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Pain Management

Pain Management is the practice of controlling chronic pain by the use of drugs and therapies.

433 Questions

Left lateral recess?

The left lateral recess refers to a condition whereby the narrowing reduces the available space within the exit doorway of the spinal canal. The left lateral recess may be caused by the arthritic overgrowth of the facet joints of the degeneration of the disc with the loss of the disc height.

Can alcohol affect hydrocodone?

it is very dangerous to take them together ,both are CNS depressant.

Is it smart to flex your abs if you're about to get stabbed and why or why not?

ABSOLUTELY DO NOT FLEX YOUR ABS IF YOUR ABOUT TO GET STABBED!

If anything, flex your brain, flex your feet, flex your reflexes... either way, don't stand there and wait to get stabbed. MOVE!

You hear stories about people that fell asleep at the wheel and got into a car accident only to receive minor wounds. Or, babies that fell 3 stories only to get scratches. All of these cases the person was in a relaxed state. They were not tense. So if by some chance you could not avoid getting stabbed I would say that it might be best to be in a metaphysical relaxed state. Only Monks that have trained 10,000 years would be able to pull that off.

What causes fibermyosis?

What is Fibermyosis? What causes it? I think I have it, so I would like to Know about it bebore I go to the Doctor.

What is sporolactobacillus P44?

Sporolactobacillus P44 is a strain of bacteria that belongs to the genus Sporolactobacillus, which is known for its ability to produce lactic acid and survive in anaerobic conditions. This bacterium is often studied for its potential uses in food fermentation and probiotics due to its beneficial properties. Research on Sporolactobacillus P44 may focus on its role in gut health, fermentation processes, and its application in various biotechnological fields.

How long should a person stay on a Fentanyl patch for?

It depends on the pain and the patient, but over time if you're getting better (or not sure) there comes a point where you need to lower your dose enough to get a better determination of where your actual pain levels are. The problem with patches is that the withdrawal pain can be worse than your actual pain, and while you're using patches, you can never get a good handle on where your real pain truly is at.

Lowering your dosage enough to stop using them isn't easy, and it's harder the longer you've been using them and the higher the dose. It's not impossible, but you need to be physically and mentally prepared to do it. That's a decision only the patient can make, as everyone knows when they're ready or not.

Can cephalexin make you depressed?

Antibiotics usually do not make you depressed. If you are sick enough to need an antibiotic, however, you can certainly feel tired, sluggish, and "blue!" If you have never suffered from these feelings before, I would be more likely to blame your infection rather than the antibiotic. Your body is using up all its energy to fight off the infection, so you don't have anything left over to make you feel alert and peppy.

Typical side effects from any antibiotic, including cephalexin, are more usually the GI effects such as nausea or vomiting, diarrhea, and upset stomach.

What should you expect on your first Pain Management visit?

There's a lot of patient history they're going to want, so be prepared to bring a lot of information with you, and arrive at least 30-45 minutes early so you can get everything completed.

  1. Pain / Medical History, including any surgeries, injuries, conditions, diseases, relating to the pain or not. They'll ask for dates for the surgeries, and for any injuries.
  2. Current pain level as shown on a chart.
  3. Pain locations as shown on a chart.
  4. Current medications and dosages, and what you're taking them for.
  5. Pain diaries, if you're keeping them. If not, start, as they'll likely ask you to start one.
  6. Any MRI's/CT's/X-Rays of the injury, condition, or disease that's causing the pain, along with the associated Radiology reports.
  7. Insurance information, including any Workman's Comp or Accident history (e.g., car accident involving legal involvement), and current status of the case.
  8. Most PM clinics will also have you sign an agreement that you'll only use one specific pharmacy for opiate prescriptions, unless otherwise authorized by your doctor if the need arises. That's to prevent abuse, but it's not a big deal for opiate patients. In fact, it's better to use one pharmacy, as they'll know your history and build up a trust/rapport with you over time.
I'd recommend staying away from any clinic that forces or requests that you bring in and discard any unused medication. Not only is it expensive for you, it shows an automatic distrust of all patients and shaky legal footing for the clinic itself. For those that want you to just give it to them, remember it's illegal for you to transfer any narcotics to someone it's not prescribed to, including the prescribing doctor or his nurses.

The 2 other things to expect are a urinalysis to detect any illegal substances, and recommendations for mental health counseling. Usually for first-timers, mental health counseling is a requirement.

The mental health aspect is very common, and not a reflection of you as a person. The plain fact of the matter is that anyone with real pain in their life requiring formal pain management deals with depression and many other mental factors associated with traumatic stress. Mental health counseling is just a part of the deal.

The other reason is that should your doctor prescribe opiate therapy, the side effects of opiates include mood swings, and it's important that you have someone to talk to about it. Involving your family/friends early on will also help keep you from getting alienated or divorced.

I've added links to Partners Against Pain, who have some great Pain Diaries and other charts you can download.

For the consult, the doctor will go over your pain history with you, and get a feel for your pain levels and what has worked/hasn't worked so far. DO NOT ask for opiates or painkillers up front, even though you may be tempted. That can get you tagged as a drug seeker, and they might not take you seriously unless you've got the medical evidence to back it up. Let the doctor assess your condition and then prescibe a treatment plan.

Be frank and honest about your pain also - make sure you make notes about what you want to talk about before you get there, as there's usually only about 30 minutes and it'll go fast. You don't want to forget something important.

Mouth pain only at night?

Some people grind their teeth while asleep. This can lead to pain that can wake you up. Maybe this is the cause.

Can my doctor fefuse to give me my monthly prescription or my pharmacy refuse to fill it if im 5 days early?

any pharmacist will not put their license on the line to fill narcotics early. If the DEA comes in for an audit and starts asking questions such as why it was filled, who do you think is in trouble. After 6 years of college it's not worth the loss of their job or license to practice.

Can you develop a tolerance to pain after getting kicked in the nuts?

Probably not. The "nuts" (testicles) have pain receptors, just like every other body part. When a person is kicked in the testicles, or is hit by a ball during an athletic event (even when wearing an athletic supporter), there is considerable pain; and being struck in the testicles is worse than being hit in, let's say, the leg, because the testicles do not have much protection (no muscles or bones to cushion the injury). Granted, some people have a higher tolerance for pain than others, but there is no evidence that being kicked in the testicles will build such a tolerance; in fact, if there are repeated kicks, it may cause harm to that part of the body, leading to serious damage such as blood clots, and some sources say it could even lead to infertility.

How is Just Dance different from DDR?

DDR doesn't have the actual original artist versions of the songs (or at least DDR Hottest Party, which is what we own). We don't have Just Dance yet, but it is definitely more enjoyable to be listening to the versions of the songs that are familiar.

Does very mild carpal tunnel still mean you have it?

Does a mild headache still mean you have a headache? Does a mild sprained wrist mean you have a sprained wrist. Yes, you either have carpal tunnel or you don't. The severity depends on whether you need an Advil or an operation. It's not a measure of degree of whether you have it or not, it's a measure of severity. Can you function with it or not? Talk to your doctor.

Can Oxycontin change stool color?

Yes, a side effect of Oxycontin can be clay-colored stools