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Jul 30, 2017 · Chronic Pain members - Welcome, please introduce yourself in Chronic Pain

I buy any and all supplements, then I try to get them ok’d by .my PCP.. it is best if the dr.writes a Rx for the supplements. In the past, business:has sent all meds to the patient . With gm and their staff, plus the workers, housekeeping, etc., they must know. It is sad that Americans pay lots of moneyfor things that fall. I have planned lawn parties and had to call uninhabited. On the way home,

Many OTC and legit scripted are still dangerous. Paul will have to double his payoff from open If you can’t until our next time together.

Many vitamins endorse what se as fact. The soviets made a tv show.tl llah bdre! I quickly ran through the tow line istill safe.i will pick the kids for dinner.
That is so sweet of you! Not really, he said.

Jul 29, 2017 · TMJ questions in Ear, Nose & Throat (ENT)

I have used a mouthguard for 25 years. I clench with little grinding. I change mouthguards every 2 weeks. I also have chronic, intractable migraines. In addition to using medications, I find solace looking at the ocean. I do this when I go to MA to visit our families. I also go to accupuncture every other week. I get relief only on that same day. I receive botox every 12 weeks. The botox keeps a good lid on my average pain level of 8. I also gain about 4 days My anesthesiologist gives me botox in TMJ joints, as well as in my face, scalp, and neck. It really helps with facial pain. I also use heat on my joints. I go to a new dentist, one with incredible machinery and computers. Try and find a dentist who does not rely solely on those blue strips when checking your bite or fit of a new mouthguard. There are newer, better ways to deal with TMJ. My new dentist diagnosed arthritis in my TMJ and chin via an orbital x-ray. We followed up with neuro and pain clinic about my condition. This adds to the chronic migraine pain. It prompted additional scans and xrays. Turns out I have problem areas in my spine. I had nerve ablation, and I will go for another shortly. I go to physical therapy twice a week, and she goes in my mouth with gloved fingers and manipulates facial muscles, etc. It feels great! I do not recommend a chiropractor. The neck is very tricky, and the chance of triggering a stroke is high in migraineurs. My PT can bring on a migraine and then take it away. It is amazing what PT can do. Another therapist uses e-stim (electric stimulation of nerves.) It does not hurt, and your stiff and unused muscles and nerves, such as ears and jaw, really get a work out. It feels great and weird. I struggle with biofeedback, but that is ok; I try and try to get good results at home, but I need the therapist to show me over and over. I can't wait until 2018, when the new migraine-specific meds come out. At that time, I will also try nerve modulation, such as Cefaly. I did violate my pain contract at the hospital, when last spring I traveled to Colorado to try medical marijuana. I got uncomfortably high, but it didn't heal my pounding brain. Please be sure you avoid any street drugs, as well as the newer versions, if you get them off the street and not from your doctor. I go to the ER once or twice a month. Depending on the specific headache and the doctor assigned to me, I receive either two ketamine infusions or a migraine cocktail. Cocktails are unique to the individual and based on past experience. My cocktail is benadryl, Compazine, toredol, decadron, and hopefully, 1 mg dilaudid. Doctors are withholding opiates around the world. Dilaudid is usually given to me now only if I have dangerously high blood pressure. I try to be happy and grateful for the infrequent days when my pain level is low. Many young people are stressed out during these chaotic times. Social workers at an in-patient facility can help anyone with firm but gentle expectations and empathy. Alternatively, the PT van and its first crew of students recycling who are summer vets  can use both the cans for recycling, and pans. In the Boston 'burbs be sure to listen for the bell on hot days! The ice cream truck is on its way! I should point out that I take benadryl intravenously in the ER; I also take benadryl nearly daily, along with supplements and vitamins of all kinds. I trust my Irish twin brother, Paul, and my Polish husband, Rich, with my medical proxy. This is all documented, and your doctor should have similar papers in the office; within the have signed a contract and I try to be a better person by helping others and being generous with my time and treasure. 
Sincerely, Laurie

Mar 16, 2017 · TMJ questions in Ear, Nose & Throat (ENT)

The best tips I have received in my 35 years of having TMD is to keep my tongue on the roof of my mouth, when I am not talking or eating. I also do not allow my back teeth to touch while I am awake. It takes practice, but over time it helps a lot. I see a physical therapist who focuses on my jaw, and I do morning “exercises.” Heat helps. If you are in the market for a custom mouth guard, search for a dentist who uses computers to analyze the strength of your entire bite; chances are you may be favoring one side or the other. If your dentist utilizes only the colored wax strips to customize your mouth guard, go elsewhere. There are new technologies that not every dentist has in their office. It is worth the extra expense to analyze your bite and get the most perfect mouth guard available to you. Additionally, some teeth surfaces may need to be shaved lightly, or a lot, but it makes all the difference in the world to the pressure on each joint. Orbital xrays and cervical MRIs can identify if you have developed arthritis in the TMJ, or determine if a disc in the joint is flat, stuck, or bulging. It can get expensive, because typically these expenses are covered under dental, not medical, insurance. My TMD causes me immense migraine pain. My neuro, PT, and dentist are all in touch with each other and they coordinate my treatment. If you do not need a neuro, your primary physician can order the MRIs, which should therefore be covered under medical insurance. Only certain muscle relaxants work above the neck, such as baclofen and tizanidine. For years I took cyclobenzaprine (flexeril), which is useless because it does not work above the neck, according to my neuro. You may need to research then educate your caregivers. Keep searching for the right PTs and dentists. My TMD is still not well-controlled, but we are working on it. Botox in the TMJ muscles and e-stim are also very helpful. The muscles become tight or frozen after years of TMD. These last two procedures get the muscles moving and relaxed. Good luck everyone!

Mar 14, 2017 · gabapentin and muscle pain in Chronic Pain

I will report in the next time I try ketamine!

Mar 13, 2017 · gabapentin and muscle pain in Chronic Pain

Amen! @sistergoldenhair. Perfect response to a hurtful, curt remark. Thank you!

Mar 12, 2017 · gabapentin and muscle pain in Chronic Pain

I was on topamax for a decade, 400 mg twice per day. I started at a much lower dose. I did not lose time or have daytime drowsiness with topamax. But many people cannot tolerate Topamax. It is worth a shot. I take 120 mg Cymbalta and 2 mg klonapin every day. Neither helps the pain. I get marginal relief of depression from Cymbalta; I have tried many, many anti-depressants over the years, with no luck. Klonapin has been a godsend for my anxiety and agoraphobia. Way better than ativan. But again, it did not offer pain relief. Tizanidine, taken while I am in bed (It kicks in fast) has given me my sleep back. But if I awake at night to pee, I often fall because it is so strong.

Mar 12, 2017 · gabapentin and muscle pain in Chronic Pain

I have been on ketamine once, two infusions. It was terrific. But no one can tell me how often I can use it, or under what circumstances. I left the hospital pain-free, and was pain-free until a week later, when I caught pneumonia, Influenza A, and asthma, I caught the first two illnesses in the hospital, lol.. The aggravated asthma was a side effect. I was vaccinated for both, but I got sick anyway. Who knows how long the ketamine would have worked, had I not been sick for a month. I would love to try ketamine again.

Mar 12, 2017 · gabapentin and muscle pain in Chronic Pain

Narcotics do nothing to relieve hearing loss. Rather, in excessive amounts, it can cause hearing loss. Case in point: Rush Limbaugh was an opiod addict, getting pills in the name of his housekeeper and others. He is in recovery, but he now wears 2 hearing aids. He got a sweet deal from law enforcement. I use narcotics twice per week, in tiny amounts. Any hearing loss I have is age-related, or listening to too much loud rock mudic in the 70s and 80s.