See All
Preferences
My Communities
My Discussions
My Email Digests

The muscle tightness and spasming that you describe may respond to other treatments like botox injections, acupuncture, and special types of physical therapy. You can talk to your doctors about these options and see if they think it may help your situation. Part of overcoming this problem may require re-training the muscles in your body to break some abnormal movement patterns that have developed.View Thread

His recommendation for obtaining the MRI could be seen as a tool to guide further treatment. That might include what types of exercises or physical therapy to recommend, and in some cases, surgery may be an option for a torn meniscus. I think it would be wise to have an MRI before making any decisions on knee surgery in particular if indeed that is being considered. If not, then you could certainly consider delaying having the MRI and pursue managing it based on your doctor's clinical impressions.View Thread

When I did my training in the 90s, the common practice for epidural steroid injections was to usually perform a series of three injections about 2-4 weeks apart. The feeling was there was a cumulative effect by doing them in a series. Once completed, we would advise patients to not repeat them for at least 6 months to get a break from the steroids. There seems to be a lack of outcome studies to support this practice, though, and in some cases, health plans may put restrictions on how many can be done. For example, some dictate that if the first one is not successful then there is no support to do additional ones, but I certainly have had patients over the years that didn't respond to the first one or two but felt great by the time the third one was completed.
I like to factor in the age and life circumstances of the patient when deciding how many are appropriate. For example, for elderly patients who find them helpful in keeping more active, I don't mind them having a few every year. But for younger patients, I typically don't recommend them having steroid injections every year, year after year, if possible.
If you don't feel as though you are making progress with your treatments, then certainly you should talk to your doctors about other alternative options and treatments.View Thread

- Keep walking. This helps reduce back symptoms and keeps your lower half of your body from getting weak.
- Even though you have tried PT, there still may be some exercises, stretches, or other modalities that could help that haven't been tried.
- Anti-inflammatory medications - even though you have probably tried some, there are many out there that could still help.
- Epidural steroid injections could help reduce pain and inflammation around the nerve roots of your lower back, and is a reasonable option to consider in the sub-acute phase.
- Acupuncture - a course of several sessions can help.
- Inversion tables - you can get one for a few hundred bucks and this can provide temporary relief during the day in some cases.
Good luck!View Thread


If your friend is not tolerating strong pain killers well, then consider talking to his doctors about adding other types of medications to help out like NSAIDS (ibuprofen for example) and Tylenol. Topical Lidoderm Patches could help if there is a place they could be placed that didn't interfere with the healing of the incisions. Coaching him through his breathing and encouraging him to take deep breaths helps prevent atelectasis. You being there for him to distract him through things like telling stories, reading, or watching shows and movies will no doubt be very appreciated.View Thread

Meralgia Paresthetica is a nerve pain syndrome that causes a burning, tingling pain on the outside of the thigh. It is usually caused by compression around a nerve called the lateral femoral cutaneous nerve. Sometimes the compression is caused by weight gain or pregnancy, but I have also seen it occur after other surgeries on the hip or back.
Iliotibial Band Syndrome is caused by inflammation in a thick band of fascia that covers the muscles on the outside of the hip and thigh. This can sometimes be a source of knee pain and in other cases it can cause outer thigh pain. The right stretching and strengthening exercises often lead to improvement of this condition.View Thread

In cases of a true codeine allergy, it is common to see allergic reactions to other opioids as well. The odds of this happening go down if an alternative opioid is chosen from a different chemical class. Unfortunately, most of the typical opioids used for post-operative pain control are in the same class as codeine, but one that isn't is fentanyl. I hope this helps!View Thread

With that in mind, continued headaches after a motor vehicle accident can be related to multiple factors like muscle spasms in the neck, postural changes in the neck's curvature, inflammation around the joints that help support the head and neck, and closed head injuries to name a few. It may help to approach the problem as one where your whole body has been through a significant injury as opposed to just your neck. For example, the military has experimented with using acupuncture on the front lines after high impact injuries. When pain problems are that challenging, I think taking a whole person approach, including addressing both the physical and emotional effects of the injury work the best.View Thread

Rebound headaches have now become one of the most common causes of headaches. Surprisingly, rebound headaches can occur from not just the frequent use of pain killers and common prescription headache medications but also from over the counter analgesics like acetaminophen and ibuprofen. Therefore, it makes sense that you would consider rebound headaches as a possible factor.
Stopping or weaning off of whatever medication or medications that may be contributing to the rebound headaches is usually what is recommended to break the cycle. As this can lead to a temporary increase in headaches before they start to get better, this can often be a challenging process to go through, but may provide long-term improvements in the headaches. Before making any medication changes, it would be a good idea to talk to your doctors about this and work out a plan that seems like the best fit for your situation.View Thread
See Related Pain Management Communities
Women's Health Newsletter
Find out what women really need.
Other Pain Management Information
More Related Communities
The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment.
Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.
Health Solutions From Our Sponsors
©2005-2013 WebMD, LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment. See additional information.



