Pain Management

Scientists countinually develop new drugs as we do not know everything about every disease yet and because diseases are constantly changing, mutating, and growing stronger and more resistant to drugs.

Cut and paste the following URL... These sites will answer your question to your satisfaction... http://www.google.com/search?hl=en&q=sural+nerve&btnG=Google+Search

Diuretics is not the right answer. It is cardiotonic.

Legally, no... we're not allowed to administer drugs. For example, an asthma attack, when administering an inhaler you MUST NOT give the casualty the inhaler, you're not allowed to, you can only "assist" the casualty to take the inhaler.

Cream maybe.??

1-3 million tons including crack, marijuana, or anything. speedballs, anything.

If this happens all the time it could be anything from an ulcer to an irritated colon from drinking. If it's just happened it could be pure gas. People who have a poor diet or eat greasy fast foods then go out and drink (usually too much) will often have this problem. If it continues please see your doctor and be honest with him/her.

Is your burn just red, with no bumps or blisters?
If so, this is a first degree burn or superficial burn. These are best treated by placing the affected area under cool running water for 15-20 minutes, until the area is cool to the touch. Do not use ice! It may add additional problems!
After the area is cool, you may want to put aloe gel on it, or some other cream- but this is optional.

Is your burn blistering and red?
If so, this is a second degree burn or intermediate burn. This is best treated by immersing the area in cool water, changing the water as it heats- or very slow running water. Always use cool water. Keep cooling the area for 15-20 minutes, until the area is cool to the touch. You want the area to cool down so that it does not continue burning you! (Yes, the heat you feel when you touch a burn on your skin before you treat it can burn you further, and therefore you really want to treat it as soon as you can!)
After the area is cool, cover the area with a dry sterile "cloth"- I would suggest a piece of gauze, using medical tape to secure it.
You do not want to pop the blisters, and you want the area to be able to breath. Do not wet the cloth before applying, as that takes away air flow, and also ensuring that if you didn't cool it enough, the remaining heat will not be trapped in the bandage and do more damage.

Is the area blackened?
This would be a 3rd degree or deep burn. If you have a 3rd degree/deep burn, you NEED TO GO TO THE EMERGENCY ROOM NOW.
These burns require immediate medical attention, no matter how small they are.

I think so as I have sore shoulders

A week after being diagnosed with

Tennis elbow

Lortab is Hydrocodone. Oxycodone is a bit stronger. 1 and a half times more strong is an average. The 2 meds are both partially synthetic opioids but they work a bit differently in the brain to provide pain relief They will show up differently in a urine test as well if the proper test that differentiates is used.

Many popular over the counter pain medications are both.

Ibuprofen and Naproxin Sodium are two.

The L5 is the lowest of the vertebrae of the lumbar and S1 is the first vertebra of the sacrum. Severe facet arthritis is when the sacs between these vertebrae become inflamed and arthritic.

It would depend on what was the cause for the abdominal pain. There are many things that can cause abdominal pain, so it would fall under many different specialties. In general if you are having abdominal pain, you should see your primary care doctor. They are trained to diagnose most causes of abdominal pain and can send you to the correct specialist (if required), or treat it themselves.

This could be many things, but one you may look into is the greater trochanteric bursitis. Weak hip abductors, especially the gluteus medius is often found. Some other factors that may contribute to this syndrome include genu varum (bow legs), pronation of the foot (subtalar joint pronation), and leg length discrepancy.

The IT band stretches from your hip abductors to you knee. This is a band and it has a tendency of becoming VERY tight when not stretched, even in those who are not very active.

After sitting for long periods my "hip" starts killing me. It also does this while I run. A lot of people suffer from greater trochanteric bursitis and do not realize that is what it is. If you ever have knee pain in the same leg, it is probably associated with this.

However, this is just one possibility. If stretching out the hip area (google hip stretches) does not help over a few days period, this may not be your problem.

Hope this helps or at least narrows down your possible problems!

This has always been a problem for Duragesic users like myself, particularly during the Summer months. However, there are several ways you can help keep your patch(es) in place:

1. If you're using Duragesic and not the generic patches (most people like me who've used Duragesic for years can't use them), Janssen Pharmaceuticals, the maker of the patch, has a program for users of their patch to deal with the problem. Qualified individuals are sent a package of Bioclusive cover bandages to place over the existing patch. Bioclusives are transparent bandages that work like any other, but are just transparent and have different properties. The Bioclusive is large enough to fit over a single 100mcg patch and hold it in place. The information is in the Duragesic box, or you can call them directly at the number on the back of the box. The Bioclusive program is one of the menu items. Note that it is ONLY for Duragesic users; if you're using the generic patch, you're not qualified for the program.

2. Skin Prep - Skin Prep is a medical adhesive skin preparation, normally used by Colostomy patients who have much greater adhesive/adhesion requirements. Skin Prep preps the skin by adding a thin layer of a chemical that increases the adhesion of whatever it's stuck to. The key to using this though is that you must be absolutely precise in its application where the adhesive edges of the patch are to go. If careless, you can block the skin area where the patch membrane is when you apply your patch, thus preventing a full skin area for drug release.

There are 2 versions of the drug; one stings, the other is a 'non-sting" version. But the stuff works.

3. Medical/Surgical tape - You can use medical tape on the edges also. If the patch has come off, don't toss it if it's still intact and not stuck to itself. Clean the area where it was thoroughly, then put the patch back on using tape on the edges to hold it in place. Once removed from the skin, the patch adhesive is no longer strong enough to hold it in place on its own, so it needs tape or something like a Bioclusive patch to hold it. It takes a bit of time, but if you've got enough Fentanyl left in the patch, it'll start transferring within an hour or more depending on your body heat.

Having said that, at times requiring 2 100mcg patches myself every 48 hours (I'm in a small percentage of the population that only gets 48 hours out of the patch) I eventually figured out that the best way to keep them from coming off while sweating was to ensure they were put on properly in the first place. The only way to do this is to remove all skin oils from the area where the patch is going to be.

Ah, you say - but the directions say not to use alcohol for skin preparation, right? Actually, yes and no - the directions say not to use alcohol and THEN apply the patch. The reason for this is that Isopropyl Alcohol leaves a residue that can block drug release. So how do you get around this problem?

The answer is to use Isopropyl to clean the skin area, the to rinse/flush the area with water afterward to remove any residue left by the alcohol. Be sure not to use any soaps either, as they leave residue also.

Having used 1 or 2 100mcg Fentanyl patches for over 10 years now, I've always used them on my biceps, since for me they're the best place which affords the least skin flexing. Where you place your patch has a major effect on its adhesive capability as well. Any patch must be placed above the waist; many cancer patients I've known who've used them prior to passing on had them placed on the back. Anywhere you place the patch is supposed to be free of any body hair, as even small hairs can interfere with the patch. I've use mine for so long in the same place on both arms that hair doesn't grow there anymore, but when first starting I had to shave the areas where I put the patches. If you're wondering, I switch arms every time I switch change patches. You must give the area where you place your patch enough time to breathe and replenish itself.

I also offer this advice to any Fentanyl Patch user; as Schedule 2 opiate patients, all of us know the extreme restrictions placed on us by Federal Law, including the "minor problem" of only being given 30 days worth of medicine, only to lose one or more to sweating. I learned many years ago to maintain at least a 30 day emergency supply of all of my opiate medications, both primary and breakthrough (120/150 Percocet 10/325's per month). It is not easy to save up that much - if you have a good relationship with your Pain Specialist, you can always ask for extra, but be absolutely honest in why you're asking for it. Having had more bad doctors than good, it took a long time for me to find a good Pain Specialist, so be sure you've got a good one before saying anything if you should choose to try and bank extras for emergencies.

In my case, I used my breakthrough meds to substitute for my patches on those days when my pain wasn't as bad. It typically takes me a year to save that much - I've always kept my doctor informed, and he in turn has always given me a little extra in my prescription when my emergency supply ran low due to problems with my HMO or some other stupid reason. But I had the same doctor for 9 years, and I was one of his best patients. Never break the trust between you and your Pain Doctor - ever.

Those who have specific or further questions concerning patch adhesion may email me at the address at the top of my Supervisor Bio page.

A common cause of neck pain is muscle strain or tension. Usually, everyday activities are to blame. Whether you're reading, working, or watching TV, change positions often. Take breaks from your desk or your chair and move around.

Well there are a ton of ways, the most basic is drink TONS of water and cranberry juice. eat foods with lots of antioxidants like pretty much any berries, (blueberries and cranberries are best, but i dont think you wanna eat cranberries...), garlic, tomatoes, carrots, and more. you can look em up on the internet for sure. this is the slowest method, but still, within maybe a week or two you should be good.

Also, you can do more drugs to get rid of the old ones. I seen it work before. there are also "artificial" ways, like detox drinks you can buy at GNC or other health stores similar to it. this is the fastest method, it will clear you in a day or two.

also kinda in the middle are cranberry pills, or other detox pills and such which are much cheaper than the drink and you can probably get em at any pharmacy. they do take a bit longer to work though, a few days at least.

hope this helps!

Biforaminal is the narrowing of the nerve outlets on both sides of a vertebrae. These nerves are from the spines that pass through the vertebra.

Elbow pain is usually not a serious health concern. Often, it is caused by damage or stress to the bones, joint, muscles, ligaments, or nerves in and around the elbow. It can also be caused by issues in one's neck, shoulders, or hands or from tendinitis and arthritis. Serious concerns, or reasons to see a doctor include broken bones, swelling and redness of the elbow, or pain in the elbow, even when your not using it and it is always best to consult with your doctor if you're unsure, as this list is not exhaustive.

Acetaminophen, guaifenesin and phenylephrine indicate a cold medicine. It is used as a pain reliever and expectorant.

Yes, tramadol relieves migraine pain for some sufferers. Here's a study comparing tramadol plus acetaminophen to a placebo: http://www.ncbi.nlm.nih.gov/pubmed/16324164 I am a lifelong migraineur and tramadol has been very helpful for me, both as treatment for acute migraine attacks and as preventative. As a preventative, 100 mg of ER (extended release) tramadol taken once a day has reduced both the frequency and severity of my headaches. On the other hand, some patients have reported that tramadol makes their headaches worse.

If you have an ulcer, then the risky pain relievers are nonsteroidal anti-inflammatory drugs, or NSAIDs like aspirin, ibuprofen, naproxen sodium, and ketoprofen, etc. However you can try Tylenol, but like any other medication this one has side effects also, so consult health care provider before taking anything, especially popping over-the-counter painkillers.