Methadone remains one of the most useful weapons in the arsenal against pain. Not only is this medication cheap like water, this medication has special powers that can help tame nerve pain like no other opioids on the market. Additionally, the sustained-release effect of methadone helps to prevent opioid-induced hyperalgesia . Those doctors who learn how to prescribe find methadone very advantageous. Those patients who are using methadone successfully swear by it. However, the story about methadone is not all rosy. In the past decade, methadone-related deaths have risen by astronomical amounts. The FDA and leading experts in the field of pain medicine are now calling for additional precautions.
Cardiac Screening : In 2009, a groundbreaking consensus statement was published regarding screening for methadone use in patients . Because of the potential for causing cardiac arrhythmias, electrocardiograms need to be ordered prior to initiating methadone treatment, 30 days after initiati...
More and more studies show that controlling patients' pain and getting them moving after a total knee replacement (TKR) gives the best results. Doctors are looking for ways to do this. Managing patient's pain in the first 24 hours after surgery seems to be an important key. Better pain control is gained by giving the patient general anesthesia along with a local nerve block at the time of surgery. One of the nerves often blocked is the femoral nerve, which forms from nerve roots in the low back and runs down the front of the thigh. Blocks are also done to the sciatic nerve. The sciatic nerve is a major nerve that goes down the back of the thigh to the lower leg and foot. This study compared a femoral nerve block alone to a "double block" of the femoral nerve and the sciatic nerve. Pain levels and amount of opiate used were measured every four hours for the first 24 hours. The authors found that patients receiving the double blocks used less pain medication after TKR than those getting ju...
Neuropathy - axillary nerve
Depending on the cause of the nerve disorder, some people do not need treatment. They will get better on their own. However, the rate of recovery can be different for everyone. It can take many months to recover.
Anti-inflammatory medications may be given if you have:
Small changes in sensation or movement
No history of injury to the area
No signs of nerve damage
These medicines reduce swelling and pressure on the nerve. They may be injected directly into the area or taken by mouth.
Other medicines include:
Over-the-counter pain medicines may be helpful for mild pain (neuralgia).
Other medications (phenytoin, carbamazepine, gabapentin, pregabalin, duloxetine, or tricyclic antidepressants such as nortriptyline) may reduce the stabbing pains that some people experience.
Opiate pain relievers, such as morphine or fentanyl, may be needed to control s...
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