Each year as flu season approaches, fibromyalgia and myalgic encephalopathy/chronic fatigue syndrome patients ask me if they should get a flu shot. Since no research has been done on the subject, there is no clear-cut answer to that question. While most conventional doctors recommend flu vaccinations across the board, many FM and ME/CFS specialists advise their patients against getting the shot. Because of reports of severe relapses following immunization, Charles Lapp, MD, Director of the Hunter-Hopkins Center in Charlotte, NC, generally does not recommend flu shots for his fibromyalgia and chronic fatigue syndrome patients. There are, however, two exceptions: Patients who have taken flu vaccinations in the past and tolerated them well. Patients who have a serious chronic illness (such as emphysema, diabetes or heart disease ) in addition to FM or ME/CFS. Charles Shepherd, MD, a U.K. doctor who is a member of the Chief Medical Officer’s ...
About two months ago, I injured myself during kickboxing. I think I was doing a squat and turned my knee inward.
My knee hurt afterward, but I figured that maybe once I had my next dose of Humira, it would feel better. This was kind of nonsensical because while I’ve had knee pain with my arthritis, it hasn’t been one of the more significant areas of my body impacted by my arthritis.
So I let it go. My Humira dose came and went, and my knee still hurt.
I wasn’t really paying that much attention to the knee pain, but the kicker (no pun intended) was when, in another episode of kickboxing, I did a side plank (if you don’t know what that is, see: http://www.mayoclinic.com/health/core-strength/SM00047&slide=12 ), putting all of my weight on my knee, and it completely collapsed.
After a week of the pain getting worse, I went to the doctor, and was told that I had misaligned my kneecap. I was sent to p...
Medications are the most frequently recommended treatment for l ow back pain . Research has shown that 80% of primary care patients with low back pain were prescribed at least one medication when seen by the primary care provider; more than one third were prescribed two or more medications.
The most commonly prescribed drugs for low back pain are nonsteroidal anti-inflammatory drugs (NSAIDs) such as Motrin and naproxen, muscle relaxants, and opioid-based pain killers. Other medications regularly prescribed for chronic low back pain include benzodiazepines such as Valium , cortisone-type drugs, anti-depressant medications and anti-seizure medications. Of course, many patients use over-the-counter medications such as Tylenol, aspirin, and NSAIDs such as Advil.
A challenge to many health care providers involves the choosing of the safest and most effective medication for a given patient. A more disturbing thought involves the possibility that many of th...
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