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Doctor insights on: Why Are So Many Chronic Pain Patients Misdiagnosed Or Under Treated

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Why are so many chronic pain patients misdiagnosed or under treated?

Why are so many chronic pain patients misdiagnosed or under treated?

Tough to treat pain: Chronic pain is difficult to treat because what works for one patient doesn't always work for another. Also, certain pain medications can result in dependence or tolerance and worsen symptoms. Unfortunately, there is no "cure" for chronic pain making it very difficult to treat. There may be other factors that contribute to pain including other health problems. ...Read more

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Is it common to have chronic pain with multiple sclerosis? What are some ways besides narcotics to treat it?

Is it common to have chronic pain with multiple sclerosis?  What are some ways besides narcotics to treat it?

Yes: There maybe others to treat it, but it depends on whether the pain is due multiple sclerosis or things like osteoarthritis. Talk to your doctor and see what other options there may be. ...Read more

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I get terrible hives from oxycodone and have chronic pain. You say there are other options for chronic pain. What are they?

I get terrible hives from oxycodone and have chronic pain.  You say there are other options for chronic pain.  What are they?

Numerous: There are many options for chronic pain. These include both opiate and non-opiate options as well as non-pharmceutical interventions. These are best explored through a consultation with a board-certified pain specialist. Do not continue medication that cause hives. True opiate allergies are actually quite rare but opiates can and often cause some histamine release. ...Read more

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What are some conditions that can cause severe nausea and back pain? Not the typical because i have gone misdiagnosed for 6 years! PLEASE HELP Im 22

What are some conditions that can cause severe nausea and back pain? Not the typical because i have gone misdiagnosed for 6 years! PLEASE HELP Im 22

Common conditions: These are both very common conditions, surely. What are you most worried about? What diagnoses have you been given? What makes you think there is something more ominous going on? Recent tragedy or loss in the family that might make you extra concerned? Family members with cancer or other concerning diagnoses? Gallbladder disease comes to mind here. Prime Visit may point you in the right direction ...Read more

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Solutions for chronic pain relief? What are some options for dealing with chronic pain that do not have side effects?

Diagnos the problem: Its important to know the etiology of your pain before starting a treatment plan. All treatments have main effects and side effects, the key is to maximize the former and minimize the latter. If you are looking for a comprehensive approach, think about consulting a physical medicine and rehab doc, also called a physiatrist. ...Read more

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I have been diagnosed with sacroiliitis. What are some ways to manage pain?

I have been diagnosed with sacroiliitis. What are some ways to manage pain?

See details: Are you seeing a rheumatologist? Has a blood test been done to check if the HLA-B27 antigen is positive? There are several extremely effective therapies for this issue. With a history of diarrhea the sacroiliitis may be related to inflammatory bowel disease. I strongly urge a rheumatologic consultation if one has not already been done. ...Read more

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How often do patients with rheumatoid arthritis which had not been diagnosed show up in your pain clinics?

How often do patients with rheumatoid arthritis which had not been diagnosed show up in your pain clinics?

Not very common: Anecdotally, it is very rare. I've had more patients with chronic pain come in with seronegative spondyloarthropathy. In one case, i kept telling a patient i thought she had psoriatic arthritis but her doc kept saying she didn't until derm said nail problems were psoriasis. She even had family history of psoriasis. ...Read more

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There is a lot of talk about doctors not prescribing pain meds for conditions that require them, because they are afraid of dea, is this true, are doctors afraid to treat pain conditions ?

There is a lot of talk about doctors not prescribing pain meds for conditions that require them, because they are afraid of dea, is this true, are doctors afraid to treat pain conditions ?

Sad, but true. : Fed and state authorities and consequently medical societies have responded to the epidemic of narcotic related overdoses by strictly regulating the prescription of narcotics. This has indeed caused some docs and even entire clinics to stop prescribing narcotics to avoid the extra work associated with prescribing. ...Read more

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Which jobs are considered the best for people with severe back pain ?

Which jobs are considered the best for people with severe back pain ?

Lower back pain.: Office works without heavy lifting or strenuous physical activities. ...Read more

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Having severe neck pain and back. I'm however uninsured. What are some over-the-counter medicine that may be helpful?

Having severe neck pain and back. I'm however uninsured. What are some over-the-counter medicine that may be helpful?

NSAIDS: Nonsteroidal anti-inflammatory drugs (NSAIDS) can be excellent for this type of pain. They can help with both pain relief and in reducing inflammation. Examples are ibuprofen (like Advil, Nuprin or Motrin), Naproxen sodium (like Aleve, (naproxen) Naprosyn, Anaprox) or Asprin (such as Bayer, Ecotrin, Ascriptin). Avoid NSAID's if pregnant or allergic to them. ...Read more

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Why are people afraid to be near other patients with leprosy?

Why are people afraid to be near other patients with leprosy?

My thought..: Disfigurement can be terrifying to people. The fear of being mis-shapened combined with lack of knowledge about how mildly contagious it is - leads to fear & bias. 95% of people are actually immune to the bacteria. ...Read more

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I have temporal arteritis are all headaches I get caused by this disease? Some are very painful

I have temporal arteritis are all headaches I get caused by this disease? Some are very painful

They could be.: Temporal arteritis, also known as giant cell arteritis, is a systemic autoimmune vasculitis that affects the lining of arteries throughout the body. It is uncommon in patients below 60 and can be chronic and recurrent. The difficulty in managment is in knowing which symptoms are not due to the gca or treatment side effects. Presentation can be highly variable. Exam and work up is key. CRP too. ...Read more

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What causes chronic pain in some, but not others, given similar/same circumstances?

Variability: The answer is very complex, and somewhat theoretical. No two people are the same. Processing of pain is different in different people. No two injuries are the same. People's percetion of pain and pain tolerance differs. As you see there are many variables. ...Read more

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Adult with slight lazy eye. Never been treated or officially diagnosed, but can visually see it and sometimes eye pain. Are there any treatments?

Adult with slight lazy eye. Never been treated or officially diagnosed, but can visually see it and sometimes eye pain. Are there any treatments?

Yes: If by lazy eye, you mean an eye turns in or out, that can be surgically corrected. If by lazy eye, you are referring to an eye that does not see clearly even with glasses, that cannot be corrected beyond childhood. Lazy of the later type is also know as amblyopia. It must be treated in childhood by patching the better eye to force use of the worse eye preferably well before age 7. ...Read more

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Which symptoms are most common for people who have just gone through kidney transplant?

Which symptoms are most common for people who have just gone through kidney transplant?

Elation/ happiness: The only unit in a hospital with happier people is the maternity ward. All kidding aside, increased urination and some post-operative pain is what you'll see. Complications include acute rejection, electrolyte disturbance, infections. ...Read more

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Hello, it seems pain Drs. treat every patient as if everybody responds well with small doses of pain medicine, are there Docs. that specialize in patients that have higher tolerances than what's considered a normal high tolerance? or do they just get lab

Hello, it seems pain Drs. treat every patient as if everybody responds well with small doses of pain medicine, are there Docs. that specialize in  patients that have higher tolerances than what's considered a normal high tolerance? or do they just get lab

Different doses: It is not true that doctors treat pain in all patients with small doses of pain meds.Non narcotic pain meds like Tylenol (acetaminophen) and motrin are mild but one can max on the dose.And if it does not relieve the pin then we use narcotic meds and we start with small doses and if no relief the dose can be gradually increased till there is relief.Every patient have a different threshold for pain. ...Read more