the-counter anti-inflammatories like ibuprofen prescription neuromodulators can be used like gabapentin, pregabalin. accupuncture can help. for medically refractory pain epidural steroid injections, radiofrequency ablation through pain medicine. avoid opioids at all cost. ...Read more
Spine Pain Options: This sciatica pain as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a pain/spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injections. ...Read moreSee 1 more doctor answer
Ice, voltaren (diclofenac) gel: Acute achilles tendinitis can be swollen and painful. Other than rest, ice for 20 minutes will help reduce pain and swelling to the inflamed tissue. Oral antinflammatories like Motrin may be helpful. More recently, topical antinflammatories like voltaren (diclofenac) gel may be applied locally to tendon to reduce pain. Higher heeled shoes and heel lifts can help by reducing the tightness of the achilles. ...Read moreSee 2 more doctor answers
Depends: All patients respond to medications differently. There are only 3 fda approved meds for fibromylagia. Cymbalta, Lyrica and savella (milnacipran). This only means that they did the research to show they have a positive effect on the condition. There are other meds that can be used. Narcotics have not been shown to be effective in the management of fibromyalgia. ...Read more
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read moreSee 2 more doctor answers
What are treatment options (including exercise, pt, chyro) for L5 nerve root causing pain that radiates all the way to foot?
Nsaids, pt, shot, sx: Typically my progression of treatments will begin with nsaids and sometimes an oral steroid if very painful. I will also utilize physical therapy and usually most will resolve over 3-4 weeks. For those who still have a large amount of pain and do not improve, epiduals becomes the next line of treatment usually except in certain emergencies, surgery is the last option. ...Read moreSee 1 more doctor answer
Had success with nerve block for hip,back,groin pain. Now on Lyrica (pregabalin). What are issues with long term use and could MRI help identify source of pain?
Effective drug: Lyrica (pregabalin) works well for many chronic pain patterns, but could cause side effects of weight gain, swelling of feet and ankles, drowsiness, dizziness. Dosage can be readily titrated to most appropriate level for you, but some degree of tolerance will develop over time. MRI may show specific pain generator but not clear whether this will help, based on given data. ...Read moreSee 1 more doctor answer
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