Suggest treatment for severe pain due to fibromyalgia

Posted on Mon, 7 Jul 2014 in Pain Management
Question: I have a lot of pain and can't get anything for it ..I don't know what to do .How can I find a Doctor that will help me with my pain instead of treating me like I'm crazy .
Answered by Dr. Shafi Ullah Khan 2 hours later
Brief Answer:
Doctors list provided, need management

Detailed Answer:
Thank you for asking!
We understand your concern and you should be treated seriously as you need it.
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)
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.
S Khan

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

General & Family Physician

Practicing since :2012

Answered : 3614 Questions


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