7 doctors weighed in:

Why is so diffucult to get effective treatment for chronic pain, fibromyalgia, deg joint disease, neuropathy which is all documented?

7 doctors weighed in
Dr. K. Olson
Psychiatry
2 doctors agree

In brief: Tricky conditions

Fibromyalgia because it remains somewhat controversial can rub some md's the wrong way.
There are excellent non-narcotic remedies for pain and neuropathy - Gabapentin and lyrica (pregabalin). Fibromyalgia/pain responds to cymbalta. Same has been shown to have benefits in some trials. Ani-inflammatories like Ibuprofen can provide relief for arthritis. Physical therapy, acupuncture, stretching, moderate exercis.

In brief: Tricky conditions

Fibromyalgia because it remains somewhat controversial can rub some md's the wrong way.
There are excellent non-narcotic remedies for pain and neuropathy - Gabapentin and lyrica (pregabalin). Fibromyalgia/pain responds to cymbalta. Same has been shown to have benefits in some trials. Ani-inflammatories like Ibuprofen can provide relief for arthritis. Physical therapy, acupuncture, stretching, moderate exercis.
Dr. K. Olson
Dr. K. Olson
Thank
Dr. James Marx
Pain Management
1 doctor agrees

In brief: Fear of Abuse

I believe what you mean is why are doctors reluctant to treat these conditions, right? The problem we have today is that scores of patients approch us for treatment with opioids (narcotics) whose real intention is to abuse or divert (sell) these medications.
That makes us suspect of all patients, many of whom are legit. We have a number of tools that separate the legit from non-legit patients.

In brief: Fear of Abuse

I believe what you mean is why are doctors reluctant to treat these conditions, right? The problem we have today is that scores of patients approch us for treatment with opioids (narcotics) whose real intention is to abuse or divert (sell) these medications.
That makes us suspect of all patients, many of whom are legit. We have a number of tools that separate the legit from non-legit patients.
Dr. James Marx
Dr. James Marx
Thank
Dr. Karl Haake
Anesthesiology
1 doctor agrees

In brief: Difficult to treat

Unlike many other medical problems, these conditions are very difficult to treat and there is no one medication or procedure that will fix these problems.
Unfortunately, medications like narcotics can make these problems worse over the long term despite giving short term relief. Narcotics are not always the answer for these conditions. The best treatment is a multidisciplinary approach.

In brief: Difficult to treat

Unlike many other medical problems, these conditions are very difficult to treat and there is no one medication or procedure that will fix these problems.
Unfortunately, medications like narcotics can make these problems worse over the long term despite giving short term relief. Narcotics are not always the answer for these conditions. The best treatment is a multidisciplinary approach.
Dr. Karl Haake
Dr. Karl Haake
Thank
1 comment
Dr. Karl Haake
You are welcome. There are physicians who specialize in the treatment of fibromyalgia. So you have options. Don't give up. Even though there is no cure, there are options for you.

In brief: No objective tests

All of the pain syndromes, like most psychiatric illnesses, are almost completely subjective, and therefore, very difficult to accurately diagnose.
There are no objective blood tests, x rays, and the like. There is nothing objective to see or measure. Lastly, treatment is an individual trial and takes a lot of time. Best treatment is from a specialist.

In brief: No objective tests

All of the pain syndromes, like most psychiatric illnesses, are almost completely subjective, and therefore, very difficult to accurately diagnose.
There are no objective blood tests, x rays, and the like. There is nothing objective to see or measure. Lastly, treatment is an individual trial and takes a lot of time. Best treatment is from a specialist.
Dr. Alan Koenigsberg
Dr. Alan Koenigsberg
Thank
Get help from a real doctor now
Dr. Peter Kurzweil
Board Certified, Internal Medicine
46 years in practice
16M people helped
Continue
108,000 doctors available
Read more answers from doctors