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Suggest Treatment For Pain Related To Sick Nerves

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Posted on Mon, 29 Dec 2014
Question: Hi, I was electrocuted on a sandblast machine 3 years ago, the wire braw that I was wearing conducted the electricity from my left breast to my back where the hooks also metal tie the braw in the back. I suffer every day, I saw a neurologist and an orthopedist and no one seems to have an answer. I'm left by myself with morphene to ease the pain and I can no longer take it. I don't know who to see about this problem that is destroying my life can you help me to find someone who could help me please? I'm near Montréal Canada
doctor
Answered by Dr. Dr. Matt Wachsman (56 minutes later)
Brief Answer:
Ok, several things.

Detailed Answer:
Cannot give particular information without being there. That Being Said, there are a few issues that are quite likely to be relevant to you.
1) Pain related to sick nerves can be quite tricky to treat. This generally requires either truly dangerous amounts of narcotics OR extremely safe amounts of "nerve pills". About any class of drug called a nerve pill has proven success in pain from sick nerves. These classes include:
anti-epileptics. Gabapentin is probably the leading drug here. Lyrica also
novacaine/lidocaine. Lidocaine patch is extremely effective if the nerve is near the surface and not very good if it is deep where the drug cannot get to it. HOWEVER, amitryptiline and nortryptile are anti-depressants with lidocaine like effects that can work in this context.
Spinal blocking drugs. Drugs that increase the level of stress hormones in the spine block pain signals. Amitryptiline, nortryptiline and cymbalta are in this category.
Tens unit
Botox, sometimes
Nerve ablation sometimes (this includes hot chili oil...cathepsin which is hot because it is stimulating and killing pain nerves).

2) narcotic effects complicate the analysis. Most researchers in pain believe that people become overly sensitized to pain if they receive narcotics. Pretty much everyone finds that the dose of narcotics needed to get pain relief goes up with continuing use (tolerance).
And finally, people with drug issues essentially always believe that it is something other than drug issues. Lying about drug use, using narcotics for feelings other than pain relief, having relationships/jobs/finances suffer in order to get narcotics are indications that something other than pain is involved.

3) Here are some doctors I was able to look up.
First, all the major hospitals in your area have pain management centers.
Second, the threads are looking like this is a huge issue in Montreal. Angie's list might be helpful. But the threads are converging onto the Montreal and the Jewish Hospitals.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (39 minutes later)
Thank you. Angie's list ?

I tried Lirica, gained 40 pounds and it only worked for a while, I was a pot smoker for about 5 years, went to detox and I've been clean for 6 years now (In therapy I was told that I was self medicating because the medication I had for my T.D.A.H. (french abreviation ) was wrong. I since then was put on Strattera 100mg a day I'm doing fine with this. The reason I contacted you is I was hopping to find a healing solution instead of having to use drugs to ease the pain. I use statex ounce a day at night only if I can't stand the pain anylonger so no need to tell you that I swet during day time but I don't want to use it all the time because I don't want to drive and work under the effect of it. I have a good job that I love and don't want to loose it.
doctor
Answered by Dr. Dr. Matt Wachsman (46 hours later)
Brief Answer:
several things.

Detailed Answer:
Ok... the best supported modality for this in the medical literature is exercise. They don't tell you why. Here's the thing. Exercise, or yoga, or being a dervish, or being a XXXXXXX Fakir all involve pain. You put yourself into a painful condition in a context in which 1) you are the active source of the situation 2) you can control the timing and the extent of the activity 3) you have a reasonable expectation of an overall gain from your participation on it at multiple levels and 4) there is a magical brainwashing effect of the context of group participation. Those are some ideas, I would also include ballroom dance which has been amazing to me. That is the well documented method in which they work. None of them changes the actual structures, much; and all change the nerve and brain function.
Physical therapy has other modalities but frankly they have less clinical support.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest Treatment For Pain Related To Sick Nerves

Brief Answer: Ok, several things. Detailed Answer: Cannot give particular information without being there. That Being Said, there are a few issues that are quite likely to be relevant to you. 1) Pain related to sick nerves can be quite tricky to treat. This generally requires either truly dangerous amounts of narcotics OR extremely safe amounts of "nerve pills". About any class of drug called a nerve pill has proven success in pain from sick nerves. These classes include: anti-epileptics. Gabapentin is probably the leading drug here. Lyrica also novacaine/lidocaine. Lidocaine patch is extremely effective if the nerve is near the surface and not very good if it is deep where the drug cannot get to it. HOWEVER, amitryptiline and nortryptile are anti-depressants with lidocaine like effects that can work in this context. Spinal blocking drugs. Drugs that increase the level of stress hormones in the spine block pain signals. Amitryptiline, nortryptiline and cymbalta are in this category. Tens unit Botox, sometimes Nerve ablation sometimes (this includes hot chili oil...cathepsin which is hot because it is stimulating and killing pain nerves). 2) narcotic effects complicate the analysis. Most researchers in pain believe that people become overly sensitized to pain if they receive narcotics. Pretty much everyone finds that the dose of narcotics needed to get pain relief goes up with continuing use (tolerance). And finally, people with drug issues essentially always believe that it is something other than drug issues. Lying about drug use, using narcotics for feelings other than pain relief, having relationships/jobs/finances suffer in order to get narcotics are indications that something other than pain is involved. 3) Here are some doctors I was able to look up. First, all the major hospitals in your area have pain management centers. Second, the threads are looking like this is a huge issue in Montreal. Angie's list might be helpful. But the threads are converging onto the Montreal and the Jewish Hospitals.