Re: pain control

[Guest guest]

Hi Ronna,

An antispsmodic drug is the best. It will help to relax smooth

muscle tissue and may even help to release the culprit stone.

" Dicyclomine hydrochloride (Bentyl) = drug used. Read more at link

below or go to group pages files.

http://www.emedicine.com/EMERG/topic98.htm

Suzanne

[Guest guest]

,

I know exactly what your aunt goes through. I have used almost every pain

medication available. Some would work for a while. Some never worked. And,

some made me feel so weird I couldn't function. I now use Neurontin along with

Suboxone and Doxepin to help at night.

What I have found out is that not all meds work with everyone, and that most

meds do not help with nerve pain very well.

I had to just try this and that. Combine this with that, of course always under

a doctors care, until I found what worked for me.

One thing to remember is that your aunt and her doctor need to work in

conjunction with each other. Tell the dr when the pain is worse. Did this med

help at all or did it help sometimes? Keep track and let your dr know. He is

here to help you.

Also, never worry about calling a dr during off hours. He knew that would

happen when he chose to be a dr. Also, never feel bad about asking for more or

different pain meds. We did not ask for this disorder, and nobody should live

in pain. Especially nerve pain, which my dr says is the worst.

My heart hurts when I know someone with CMT is out there suffering. We do not

have to live in pain! Please, tell your aunt to call the dr now if she hurts.

And, keep me in touch, and I will keep you and her in my prayers.

God bless,

[Guest guest]

Sharron,

While we are on the topic of spinal stenosis, one caveat that I didn't

mention with regards to the 90 year old patient....one of the cautions and

potential contra-indications to nonsurgical decompression procedures in the

elderly is the extent of osteoporosis that may be present. In our office we

routinely request DEXA scans for assessment with a -2.5 standard to rule out

in cases such as this.

Best regards,

Jeff

>From: " Sharron Fuchs " <sharronf@...>

>< >

>Subject: FW: Re: Pain control

>Date: Mon, 13 Nov 2006 16:03:22 -0800

>

> I asked Dr. Tunick about treating stenosis - with his permission here

>is his reply which I thought was great.

>

>sharron fuchs dc

>

> Re: Pain control

> > >

> > >Dr. Kierstyn

> > >

> > > " You are absolutely right....as a new practitioner, you do that with

> > >all of your patients. Once you have been in practice for 10 - 20

> > >years and one of your long term patients comes in, you know them

> > >well, you've

> >

> > >seen them through a number of exacerabations, " this is probably just

> > >another " is often the first - and the correct- impression. So the

> > >usual

> >

> > >routine is skipped over to see how they fare (or to trust that they

> > >will fare as they usually do) with a good adjustment. "

> > >

> > >I send my patients out for further imaging when it is warranted. In

> > >this case, it is. This should be obvious whether you are a new

> > >practitionor or have been practicing for " 10-20 years " . It doesn't

> > >matter if it is an existing patient or new patient. When someone

> > >walks into your office with " severe onset of low back and leg pain.

> > >Pain becomes agonizing, excruciating and she is unable to walk, drags

>

> > >the leg and must use crutches in order to ambulate " , you send them

> > >out,

> >

> > >regardless. An exacerbation of symptoms (ie, increase in pain) is

> > >different than " unable to walk, drags the leg and must use crutches

> > >in order to ambulate " . This has nothing to do with how long I have

> > >been out in practice. Experience does not mean you are a good doctor,

>

> > >even if it is " 10-20 years " .

> > >

> > >Shad McLagan D.C.

> > >

> > >

> >

> >

>

>