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I have phn on my back but possibly a muscle strain I cannot…

Customer Question
I have phn on...

I have phn on my back but possibly a muscle strain I cannot tell. What

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

I percocet and Gabopentin. I am not sure what doctor to go to check it out

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have CLL for about 12 years.. I have a IVIG once a month

Submitted: 25 days ago.Category: Medical
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Answered in 5 minutes by:
3/28/2018
Doctor: Dr. Arun Phophalia, Doctor replied 25 days ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 37,791
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 25 days ago

Muscle strain usually come on specific movements. And pain goes away on rest. It is treated by orthopedic specialist. Treatment is;

1) passive stretching of the affected muscle after application of sprayed vapocoolant

2) physical therapy

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture.

PHN is treated by neurologist.

First-line treatments for PHN are;

1) tricyclic antidepressants,

2) gabapentin

3 pregabalin, and

4) topical lidocaine 5% patch.

Second line treatment:

Opioids,

tramadol,

capsaicin cream, and

capsaicin 8% patch.

Therapies that have demonstrated effectiveness for other types of neuropathic pain;

serotonin-norepinephrine reuptake inhibitors,

carbamazepine and valproic acid, and

botulinum toxin.

Invasive procedures such as sympathetic blockade, intrathecal steroids, and implantable spinal cord stimulators also are good for PHN.

Was this information helpful to you? I would be glad to answer any further questions.

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Doctor: Dr. Arun Phophalia, Doctor replied 24 days ago

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Category: Medical
Satisfied Customers: 37,791
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Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

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