Suggest treatment for severe pain due to fibromyalgia

default
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 .
doctor
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)
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

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

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Treatment/Therapy ,  
Medical Topics ,   ,  

Recent questions on  Behavioral therapies

doctor1 MD

why do I get disoriented feeling with my anxiety? I have anxiety with my Hashimoto's but here lately I don't feel like I'm here at all since I've...

doctor1 MD

hi I had extremely bad panic attacks my blood pressure was always 140 over 89 now it dropped its not gonna lead to a heart attack or a stroke

doctor1 MD

I have not been feeling very well I'm having a hard time leaving my house I'm having very bad depersonalization . I'm just feeling really out of it...

doctor1 MD

A licensed Therapist has said my son shows signs of ADHD, from what i can see this is true. Im having trouble with school realizing that its a...

doctor1 MD

Hello Doctor...i am writing this for my aunty who is in her fifties.she fears darkness n cries out loudly once the lights are off.i had a detail...

doctor1 MD

My daughter is currently taking Paxil for anxiety and severe OCD. She recently found out that she is pregnant. She has been on 30 mg. for about...

doctor1 MD

i have one sister she's behaviour is diffrent. she is suffer for a diffrent probleum, she is doing any things clean & neatness,she is so many angry...

Get personalised answers from verified doctor in minutes across 80+ specialties

192 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2