Advises needed for nerve pain tretments

[momtaz]

Frequently read about alternative solutions and treatments for health problems and curing such chronic pains, reversing diabetes, curing cancer etc,

When search about nerve pain, there are plenty of causes, as well have some association with diabetes to increase the complication of this nervous disease,

Regarding the nerve inflammation with sever pain in the arms or legs,  are there any approved solutions to cure these painful symptoms ?

Any effective and safe medications to speed up the treatment without side effects? additional life style tips, recommended foods, etc to help improve the solution,

please share your experiences if any treated similar cases,

any relevant advises highly appreciated,

Best regards,

 

 

 

[Bonobojt]

you seriously need a Chiropractor, but sadly Thailand doesn't have any decent ones, but if you can get to the UK or Australia, USA etc .. then see a Chiropractor, type in Gonstead Chiropractor on YouTube and you'll see what I mean

 

 

[carlyai]

momtaz,

Can you list the medicines you may have tried please?

Sent from my SM-J700F using Tapatalk

[Sheryl]

Cannot advise without knowing what the cause of the nerve pain is.

 

Back problem? Diabetioc neuropathy? etc

[momtaz]

Gentlemen,  thanks for all your feedback n responses,

 

As I knew, the main cause of this trouble happened to him around 7 or 8 months ago when the painful inflammation began, the pain from the shoulder till the 2 or 3 smaller fingers in the hand, with numbness sometimes, not always, pain + inflammation is the commonly constant symptom,

later on was described as pinched nerve, something that compressing the nerve in the upper backbone, lower neck part,

his doctor recommended him to take a course of therapy treatments to decompress the nerve for a while, which relieved the pain in the 2nd or 3rd treatment,

Also described to take lyrica 75 mg. this treatment was around July, later on, the pain with inflammation come back slightly, on and off from August,, is this meant the compression still not completely treated? or need more sessions? or to take lyrica 75mg?

what actually this lyrica?  I advised him to take b12 as supplement it may help a bit in the long run, besides diabetic that maybe cause further complication to the matter,

trying to gather further details, information to advise the right procedure to cure it at once,

 

there might be some medications, supplements, foods to take, or some type of foods to avoid, etc,, kindly share your opinion and experience accordingly,

Best regards.

 

[carlyai]

I was going to suggest lyrica, if the person wasn't on it.

I only can only comment from my own experience, and I really haven't had that much neck, arm and shoulder pain.

Again my experience is from damaged nerves and the symptoms seem more from inflammation and not nerve damage.

Like all tablets, I think your body gets used to lyrica. When I first started it, I thought it was a magic cure, but it doesn't seem to work as well now.

I think lyrica was initially developed to help people with brain problems like seizures.

I found that acupuncture helped me with neck and other problems

Sent from my SM-J700F using Tapatalk

[Sheryl]

2 hours ago, momtaz said:

Gentlemen,  thanks for all your feedback n responses,

 

As I knew, the main cause of this trouble happened to him around 7 or 8 months ago when the painful inflammation began, the pain from the shoulder till the 2 or 3 smaller fingers in the hand, with numbness sometimes, not always, pain + inflammation is the commonly constant symptom,

later on was described as pinched nerve, something that compressing the nerve in the upper backbone, lower neck part,

his doctor recommended him to take a course of therapy treatments to decompress the nerve for a while, which relieved the pain in the 2nd or 3rd treatment,

Also described to take lyrica 75 mg. this treatment was around July, later on, the pain with inflammation come back slightly, on and off from August,, is this meant the compression still not completely treated? or need more sessions? or to take lyrica 75mg?

what actually this lyrica?  I advised him to take b12 as supplement it may help a bit in the long run, besides diabetic that maybe cause further complication to the matter,

trying to gather further details, information to advise the right procedure to cure it at once,

 

there might be some medications, supplements, foods to take, or some type of foods to avoid, etc,, kindly share your opinion and experience accordingly,

Best regards.

 

 

From what you describe this person has a problem with the cervical spine which is causing nerve compression. This has nothing whatsoever to do with diabetes (even if he is also a diabetic).

Conservative treatment of this is physical therapy (which it sounds like he had) and medications, of which lyrica is one. If the nerve compression was caused by a prolapsed intravertebral disk pressing on the nerve such conservative management plus time will usually resolve it. However sometimes the problem is from a bone spur that has formed and presses on the nerve, or the space between the vertebra has grown too small for the nerve root to exit. In such cases, surgery is often necessary to remove the bone spur and/or create enough space for the nerves to exit the spine.

 

Your friend needs to be seen by an orthopedic doctor specializing in spinal problems. If he is in Thailand, Dr. Wicharn at the BNH Spine Center is very good. He also has hours once a week at Bangkok Chirstian Hospital, which is less expensive.

[momtaz]

On 10/31/2016 at 4:06 PM, jvs said:

Most of these pills will give you diarrhea and by doing that they make you lose weight.

The big problem is after you stop taking these pills(there are any different kinds) your weight

will just go up again.

Only a permanent chance of diet or limit of intake (change of lifestyle) will help you to control weight.

Exercise does help but the main thing will be the diet(i hate that word)It takes will power and the making of the right choices.

I used to sell a lot of supplements and dietary products but when it comes down to it i do not really belief

in the benefit they supposedly supply.

Ok for athletes but for normal people eating a normal diet the only benefit is for the person  selling these products.

Try not to eat anything with added sugar and no soda pop,cola ,sprite etc.

Start slowly and adjust what you are eating and drinking,if you just lose 5 kilos a year and can keep it of that is a great start.

 

 

On 11/10/2016 at 10:48 AM, pigeonjake said:

I've been saying it for years instead of testing new drugs on animals test them on these animals

Why should they have a good life in prison

Use them just as used the children never given them a choice did they?

As you can tell I hate them

 

On 11/10/2016 at 9:50 AM, Bluespunk said:

Nope

 

On 11/22/2016 at 3:43 PM, Sheryl said:

 

From what you describe this person has a problem with the cervical spine which is causing nerve compression. This has nothing whatsoever to do with diabetes (even if he is also a diabetic).

Conservative treatment of this is physical therapy (which it sounds like he had) and medications, of which lyrica is one. If the nerve compression was caused by a prolapsed intravertebral disk pressing on the nerve such conservative management plus time will usually resolve it. However sometimes the problem is from a bone spur that has formed and presses on the nerve, or the space between the vertebra has grown too small for the nerve root to exit. In such cases, surgery is often necessary to remove the bone spur and/or create enough space for the nerves to exit the spine.

 

Your friend needs to be seen by an orthopedic doctor specializing in spinal problems. If he is in Thailand, Dr. Wicharn at the BNH Spine Center is very good. He also has hours once a week at Bangkok Chirstian Hospital, which is less expensive.

 

Thank you so much for the shared details, mostly to agree with what you described,

As the recent updates, his Dr. advised to take taking lyrica and methycobal. and recommended to take MRI to see deeper,

Actually, this Lyrica is just for pain relief? and this metycobal?

Thanks again for the contribution,

 

 

[Sheryl]

The Lyrica helps relive nerve pain, it acts on nerve cells. It will not do anything to remove the cause of the problem. The methycobal is just Vitamin B12, though to help nerve cells/fibers regeneratie but will also not resolve the cause. Many doctors would also give a short (very short) course of power antiinflammatory drugs (steroids) together with the lyrica and the B12 to help relieve the inflammation that is usually present. If the problem was from a temporary cause like a protruding disc then these plus the passage of time may be enough but if there is bone impinging on nerve, it will continue unless surgically corrected.

 

MRI will help clarify the situation. Once done he should take it to a good spine specialist.

[momtaz]

On 11/23/2016 at 5:50 PM, Sheryl said:

The Lyrica helps relive nerve pain, it acts on nerve cells. It will not do anything to remove the cause of the problem. The methycobal is just Vitamin B12, though to help nerve cells/fibers regeneratie but will also not resolve the cause. Many doctors would also give a short (very short) course of power antiinflammatory drugs (steroids) together with the lyrica and the B12 to help relieve the inflammation that is usually present. If the problem was from a temporary cause like a protruding disc then these plus the passage of time may be enough but if there is bone impinging on nerve, it will continue unless surgically corrected.

 

MRI will help clarify the situation. Once done he should take it to a good spine specialist.

 

MRI done, and shows no any nerve compression or any, the his doctor recommended EMG & NCV tes,

done and the nervous system is OK too,

what really the cause of the inflammatory pain?

[balo]

Try high dosage of vitamin B12 and B1 , it cured my sciatica after 6 months.  Still think of it as a miracle , I was very close to having a surgery in my spine. 

 

 

[mcfish]

There are 3 major drugs prescribed for nerve pain. Keep in mind it's just the side effects of these drugs that help as their is no nerve pain drug eg like asprin for a headache. They are prescribed as a cocktail for maximum effect

1. Lyrica
2 amitriptyline
3.tramadol

There are other's but these 3 taken together are the front line for chronic never pain. Only tramadol needs a prescription

Sent from my SC-01D using Tapatalk

[DogNo1]

I have bone spurs on my cervical vertebrae and had problems with pinched nerves in the past.  I tried everything including Vicodin and morphine tablets (very constipating.)  I was helped by neck stretching sessions (done by an orthopedic machine) and physical therapy.  I was taught how to do exercises to strengthen my neck and shoulder muscles.  I do the exercises several times a week now and the pain hasn't returned.  The pain pills never gave me very good relief.  It was only the physical therapy and exercises which helped.  Some people are not helped by exercise alone. I feel very fortunate to be pain-free and am careful to keep up my exercise routine.  I also have bone spurs in my lower back vertebrae and find that one Tramadol usually takes care of the pain at night.  Of course, when I've done a lot of walking or taxed my back in some way, I need more than one Tramadol.  I switch Tramadol with Voltaren for a few days but it's hard on my kidneys so I only take it for three days at a time.  I also take 400 mcg of methylcobalamin twice daily.

[Sheryl]

14 hours ago, momtaz said:

 

MRI done, and shows no any nerve compression or any, the his doctor recommended EMG & NCV tes,

done and the nervous system is OK too,

what really the cause of the inflammatory pain?

 The cause is not necessarily inflammatory in origin

 

It is possible there is nerve impingement in the carpal tunnel area (wrist), sometimes this will cause radiating up to the shoulder so easily confused with problem in the cervical spine.

 

Nerve conduction studies and EMG would be able to diagnosis this. I am not clear if these have already been done?

 

Also, was the doctor who reviewed the MRI a spine specialist? Becasue if nto it may be worth taking the films to one. These tests are only as good as the skill of the doctor interpreting them.

[momtaz]

4 hours ago, Sheryl said:

 The cause is not necessarily inflammatory in origin

 

It is possible there is nerve impingement in the carpal tunnel area (wrist), sometimes this will cause radiating up to the shoulder so easily confused with problem in the cervical spine.

 

Nerve conduction studies and EMG would be able to diagnosis this. I am not clear if these have already been done?

 

Also, was the doctor who reviewed the MRI a spine specialist? Becasue if nto it may be worth taking the films to one. These tests are only as good as the skill of the doctor interpreting them.

Yes, actually MRI done 1st, and then the EMG+ NCV, both sides  had a look on both diagnosis, and saying no problems where detected so far, so where the painful inflammatory sensation came from then? isn't this the best available diagnosis nowadays? or something missing in between? 

It looks like a challenging matter to look at further search online, or communicate with some professional experts, sometimes they may find something hidden indirectly or the cause of something that could caused this, 

 

[Sheryl]

Again - what were the qualifications of the doctors who examined you? All doctors are nto the same in skill level.

 

A second opinion may be in order, but needs to be with someone top of their field.

 

If indeed there is no spinal problem and no compression of nerves in the hand/wrist then some sort of neurological condition may be present and should see a neurologist specializing in peripheral neuropathies.

[momtaz]

10 hours ago, Sheryl said:

Again - what were the qualifications of the doctors who examined you? All doctors are nto the same in skill level.

 

A second opinion may be in order, but needs to be with someone top of their field.

 

If indeed there is no spinal problem and no compression of nerves in the hand/wrist then some sort of neurological condition may be present and should see a neurologist specializing in peripheral neuropathies.

 

Regarding the qualification of the examiner, was at SiPH, I guess is one of the top ranking healthcare institutions in here,

for neuropathy, the examiner said no any of such type detected.. !! mysterious matter, isn't it?

[Sheryl]

SIPH is a facility and like all health care facilities, quality of care depends on the individual doctor whom it sounds like you did not specifically  select. I am also not clear how many different doctors you saw and of what specialty.

 

What I can suggest is that you get all the records from SIPH (all of them including the actual MRI film on CD , the EMG report, nerve conduction study report  etc) and then do the following. You can change the sequence of #1 and #2 if more convenient to do so but keep #3 as #3.

 

1. Consult Prof. Wicharn at BNH Hospital to get a second opinion as to whether or not these symptoms could be due to a problem in the cervical spine.   https://www.bnhhospital.com/find-doctor/search-result/?dname=wicharn

 

2. IF Prof. Wicharn also feels the issue is not in the cervical spine, take all records to consult Prof. Panupan Songcharoen to get a second opinion as to whether there is any compression of nerves in the arm/wrist.  He can be seen at SIPH or at any of these hospitals:

http://www.chaophya.com/web_eng1/doctor_appointment/view_doctor_form.php?id_doctor=63

http://www.phyathai.com/doctor_search.aspx?LangID=en&Name=panupan&HospitalCode=0&SpecialtyID=15

Phyathai 2 is near Victory Monument, Chaophya and Phyathai 3 is closer to Siriraj on opposite side of the river

 

IF you get a negative opinion from both of the above then take your records to this neurologist (not necessary if either of the above doctors could identify the cause of the problem).

 

Prof. Kongkiat Kulkantrakorn  https://www.bangkokhospital.com/index.php/en/doctor/brain/bangkok-neuroscience-center

(click on show profile to see his hours)

 

 

 

[momtaz]

On 12/7/2016 at 2:05 AM, DogNo1 said:

I have bone spurs on my cervical vertebrae and had problems with pinched nerves in the past.  I tried everything including Vicodin and morphine tablets (very constipating.)  I was helped by neck stretching sessions (done by an orthopedic machine) and physical therapy.  I was taught how to do exercises to strengthen my neck and shoulder muscles.  I do the exercises several times a week now and the pain hasn't returned.  The pain pills never gave me very good relief.  It was only the physical therapy and exercises which helped.  Some people are not helped by exercise alone. I feel very fortunate to be pain-free and am careful to keep up my exercise routine.  I also have bone spurs in my lower back vertebrae and find that one Tramadol usually takes care of the pain at night.  Of course, when I've done a lot of walking or taxed my back in some way, I need more than one Tramadol.  I switch Tramadol with Voltaren for a few days but it's hard on my kidneys so I only take it for three days at a time.  I also take 400 mcg of methylcobalamin twice daily.

This is very relevant experience indeed,  during July went through some courses of neck stretching, or the call it decompression which dine by the therapy department, along with the electrical stimulus and hot pack under the shoulder at the same time,, in the 2nd or 3rd session the pain disappeared, then continued for the whole week everyday, then another week day after day,, while was taking lyrica 75mg once a day, 

but, why the pain back again?

how long should this treatment should be going? or how many sessions in total? 10 sessions? 20 session? 2 or 3 times a week? any additional idea will be appreciated,

[momtaz]

37 minutes ago, Sheryl said:

SIPH is a facility and like all health care facilities, quality of care depends on the individual doctor whom it sounds like you did not specifically  select. I am also not clear how many different doctors you saw and of what specialty.

 

What I can suggest is that you get all the records from SIPH (all of them including the actual MRI film on CD , the EMG report, nerve conduction study report  etc) and then do the following. You can change the sequence of #1 and #2 if more convenient to do so but keep #3 as #3.

 

1. Consult Prof. Wicharn at BNH Hospital to get a second opinion as to whether or not these symptoms could be due to a problem in the cervical spine.   https://www.bnhhospital.com/find-doctor/search-result/?dname=wicharn

 

2. IF Prof. Wicharn also feels the issue is not in the cervical spine, take all records to consult Prof. Panupan Songcharoen to get a second opinion as to whether there is any compression of nerves in the arm/wrist.  He can be seen at SIPH or at any of these hospitals:

http://www.chaophya.com/web_eng1/doctor_appointment/view_doctor_form.php?id_doctor=63

http://www.phyathai.com/doctor_search.aspx?LangID=en&Name=panupan&HospitalCode=0&SpecialtyID=15

Phyathai 2 is near Victory Monument, Chaophya and Phyathai 3 is closer to Siriraj on opposite side of the river

 

IF you get a negative opinion from both of the above then take your records to this neurologist (not necessary if either of the above doctors could identify the cause of the problem).

 

Prof. Kongkiat Kulkantrakorn  https://www.bangkokhospital.com/index.php/en/doctor/brain/bangkok-neuroscience-center

(click on show profile to see his hours)

 

 

 

 

Sheryl, thank you very much for the useful reference,

We will consider to consult with one of them soon, as I told in above that decompress neck therapy was  excellent in the previous treatment, however, will consult an expert as you suggested, thanks again for the kind efforts.

 

 

[DogNo1]

Momtaz: I imagine that the condition of the cervical spine and bone spurs differs from person to person.  In my case, I imagine that the neck stretching resulted in things staying apart for a while and that the strengthening of my neck and shoulder muscles helped to maintain the distance.  The condition of your neck may be different than mine.  In total, how many neck-stretching sessions did you get?  Were you taught exercises to do?  Strengthening your muscles would probably be an important part of your therapy.  Do follow Sheryl's advice so you can identify the source of your pain.  Good luck.