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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain Continues In All Body Parts. Have Neuropathy, Pain Syndrome, Polyarthalgia. On Tapering Norco, Cymbalta. What Else ?

I have dx with neuropathy, chronic pain syndrome and polyarthalgia. Tapering off Norco5/325 and started Cymbalta 30mg bid. Exercise 3x/wk. Pain continues to be severe in shld, neck, elbows, wrists, hands, back, knees and feet. Have also been taking Vit. d 4,000IU daily. What else can I do? Pain is affecting ADL's.
Mon, 15 Jul 2013
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General & Family Physician,  's  Response
Hello.¿Your doctor has requested tests to rule out rheumatic disease?
If you have polyarthralgia, rheumatic disease is the first diagnosis to rule.
If the tests are normal, Fibromyalgia is a possible diagnosis.
You need more powerful painkillers and neuromodulators .I treat my patients with Fentanyl 50 mcg patch+Duloxetina 30 mg at morning+Pregabalin 25 mg at night when Fibromyalgia with very severe pain is the diagnosis.Also practicing moderate physical exercise is important.
I wish you good health.
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Severe Pain Continues In All Body Parts. Have Neuropathy, Pain Syndrome, Polyarthalgia. On Tapering Norco, Cymbalta. What Else ?

Hello.¿Your doctor has requested tests to rule out rheumatic disease? If you have polyarthralgia, rheumatic disease is the first diagnosis to rule. If the tests are normal, Fibromyalgia is a possible diagnosis. You need more powerful painkillers and neuromodulators .I treat my patients with Fentanyl 50 mcg patch+Duloxetina 30 mg at morning+Pregabalin 25 mg at night when Fibromyalgia with very severe pain is the diagnosis.Also practicing moderate physical exercise is important. I wish you good health.