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Suggest Treatment For Pain Due To Fibromyalgia

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Posted on Mon, 7 Jul 2014
Question: Hi,I'm in pain everyday fibermyalgia and PTSD .I need some pain meds. I'm Diabled . And it is so hard to find a Doctor that understands my pain . Please tell me what I need to do to get help.
I have not gotten any pain meds right now I m asking you what kind of pain med I should use oxcodone did not really help
doctor
Answered by Dr. Shafi Ullah Khan (3 hours later)
Brief Answer:
Need management

Detailed Answer:
Thank you for asking!
I understand your trouble and am sorry for your troubles. But your conditions are very grieve and they need a lot of care and management from both psychological point and pharmacotherapy point.
Regarding fibromyalgia I want you to know that it is a chronic pain condition and it needs a complete management from diet and lifestyle to compliance in medicines.Maintain proper sleep routines and keep the food journals. Slowly wean off caffeine, because abruptly stopping caffeine will increase fatigue and pain, headaches, anxiety, and sleep disturbance.avoid alcohol completely for 6 months minimum.No tobacco and no consumption of chemical-laden foods, refined sugars, white flour, aspartame, and monosodium glutamate (MSG).No rich carbohydrates.
A diet high in fresh vegetables, fish, and fiber. Green, leafy, and yellow vegetables is recommended.
Fruits such as citrus fruits, apples, berries, cantaloupe, and peaches may be preferred.
Antioxidants like Vitamins (eg, C, E), minerals (eg, selenium, zinc), and phytochemicals and vitamin D supplements will help.
Seek a rheumatologist for further management and prescription of the fibromyalgia meds from the classes of Analgesics,Antianxiety Agents,Skeletal Muscle Relaxants,Antidepressants, Anticonvulsants and Alpha2 Agonists.
Now the management of PTSD includes the following
includes the following:

Prevention, by initiating assessment and treatment quickly after the traumatic event, well before a diagnosis of PTSD can be made
A combination of pharmacologic and nonpharmacologic therapies for adults
Primarily psychotherapeutic intervention in adolescents and children
Nonpharmacologic therapies include the following:

Group therapy
Individual and family therapy
Cognitive behavioral therapy (CBT)
Play therapy
Art therapy
Anxiety management
Eye movement desensitization and reprocessing (EMDR)
Hypnosis
Relaxation techniques
Medications may be required to control the physiologic symptoms, which can enable the patient to tolerate and work through the highly emotional material in psychotherapy. The principal agents used include the following:

Selective serotonin reuptake inhibitors (SSRIs; eg, sertraline, paroxetine, fluoxetine): May relieve all 3 symptom clusters
Benzodiazepines (eg, lorazepam, diazepam): For anxiety and other symptomatic relief
Beta-blockers (eg, propranolol): For hyperarousal-related symptoms
Anticonvulsants (eg, carbamazepine, lamotrigine; off-label use): For impulsivity and emotional lability
Atypical antipsychotics (eg, risperidone, olanzapine; off-label use): For patients who do not respond to antidepressants
Alpha1 blockers (eg, prazosin; off-label use): For nightmares and sleep disturbances
Alpha2 agonists (eg, clonidine; off-label use): For hyperarousal, and possibly nightmares
The following medications have also been used in PTSD:

Monoamine oxidase inhibitors
Tricyclic antidepressants
Eszopiclone: To improve overall PTSD severity and sleep
Low-dose glucocorticoids: For decreasing recall of traumatic memories.
Seek a psychiatrist for further guidance.
SO a triad of rheumatologist, psychiatrist and pain management specialist is all you need.
I hope it helps, Don't forget to close the discussion please.
May the odds be ever in your favour.
Regards
S Khan

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Treatment For Pain Due To Fibromyalgia

Brief Answer: Need management Detailed Answer: Thank you for asking! I understand your trouble and am sorry for your troubles. But your conditions are very grieve and they need a lot of care and management from both psychological point and pharmacotherapy point. Regarding fibromyalgia I want you to know that it is a chronic pain condition and it needs a complete management from diet and lifestyle to compliance in medicines.Maintain proper sleep routines and keep the food journals. Slowly wean off caffeine, because abruptly stopping caffeine will increase fatigue and pain, headaches, anxiety, and sleep disturbance.avoid alcohol completely for 6 months minimum.No tobacco and no consumption of chemical-laden foods, refined sugars, white flour, aspartame, and monosodium glutamate (MSG).No rich carbohydrates. A diet high in fresh vegetables, fish, and fiber. Green, leafy, and yellow vegetables is recommended. Fruits such as citrus fruits, apples, berries, cantaloupe, and peaches may be preferred. Antioxidants like Vitamins (eg, C, E), minerals (eg, selenium, zinc), and phytochemicals and vitamin D supplements will help. Seek a rheumatologist for further management and prescription of the fibromyalgia meds from the classes of Analgesics,Antianxiety Agents,Skeletal Muscle Relaxants,Antidepressants, Anticonvulsants and Alpha2 Agonists. Now the management of PTSD includes the following includes the following: Prevention, by initiating assessment and treatment quickly after the traumatic event, well before a diagnosis of PTSD can be made A combination of pharmacologic and nonpharmacologic therapies for adults Primarily psychotherapeutic intervention in adolescents and children Nonpharmacologic therapies include the following: Group therapy Individual and family therapy Cognitive behavioral therapy (CBT) Play therapy Art therapy Anxiety management Eye movement desensitization and reprocessing (EMDR) Hypnosis Relaxation techniques Medications may be required to control the physiologic symptoms, which can enable the patient to tolerate and work through the highly emotional material in psychotherapy. The principal agents used include the following: Selective serotonin reuptake inhibitors (SSRIs; eg, sertraline, paroxetine, fluoxetine): May relieve all 3 symptom clusters Benzodiazepines (eg, lorazepam, diazepam): For anxiety and other symptomatic relief Beta-blockers (eg, propranolol): For hyperarousal-related symptoms Anticonvulsants (eg, carbamazepine, lamotrigine; off-label use): For impulsivity and emotional lability Atypical antipsychotics (eg, risperidone, olanzapine; off-label use): For patients who do not respond to antidepressants Alpha1 blockers (eg, prazosin; off-label use): For nightmares and sleep disturbances Alpha2 agonists (eg, clonidine; off-label use): For hyperarousal, and possibly nightmares The following medications have also been used in PTSD: Monoamine oxidase inhibitors Tricyclic antidepressants Eszopiclone: To improve overall PTSD severity and sleep Low-dose glucocorticoids: For decreasing recall of traumatic memories. Seek a psychiatrist for further guidance. SO a triad of rheumatologist, psychiatrist and pain management specialist is all you need. I hope it helps, Don't forget to close the discussion please. May the odds be ever in your favour. Regards S Khan