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re: Legit chronic pain people

Posted on 4/29/17 at 10:00 pm to
Posted by LSU Wayne
Walker
Member since Apr 2005
4365 posts
Posted on 4/29/17 at 10:00 pm to
So what medicine and/or therapy would you prescribe for a very complex connective tissue disorder, where corrective surgery has actually caused permanent and unfixable damage and serious chronic pain? In this person's case the only PT that has been advised is aquatic walking as anything more will further damage major joints.
Posted by lsucoonass
shreveport and east texas
Member since Nov 2003
68484 posts
Posted on 4/29/17 at 10:08 pm to
What ct disorder is this?
Posted by Hopeful Doc
Member since Sep 2010
14990 posts
Posted on 4/29/17 at 10:19 pm to
quote:

corrective surgery has actually caused permanent and unfixable damage and serious chronic pain? In this person's case the only PT that has been advised is aquatic walking as anything more will further damage major joints.



Start with TCA or Cymbalta, add Lyrica/gabapentin. Reassure patient consistently that pain will not actually kill them. And if all else fails, potentially eventually opiates.


But only after 3g/d of Tylenol and a Max dose NSAID as well.
This post was edited on 4/29/17 at 10:30 pm
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