Acute post op pain is very different than treating chronic neuropathic pain. There are other options that the anesthesiologist and pain management specialist can use post op. Shoulder replacement surgery recovery is painful and difficult, so the earlier you can make post surgery pain treatment planned the smoother your recovery period will be.
Neurontin , B- blockers and gabapentin may be considered as a prophylactic treatment. Please consult a neurologist for a better insight after a thorough clinical examination in your case. Hope it helps.
His last episode and thus far the worst was preceeded by months of severe eye pain and after resolution it lingered for several more months. He saw numerous eye specialists and finally ended up at our large university hospital with the "best" ophthalmology surgeon in the state. His labs were elevated and it was a real mystery. There was lots of guessing. But I'm sorry to tell you that a reason was never found.
I was on gabapentin (1200mg) a day for about 6 months but it didn't work for me. I have chronic back pain but it doesn't seem to be nerve related like they thought at first. It may be myofascial pain syndrome. My sister in law has nerve pain and she takes a combination of drugs such as a small amount of Lyrica , a small amount of an antidepressant, a small amount of lamictal and so forth. Be open to whatever the right combination is for you.
I was on them for about 6 months for severe and chronic back pain. I just had a 4th epideral shot and its seems to have worked finally. I also have had to detox cold turkey from Norcos and it was horrible for about 2 weeks. I wanted to die. They say its like coming off heroine. I tried to quit the dilaudid too fast and felt those symptoms again so they are the same with any drug. cold sweats, chills, diahria, stomach cramps, constant swallowing my own saliva, clammy, aches.
I became addicted to oxycodone 15mg in 2012 after my first back surgery, obviously I was on them while I was in the hospital for 7days after surgery then took them for about 4 days once I got home. I tried to stop and became sick and realized I was addicted. I go to a pain clinic for my chronic pain. Since then I had surgery on my elbow and just 2 weeks ago I had another back surgery. My oxycodone has never been upped in dosage so of course it doesn't help with the pain.
Neurontin is an epilepsy drug--it has a number of "off-label" uses and one is chronic pain. The Elavil at nite is for pain management and anxiety.
Of the two GABA is the drug with the most serious side effects--like Steven-Johnson syndorme--so you really should educate yourself and learn about the drugs and then find out for yourself if you want to take this medication. Do the benefits outweigh the risks of this medication?
If you are interested in what he and his staff have to offer as far as a better quality of life please Google
Dr. Kenneth Pettine, M.D.
Is this acute or chronic.
I get burning, sharp stabbing/shooting type pain, electric shock like pain, pins and needles, prickly sensations, numbness and some times my lower legs can be sensitive to touch, it feels like the pain runs down a set nerve, it is mainly in my legs, groin/pubic area, of late the pain in my pubic area has been so intense it can cause bladder leakage., I also get some painless twitching.
I have taken Gabapentin before for pain and found it about as useless as a screen door in a submarine.
Yeah I know the "top doctors" prescribe it. They also used to prescribe blood-letting.
In addition it seems to lower a persons IQ by about forty points (I know...that's a figure of speech), cause loss of memory, headaches, and loss of libido.
I think there are many alternatives to be considered before using Gabapentin, such as a frontal lobotomy.
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