FROM OUR EXPERTS
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...
Variability is the law of life, and as no two faces are the same, so no two bodies are alike, and no two individuals react alike and behave alike under the abnormal conditions which we know as disease.
- Sir William Osler
Finding the best medication to treat all types of low back pain is an impossible task given the variability of people and the multidimensional nature of this condition. Finding the right medication for your low back pain might not be so impossible if your individual circumstances are carefully taken into consideration. Over 80 percent of people with chronic low back pain take at least one type of medication to help relieve the pain. The top three medications used are: anti-inflammatory medications, opioid medications, and antidepressant medications . Of course, many other medications are utilized for back pain like acetaminophen, muscle relaxants, steroids, and antiepileptic medications. With so many choices, how can you find the right one that is going ...
Neuropathy - distal median nerve
Pain in the wrist or hand that wakes you up at night
May be severe Pain may be felt in other areas, for example in the upper arm (this is called referred pain)
Sensation changes in the thumb and pointer (index), middle, and part of the ring fingers, such as:
Weakness of the hand that causes you to:
Drop things Have difficulty grasping objects
Signs and tests
Your doctor will examine your wrist and ask questions about your medical history. The examination may show decreased sensation in the thumb side of the hand. This is called the "radial" side. There may be weakness of the thumb and difficulty using it to pinch.
Tests that reveal distal median nerve dysfunction may include:
Nerve conduction tests
Tests are ...
You should know
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