Have you ever had an extraordinary pain that doesn't respond to medication, one that has a team of doctors scratching their heads as they start the pharmacologic dart game? I have. It's a thrilling MS tale of pain, drugs, more pain and more drugs, and even more pain and even more drugs rounding it off with some relief, some breakthrough pain and ultimately some breakthrough revelations.
Let's go back to the year 2005. I was in the last year of a master's degree program at New York University. With a family, a commute and MS, I had to keep pinching myself to prove that I was really pulling it off. Unfortunately, my self-inflicted reminder was replaced with one that forced me to be acutely aware of every moment of every day.
As the story begins I'm on a train pulling into Penn Station. Reading a book, keeping to myself, when all of a sudden every muscle in my foot cramps up and the pain... come to think of it, it started very gradually - a cramping that would c...
Medications to have at home
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Simasek M, Blandino DA. Treatment of the common cold. Am Fam Physician . Feb 2007;75(4):515-520.
Semrad CE, Powell DW. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 143.
Boes CJ, Capobianco DJ, Cutrer FM, et al. Headache and other craniofacial pain. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice . 5th ed. Philadelphia, Pa: Butterworth-Heinemann; 2008:chap 73.
Atopic dermatitis. In: Habif TP, ed. Clinical Dermatology . 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 5.
We often think of nausea as a symptom of a Migraine attack. In fact, the International Headache Society lists nausea as one of the defining symptoms of Migraine. 2 Researchers recently published the results of a study to look at the prevalence of neck pain in Migraine. The Study Study objective: "To determine the prevalence of neck pain at the time of migraine treatment relative to the prevalence of nausea, a defining associated symptom of migraine." 1 Study methods: Participants were chosen from a university headache and Migraine clinic and from the general population. Potential participants with fibromyalgia, cervicogenic headaches, or history of cervical trauma or surgery were excluded. A total of 234 participants were confirmed as eligible for the study. Participants entered details of their Migraines in a daily diary for at least one month and until six Migraines had been treated. Of the 234 eligible participants, 113 turned in completed study diaries. T...
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