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Suggest Treatment For Pain In Sacrum After A Colorectal Surgery

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Posted on Thu, 12 Feb 2015
Question: I'd like to know exactly what a neurologist is expected to do. Especially regarding pain in sacrum from colorectal surgery.
I've had "abnormalties" from test but nobody addressed this. I don't want any appointments that are a waste of my time. Nerve conduction tests? Is the neurologist to recommend something or do the results go to the Provider, which I have no longer as she only handed out meds. I'm confused.
doctor
Answered by Dr. Olsi Taka (8 hours later)
Brief Answer:
Pain therapy, nerve conduction studies.

Detailed Answer:
Hello again! Perhaps you remember me from answering to a previous query of yours. Thanks for coming back to HealthCareMagic for your health questions.

Nerve conduction studies are one of the possibilities of that consult although I already know that you have done that in the past. If done for sacral pain only the information nerve conduction studies provide would be somewhat limited though, but it would evaluate also damage from compression to the other non sacral nerve roots.

Another possibility of this referral would be for an opinion regarding pain therapy since your case is a complicated case of chronic pain where several factors are involved not just the one single cause. For that often antidepressants or antiepileptics are used as I have already mentioned to you before, I know you don't want opiates.

You might look at it also as a good opportunity of considering that neck issue if it's still persisting. I know you don't trust MRIs much when in incapable hands, so a neurological exam would also help in noticing signs of nerve or spinal cord compression and discussing whether imaging exams are really necessary or not.

So according to the visit the neurologist could simply prescribe chronic pain treatment or ask for tests if considered necessary.

Feel free to ask any other questions.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Olsi Taka (8 hours later)
Your memory and the fact that you reviewed my other questions is remarkable.
As you know, I've been caught in a never-ending trap; too many "Indians;not enough chiefs" is an old saying.
I'm sorry for being repetitive and appreciate your consideration and thorough answer. I'm finding it hard to know what to do as I have been my own quarterback for so long. Thank you. Tests before showed abnormalties, 4 years ago, but the tests were not followed up. My apologies and sincere thank you.
doctor
Answered by Dr. Olsi Taka (6 hours later)
Brief Answer:
Thank you as well.

Detailed Answer:
You are a very kind person, I wish all my patients were as polite and appreciative as you.

I wish you all the best.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Treatment For Pain In Sacrum After A Colorectal Surgery

Brief Answer: Pain therapy, nerve conduction studies. Detailed Answer: Hello again! Perhaps you remember me from answering to a previous query of yours. Thanks for coming back to HealthCareMagic for your health questions. Nerve conduction studies are one of the possibilities of that consult although I already know that you have done that in the past. If done for sacral pain only the information nerve conduction studies provide would be somewhat limited though, but it would evaluate also damage from compression to the other non sacral nerve roots. Another possibility of this referral would be for an opinion regarding pain therapy since your case is a complicated case of chronic pain where several factors are involved not just the one single cause. For that often antidepressants or antiepileptics are used as I have already mentioned to you before, I know you don't want opiates. You might look at it also as a good opportunity of considering that neck issue if it's still persisting. I know you don't trust MRIs much when in incapable hands, so a neurological exam would also help in noticing signs of nerve or spinal cord compression and discussing whether imaging exams are really necessary or not. So according to the visit the neurologist could simply prescribe chronic pain treatment or ask for tests if considered necessary. Feel free to ask any other questions.