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Doctor insights on: Why Is Neurontin Usually Given For Nerve Pain And Not Bruises Or Other Injuries

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Why is Neurontin (gabapentin) usually given for nerve pain and not bruises or other injuries?

Why is Neurontin (gabapentin) usually given for nerve pain and not bruises or other injuries?

Nerve treatment: Neurontin (gabapentin) or Gabapentin was formulated as a medication to treat seizures. There is no evidence that it is helpful for pain except for that due to nerves. ...Read more

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Nerve (Definition)

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


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What are some of the reasons for both shoulders hurting in a child? No swelling or bruising and don't seem to be severe pain

What are some of the reasons for both shoulders hurting in a child? No swelling or bruising  and don't seem to be severe pain

Take to pediatrian: Although this may only be a ploy for attention you should have a pediatrician evaluate. It could be over use or sleeping on it funny or an anatomical defect. Chances are, absent any trauma, there is probably nothing wrong. ...Read more

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Likely causes for severe middle back pain that's neg. on scans and not responsive to PT, TENS, or injections? Also leg numbness and bladder problems.

Likely causes for severe middle back pain that's neg. on scans and not responsive to PT, TENS, or injections?  Also leg numbness and bladder problems.

Varies: Presumably you have had a negative MRI of the thoracic spine, which is good at ruling out major structural causes there. Other possibilities include vascular causes, non spinal neurological conditions, and involvement of other areas of the central nervous system. Consider seeing a neurologist if you have not seen one. ...Read more

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In therapy for scatic nerve issue not working allergic to nsaids and ibuprofen. Is there a procedure to decompress the nerve? In alot of pain.

In therapy for scatic nerve issue not working allergic to nsaids and ibuprofen.  Is there a procedure to decompress the nerve? In alot of pain.

Yes.: Sciatic nerve problems are usually caused by disk disease. The most portant treatment is physical therapy and avoiding lifting or injuring your back. There are other medication choices in addition to the NSAIDs as well as injections for pain. Surgery is not an affective long term treatment but can be used to control pain if nothing else works. ...Read more

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Is there anything that can cause severe hip and thigh pain after being in bed for more than an hr.?

Is there anything that can cause severe hip and thigh pain after being in bed for more than an hr.?

See an orthopaedist: Pain within the hip can be a sign of arthritis. A consult with an orthopaedic surgeon, with xrays of the hip, would be a good place to start to help identify the source of the problem. ...Read more

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Is it common for shingles to cause loss of hearing and balance problems and is it permanent? It's been 5 mos, still have discomfort and need pain meds

Is it common for shingles to cause loss of hearing and balance problems and is it permanent? It's been 5 mos, still have discomfort and need pain meds

Ramsay Hunt Syndrome: Ramsay hunt syndrome occurs when herpes zoster causes facial paralysis and rash on the ear (herpes zoster oticus) or in the mouth. Symptoms: severe ear pain and hearing loss, ringing in the ear, loss of taste, nausea, vomiting, and dizziness. May also cause a mild inflammation in the brain. The dizziness /hearing loss may last for weeks, but resolves usually, face paralysis may not resolve. ...Read more

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Is Neurontin (gabapentin) useful for joint pain or just nerve pain? Is it safe to take if you have CREST syndrome?

Is Neurontin (gabapentin) useful for joint pain or just nerve pain? Is it safe to take if you have CREST syndrome?

CREST & Neurontin (gabapentin): Hello. Neurontin (gabapentin) is useful for joint and nerve pain. It boils down to the type of pain you have. Stabbing, burning, pins & needles, tingling, electric, numbness, etc. type symptoms usually respond to Neurontin (gabapentin). It's safe to take with CREST Syndrome. Rare for Neurontin (gabapentin) to exacerbate CREST symptoms. ...Read more

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Husband needs pain relief for sore shoulder joints. What would be helpful, but not cause the reaction that naproxen caused?

Husband needs pain relief for sore shoulder joints. What would be helpful, but not cause the reaction that naproxen caused?

Need more info: What reaction did it cause? That info would be very helpful. Also, have the shoulders been thoroughly evaluated? If so, what is the cause of the pain? ...Read more

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Is it possible that neck pain and stiffness are caused from general anaesthetic?

Is it possible that neck pain and stiffness are caused from general anaesthetic?

No but the position: Your head and neck was held along with the length that you were under anesthesia as well as any underlying cervical spine conditions may lead to this symptom complex. If it persists, let your physician know to see if any treatment may be indicated. ...Read more

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If nerves are what transmit pain, why do some medications work only on neuropathic pain (gabapentin) and some work on muscle related? (tylenol)

Different reasons: "neuropathic pain" generally refers to pains that are either generated by, or result from, disordered nerves involved in the transmission of pain. "normal" pains, such as aches from strained muscles, suggest tissue injury; that's the function of a normal pain reporting system of nerves. Anti-neuropathic pain medications work best on disordered nervous systems, common analgesics best on normal ones. ...Read more

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I have read that twitching is only a concern if muscle weakness is present. Can pain in knees and other joint pain along with twitching be weakness?

I have read that twitching is only a concern if muscle weakness is present.  Can pain in knees and other joint pain along with twitching be weakness?

No- pain HURTS: Weakness is lack of STRENGTH...pain is not a prominent feature of weakness therefore, should not be considered weakness...just because people are less likely to do things making them APPEAR WEAK.....see the difference? ...Read more

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Disc regenerative therapy. I see that it's mainly used for lumbar issues. Can it be used for cervical problems as well? Any side effects of drt?

Disc regenerative therapy.  I see that it's mainly used for lumbar issues.  Can it be used for cervical problems as well?  Any side effects of drt?

Find pain generator: The concept of disk "regeneration" is questionable. Moreover, the scientific evidence that the disc itself (as opposed to the surrounding structures) can be the pain generator, is limited. In contrast, the fact that the nerve roots can be affected by displaced ; leaking disc is universally recognized. Be 100% sure where your pain generator is before you go for any invasive procedure. ...Read more

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Can drugs for nerve pain like amitriptyline be so good that discontinuation of painkillers is possible?

Pain and adjuvants: In the treatment of pain, we use many medicines from vitamins, medical foods, nutraceuticals, and pharmacologics. Often but not always, opioids are necessary, but patient desires and cooperation do help,on choosing correct treatment approaches. Tricyclics, like amitriptyline, treat let pain in diabetes very well, and help,prevent migraine headaches. Duloxitine helps treat 4 pain indications ...Read more

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How is gabapentin for burning in legs, feet etc caused by back pain from spinal lumbar stenosis? And is yes, is it worth the side effects?

Yes: Gabapentin is a very good drug with minimal side effects, especially at the lower doses. It is used for neuropathy, chronic pain and fibromyalgia, etc... I would proceed with your doctors advice and try the medication. ...Read more

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Gabapentin (Definition)

Also called neurontin, (gabapentin) is an anticonvulsant medication used to treat seizure, also for post-herpetic neuralgia & other neuropathic pains, as well as restless leg syndrome. It works by lowering excitation ...Read more


Dr. Sewa Legha
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Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more