Cervical radiculopathy

I have a young male patient with bothersome right hand paresthesias consistent with radiculopathy, tried gabapentin but had some sexual dysfunction so will not try anything else with that potential side effect (TCA, Cymbalta). NSAID not helpful, doesn't want anything "stronger" than that. Tried a bunch of muscle relaxants per PCP without help. CESi somewhat helpful. PT no help, chiro no help...any reccs on something else to help without affecting his libido?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums

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Authors: Silveira C, Guedes R, Maia D, Curral R, Coelho R Abstract Multiple Sclerosis (MS) is a chronic disabling neuroinflammatory disease. Psychiatric manifestations have a high prevalence in MS patients and may worsen the illness progression and the patients' quality of life (QoL). Depression is a highly prevalent condition in MS patients, associated with poorer adherence to treatment, decreased functional status and QoL, and increased suicide risk. Diagnosis and treatment of this disorder is challenging because of symptom overlap. Other prevalent psychiatric comorbidities are anxiety disorders, bipolar disorder...
Source: Psychiatry Investigation - Category: Psychiatry Tags: Psychiatry Investig Source Type: research
AbstractPurpose of ReviewThe aim of this review is to examine recent literature on the relationship between sexual disgust and aspects of female sexual functioning, with consideration of how an evolutionary perspective of this important emotion may help inform treatment and intervention programs.Recent FindingsResearchers have begun to link sexual disgust with sexual dysfunction in women. There is evidence to suggest that sexual disgust has an inhibitory effect on sexual arousal, and that it is involved in the development and maintenance of sexual pain disorders. While research has begun to investigate the influence of sex...
Source: Current Sexual Health Reports - Category: Sexual Medicine Source Type: research
CONCLUSION: Vulvodynia patients report improvement in pain and high overall satisfaction after modified vestibulectomy, but more variable long-term effects on sexual function. PMID: 31809431 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
Traditional Chinese medicines (TCMs) represent one form of complementary and alternative medicine. The popularity and complexity in production make them attractive and vulnerable to adulteration in stages ranging from planting to production. Adulteration refers to the addition of extraneous, improper, or inferior ingredients that should not be present in TCMs. To detect and combat adulterated TCMs, supplementary testing methods (STMs), which expand the capability of routine testing standards, have been applied in China since 2003. From 2003 to 2017, a total of 184 STMs for TCMs were approved by the Chinese national drug re...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
Sexual dysfunction (SD) and pain with sexual activity (PSA) are common after inguinal hernia repair, but reported rates vary. Sources of variation are explored in this meta-analysis, but influence of procedure type remains unresolved. Preoperative discussion and prospective study designs should consider outcomes of SD and PSA.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Original Scientific Article Source Type: research
Review in-depth clinical information, latest medical news, and guidelines related to reproductive endocrinology, including the potential causes of female infertility and other problems, such as pelvic pain, sexual dysfunction, atypical pubertal development, or premenstrual syndrome. Read articles about treatment for polycystic ovaries and hirsutism.
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Resource Center Source Type: news
Purpose of review To describe the principles of pelvic floor physical therapy (PFPT), review the evidence for PFPT as a treatment for pelvic floor dysfunction, and summarize the current recommendations for PFPT as a first-line conservative treatment option for pelvic floor disorders. Recent findings Pelvic floor dysfunction can cause voiding and defecation problems, pelvic organ prolapse (POP), sexual dysfunction, and pelvic pain. PFPT is a program of functional retraining to improve pelvic floor muscle strength, endurance, power, and relaxation in patients with pelvic floor dysfunction. Based on the available evidenc...
Source: Current Opinion in Obstetrics and Gynecology - Category: OBGYN Tags: UROGYNECOLOGY: Edited by Kavita Mishra Source Type: research
AbstractIntroduction and hypothesisTo explore the effect of urologic chronic pelvic pain syndrome (UCPPS) on female sexual function.MethodsDatabase searches were conducted in PubMed, EMBASE, the Cochrane Library, and Google Scholar for published literature using the Female Sexual Function Index (FSFI) or reporting the prevalence of dyspareunia. Data extraction and quality evaluation were performed on the literature that met the inclusion criteria, and a meta-analysis was performed using STATA 12.0 and RevMan5.3 software to calculate the mean differences (MD) and odds ratios (OR) and their 95% confidence intervals (CI).Resu...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
AbstractPurpose of ReviewTo describe the current state of research on interactions between inflammation and female sexual function.Recent FindingsInflammation may interfere with female sexual desire and arousal via direct (neural) and indirect (endocrine, vascular, social/behavioral) pathways. There are significant sex differences in the effect of inflammation on sexual function, arising from different evolutionary selection pressures on the regulation of reproduction. A variety of inflammation-related conditions are associated with the risk of female sexual dysfunction, including cardiovascular disease, metabolic syndrome...
Source: Current Sexual Health Reports - Category: Sexual Medicine Source Type: research
 Psychiatric medications are the religion and politics of the mental health advocacy world — don’t bring them up unless you want a fight to break out. Luckily, here at Not Crazy, we don’t shy away from confrontation.  In this episode, we cover the good, the bad, and the ugly surrounding medications. Like whether or not you should take them. We tackle side effects like feeling numb and sexual dysfunction and share our personal histories with medication therapy. Listen now! (Transcript Available Below) SUBSCRIBE &REVIEW About The Not Crazy Podcast Hosts Gabe Howard is an award-winning wri...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Antidepressant Antipsychotic General Medications Mental Health and Wellness Not Crazy Podcast Psychology Research Sexuality Stimulants Treatment Source Type: blogs
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