PHN refractory to conventional treatment
I saw a new patient in the office yesterday. 70 y/0 M with 1.5 years of severe pain secondary to a shingles outbreak in the left T5/T6 dermatomes. It doesn't appear that he received timely antiviral therapy at the time of outbreak and now he is suffering for it. He even asked to take off his shirt during the middle of the consultation secondary to pain. Prior to seeing me he has tried Hydrocodone, Gabapentin, Lyrica, Amitriptyline, Lidocaine ointment / patches, Calamine lotion and...
PHN refractory to conventional treatment (Source: Student Doctor Network)
Source: Student Doctor Network - March 30, 2017 Category: Universities & Medical Training Authors: EruditeDoc Source Type: forums
Pain after laminotomy lead
Morbidly obese 59 yo patient s/p lumbar 4-5 and L5-S1 discectomy followed by two failed PLIF. Never fused. Was off of opioids prior to SCS trial. Had successful trial and was implanted with thoracic paddle lead by experienced neurosurgeon. Complaining of burning sensation and intermittent intense spasm in area of implant (paddle) since surgery. Surgeon prescribes hydromorphone and valium. Unsuccessfully trys: Neurontin, pregabalin, duloxetine, Lidoderm and compounded cream. Then, off...
Pain after laminotomy lead (Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2016 Category: Universities & Medical Training Authors: NJPAIN Source Type: forums
Anticonvulsant conversions
I have a satisfactory method to transition from Neurontin to Lyrica and visa versa from the psychiatry literature. However, I do not have a satisfactory way to transition from either Neurontin or Lyrica to other anticonvulsants such as Lamictal, Trileptal, etc. While an option is certainly discontinuing one prior to starting another that is obviously suboptimal in a patient with severe, poorly controlled neuropathic pain. Anyone willing to share their way to gradually transition or directly...
Anticonvulsant conversions (Source: Student Doctor Network)
Source: Student Doctor Network - February 24, 2016 Category: Universities & Medical Training Authors: NJPAIN Source Type: forums
Gabapentin
by Davidkapors (Posted Fri Dec 18, 2015 7:46 am)Welcome to a is your convenient, safe and private source with access to affordable health care needs. All associated pharmacies are licensed to distribute in the states which they dispense medication, so you can be sure you're receiving the same quality medication you would receive at your neighborhood drug store. (Source: Med Student Guide)
Source: Med Student Guide - December 18, 2015 Category: Universities & Medical Training Source Type: forums
Re: Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study
(Source: BMJ Comments)
Source: BMJ Comments - August 20, 2015 Category: Journals (General) Source Type: forums
Chronic pain, opiates, and working?
I have a unique situation being that I'm 28 years old and suffering from chronic pain. I have confirmed bulging discs in my neck with bone spurs, degenerative disc disease, torn right hip labrum, post-op for left hip labral tear, and hypermobility syndrome. If you've never torn your hip labrum, it can be incredibly painful and disabling. It has made me couch-bound for the past few years. I could barely walk around to even do the household chores :(
I've had two surgeries on my hips, and will be needing another one in a few months. I have been going through this for the past 4 years, so I'm hoping this is the last h...
Source: Student Doctor Network Forums - February 9, 2013 Category: Universities & Medical Training Authors: chibipinkneko Tags: Pharmacy Source Type: forums
