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Pain Management board

  1. Just back from ER visit.. Actually feeling some relief.
    ... also wanted to mention that a doctor had recommended Botox shots for someone in your condition, Botox is given...
    ... also wanted to mention that a doctor had recommended Botox shots for someone in your condition, Botox is given ... changed a little bit. I'm going to look into those botox injections, thats one thing although I've heard of...

  2. Myofascial pain syndrome / chronic myofascial pain
    ... either lidocaine or dry needling) • Pancuronium or botox injections As I'm just beginning my investigation...

  3. Completed a wean from 240mg Avinza to NOTHING and Im hurting
    ... meds, diagnostic injections, Blocks, RFL's and even BOTOX !!! He said that he knew a few Dr's in the Bay Area ... that were using BOTOX for upper back and neck pain. When he left, that idea ... know what. Oh, and the 1st Dr who mentioned using Botox now is against it because of the cost of getting it...

  4. Neurontin and Lyrica
    ... who wasn't quite sure that I had RSD so he gave me Botox shots to see if it would relax the muscles in my arm ... back because all he wanted to do was up the dosage of Botox the next time and the shots are $900 and $900 to put...

  5. Pain after lumbar fusion
    ... called me up and wanted me to ask my doctor about botox injections so I mentioned it too my doctor and he...

  6. Pain meds not working any more need help
    ... increased pain our PM doc added Nemanda and started using botox . It wasn't what she expected when she talked to him...

  7. PM Procedures
    ... self hypnosis or guided imagry. They don't all use botox or do medication infusions like robaxin or lidocaine...

  8. I Miss My Old Self
    ... some more testing and want to try some injections, Botox , anything, I need to be doing something pro-active...

  9. anti- epilepsy and muscle relaxers side effects
    ... spasms? There are things like trigger point injections, Botox , TENS, TP pressure, robaxin infusions and massage...

  10. Overwhelming spasms
    ... Triggerpoint injections, benzodiazepines, and even botox. Botox was injected in a small area-seemed to help little ... . Can botox be used over large areas of the body. Doc talked like...

  11. Long-term use and tolerance.....end result???
    ... blocks, epidurals, trigger point injections, use of Botox or even surgery if that may bring relief. Your doc...

  12. soma - brand or generic? or something else altogether
    ... with the use of many non conventional modalities, Botox works great but is a fight to get it covered. There ... almost 2/3rds but right now she knows it's time for botox and were fighting insurance again. I know excercise...

  13. Here's my situation... new medication suggestions, PLEASE?
    ... physical therapy, accupuncture, and most recently Botox injections into my shoulders... which all did NOTHING...
    ... For now, even though I'm in increased pain from Botox injections in my neck and upper back, they're staying...

  14. differences between oxymorphone and hydromorphone??
    ... fighting with the insurance company again about my wifes Botox so my wife filled her Nemada last week and it's made ... had stopped using it after the last 2 consecutive Botox injections and occiptial blocks over 6 months for ... even help with memory. Between the Nemanda and the botox , she was able to decrease her dose drom 75mgs of MSC...

  15. What is Your Level of Pain Relief???
    ... be pretty much daily and my neuro is now giving me botox injections for that which has helped tremendously...

  16. control of debilitating muscle spasms
    ... 100 times more potent. My wife has great succes from Botox in treating her neck pain which is part mechanical ... down into the base of the skull and spinal canal. Botox has been a wonder drug for her and she's reduced her ... gets TP injections and ocipital blocks in between the botox but it can be managed. Just because one doc or 10 ... docs can't figure it out or don't offer botox or the needed nerve blocks, doesn't mean it can't...
    ... spasm. Please tell Maggie Pies all you can about botox Baclofen and other treatments to relief spasms relieve ... get worse and so it circles round and round. Can botox be placed in many areas from neck to lower back? What ... 100 times more potent. My wife has great succes from Botox in treating her neck pain which is part mechanical ... down into the base of the skull and spinal canal. Botox has been a wonder drug for her and she's reduced her ... gets TP injections and ocipital blocks in between the botox but it can be managed. Just because one doc or 10 ... docs can't figure it out or don't offer botox or the needed nerve blocks, doesn't mean it can't...
    ... on how the process proceeds in your case with the botox ? I really appreciate your input and will look forward...
    ... Magpie, Sorry it's taken so long to get back about the botox . The anesthesiologist at the PM clinic we both attend ... was about 20 points total, she has always had Type A botox . Due to recent policy changes likely because of poor ... local used, and the OC block done at the same time as Botox , she's has never had an unpleaseant experience with ... Botox . They continue to use TP injections in between the ... quaterly botox injections. I would think using botox properly ... clinic she flat out refuses to allow to do TP's or botox . He's a Physiatrist/neurologist. I don't think it ... that will spontaniously sweat for no reason and the botox has been exteremely efective at treating this problem ... It was very confusing when they stopped ordering Botox A and they basically wanted to write a script for ... good at TP's and simply not have the experience with Botox that some other docs do. When she first started with ... botox , risk of loss of muscle control or ability to hold ... even an issue or mentioned. The greater risk with botox is when they do the side of her face to treat the ... round of injections. Most peoples' understanding of Botox is from the it's cosmetic use on tiny facial muscles ... helpful but she gave up on it once they started the botox combined with an OC block. For her, botox has been...
    ... in about 5 minutes and walk out the door. With the Botox it took me like 20-30, and I felt really strange for ... went home and slept for a long time. Anyhoo, the Botox seemed to work well for 3-4 months. It basically just ... chance of doing so, or basically not at all, since the Botox kept the muscle from working itself into the massive ... doctor screws it up no big deal most likely. With the Botox , once the medicine's in there it's going to stay there ... re so big that you'd have to do an insane amount of Botox 360 degrees around to get something like that. I had ... not being a cure. It's just another treatment. The Botox typically lasts twice as long as the average trigger ... point for me, so if I had the choice, I'd go Botox all the time if my insurance will cover it. There ... muscles have 'muscle memory' and perhaps if you received Botox 3-4 times per year for 4 or 5 years, eventually the ... t think there's many people on earth that have had Botox IM injections for that long and in great enough numbers ... of my nose. I ahve found that getting the cosmetic Botox injections in those locations (forehead and between ... regular cosmetic surgeon. Too bad as I mentioned to get Botox injection IM it takes a different kind of doctor and...

  17. spinal hemangioma: pain
    ... medication, not every doc will do nerve blocks , uses botox , specific drug infusion, TINS, TENS, acupuncture,...

  18. A little concerned about seeing Dr.
    ... injection, have you ever tried trigger point injections, Botox , branch blocks, TENS, TINS, Acupuncture, or other ... of blocks, TP injections for your neck and head or Botox will relieve the neck and head pain. Why would you ... managed with something as simple as a nerve block or Botox injections every 4 months. Good luck, Dave...
    ... jump at the chance. I haven't tried injections or botox . I have tried accupuncture. I did an allergy test...

  19. Does This Sound Like Any Cervical Nerve Block You Have Had? Feedback Appreciated
    ... severe migraines, which I spent years treating with botox injections to reduce in pain levels. Hopefully, the...

  20. Nerve pain being in the head?
    ... signal. Five years later I am working on geting a Botox injection. In my experience when doctors can't see...
    ... sure sorry that nothing has seemed to help. What is botox supposed to do in relation to pain? If and when...
    ... transmitter only seen in chronic pain patients. Botox paralyzes muscles, it's normally uised on muscle in...

  21. PM Doc help
    ... techniques used to relieve pain will be more effective. Botox is very effective at relieving cervicle muscle spasms ... help now that the defect has been corrected. If botox every 3 months will stop the spasms, why bother with...

  22. Botox
    ... Hi Miss tusa, My wife has chiari and Botox has reduced her dose from 75 mgs of MSContin 3 times...
    ... Hi Miss tusa, My wife has chiari and Botox has reduced her dose from 75 mgs of MSContin 3 times...
    ... pain. She hasn't had a seizure in almost 2 years. Botox , Occipital blocks and trigger point injections have ... There really is nothing to be scared of with the botox . Another added benefit from botox is the effective ... problem. It's really a tiny needle and the only risk is botox migrating to a live nerve in the face and causing ... effect... it's great stuff. ;) just kidding :) Botox , trigger point injections and occipital blocks have ... over the next 12 months. There is something called Botox B which your doc can prescribe and you pick up at ... to inject that costs about 1/4 of what a bottle of Botox A costs. Should your insurance become a problem and ... results ,it is an option to continue treatment with the Botox B. Good luck and compared to the surgery, the itsy...
    ... hahahah) Original poster- do a search on the botox cause someone else came on here and got them - I believe...
    ... shots they have all failed this is my last one the botox , so next step after this is a spinal stimulater I...
    ... injections may help better in conjunction with the botox , but everyone is different. I wouldn't write off the...

  23. skin sensitivity to fentanyl patchs, questions
    ... year now without pain meds for the RSD - then I got botox shots trying to release some frozen muscles from it...

  24. Pain Management Clinic??
    ... You may continue on with meds or treatments like botox or occipital blocks or continue to work on your neck...

  25. Hi i'm Paula
    ... injections, epidural steroids, nerve blocks,,even Botox is being used more and more to treat neck muscles...

  26. Husband having MRI and does not want referral to pain management
    ... occipital blocks and the greatest help has been from botox , but her problems are cervicle from a chiari malformation...

  27. Use of two LA pain meds?
    ... tolerance to opiates. IF your problems are cervicle, Botox is another effective treatment and would probably ... other uses like TP injections. Your doc can prescribe Botox B and you pick the bottle of injectable Botox up from ... your doc to inject. It's about a 1/33rd the price as Botox A, something like $280 a bottle and isn't much different ... than the FDA version " Botox A" for cosmetic use and specific types of dystonia...

  28. Update After Neuro Appt./Thank You For Your Help
    ... Depakote, and then wants me to come in for an EEG and for Botox treatments in my neck. I asked him if he wanted me...

  29. Cactuslilly???
    ... back to my old physiatrist when I was considering botox treatments for my leg spasticity.my pain doc said ... hysiatrist was just much more up on the ins and outs of how botox works and would be the best one to actually evaluate...

  30. Need some help deciding
    ... or just strictly the muscular issues you mentioned? botox may be of some help with the muscle contracture that ... told me,I would not make a real good candidate for botox for my particular type of spasticty as he said it ... offer you sooo many different therepys(including the botox option in most cases) and the ability to try many...
    ... meds. And my third suggest pain meds but did mention botox . I just get confused and frustrated....
    ... you? I would really consider at least giving that botox a shot,really.from what I have read on it and what ... like you are currently having,responds much better to botox than like the lessor type that i now have. as far...

  31. Confused and at my wit's end....
    ... about some of the individuals who have been getting botox injections for migraines and are reporting good results...

  32. Can you fire your pain man. doc??
    ... is totally rediclous. If your doc doesn't offer Botox , Trigger pont injections or teach Bio feedback or...

  33. myofacial therapy
    ... helpful just like trigger point injections or using Botox on muscles that are constantly in spasm may provide ... any modality, whetther it's a nerve blocks, chiro, Botox or anything that eases pain and allows us to take ... There are stronger methods like TP injections and botox that last longer and may be time better spent if those...

  34. Posterior Neck Muscle Pain. 5 years now :(
    ... spinalcord tortacolis (sp??). She gets shots of Botox in her neck every six weeks to releive the pain. ...

  35. re do and don'tsof medication
    ... individuals, and several on the board, have been using botox injections which folks have reported great sucess...

  36. Methadone for Headaches
    ... have done facet injections, nerve blocks and recently botox injections for the migraines all without releif! ...

  37. Am I asking for something that is out of line?
    ... no doubt. I am trying to get my insurance to cover botox injections to help with the pain. I am supposed to ... not giving pain meds for it. He knew about using Botox for it, and you don't see that mentioned often, but...

  38. Longterm untreated chronic pain...
    ... not only legally but to get insurance to pay for Botox and other exepensivve but effective methods for some...

  39. new PM doc--what to expect
    ... know my wifes insurance paid out 22K last year in Botox , Occipitial blocks, nerve blocks and TP injections...

  40. Newbie with a question--Please respond
    ... itripyline, Avanal, Lortab, acupunture, TMJ, mouth splints, botox injectioned since!! My last MRI (3/6/06) show moderate...

  41. WHO exactly ARE Pain Management Doctors?
    ... I see a neuro for migraine treatment who gives me botox injections in occipital area of my neck and shouldn ... docs I've seen. He has even given me an EMG, tried botox in my shoulder once because they said it was muscle...

  42. How much is Too much for Migraines
    ... To reduce my daily migraines I finally resorted to botox injections. It took 6 months and 3 series of injections...
    ... couple years of all the preventative drugs he tried botox . I was able to drop all my preventatives and just...
    ... samples from his Doctor. I don't think that they use Botox at the clinic where he goes. I haven’t heard of...
    ... samples from his Doctor. I don't think that they use Botox at the clinic where he goes. I haven’t heard of ... are in the same complex. Thank you so much, enie Botox is primarily used in the cosmetic industry to get ... rid of wrinkles... Kinda gives botox a bad name because its used usefully in medical conditions ... also. If you search the internet for " botox for migraines" it will help you learn more about...

  43. Botox Injections
    ... unlike classic migraines, I really don't see how Botox is supposed to help. However if you have neck problems ... and trigger point injections have been helpful, the botox is a longer acting version of a block. It has no effect ... cost, it's been a battle for the last year to use Botox . It was very helpful and less invasive than nerve ... blocks. There is a less expensive version of Botox A called Botox B. If your insurance won't pay for ... the botox , your doc can write you a prescription for BotoxB ... and you can bring the botox to the office for him to administer. This method brings ... the cost of the botox down to about 350 bucks versus $1200-2K for Botox ... A injections. Botox B is very similar, it was brought on the market to ... It may be a tough sell to your insurance co since botox has no effect on the CV system. The last denial ... insurance requested clinical data suportng the use of Botox for Chiari 1, Unfortunately they aren't going to test...
    ... My pain management doc is suggesting Botox injections for migraine pain control. Has anyone...
    ... [FONT=Comic Sans MS] Hi Molly, I have used botox injections for about 4 years for migraine prevention ... abortives EVERY day... so my doctor (neuro) tried botox injections. The thing is you have to be patient ... one was a charm!!! I had read it takes a while for botox to work and I stuck with the expensive injections ... tried everything and anything before they will cover botox injections. Good luck and let me know how things...
    ... [FONT=Comic Sans MS] Hi Molly, I have used botox injections for about 4 years for migraine prevention...

  44. Question about Back Spasms
    ... costs down. Robaxin infusions are another option, Botox may be effective but most insurance companies are ... very particluar about using Botox for the treatment of chronic pain. It can truly become...

  45. Injections
    ... the next steps. Tell me, have you had success with Botox injections for the treatment for of migraines? That...

  46. "Phantom" pain (or Central pain)
    ... like if you do that's a lace to start, have you tried Botox ? Iwould bet there are more options than you have thought...
    ... like if you do that's a lace to start, have you tried Botox ? Iwould bet there are more options than you have thought...

  47. Newbi looking for support
    ... during PT scheduled to see doc this friday, talk about botox , rhizotomy. wondering if the shoulder problem isn...

  48. botox results
    ... Thanks for letting all of us know about the botox inject. I was wondering if I would benefit. I won...
    ... who is the guinea pig for others.unfortunetly the botox was not for you.I never would have even thought about ... research this before i decide to do anything regarding botox .sorry things didn't go better for ya,but hey we all...
    ... hangin' in :) The botox is supposed to "paralyze" the signal from the brain...

  49. What is pain managment?
    ... management and used LA opaietes and evrything down to Botox , TP injections, you name it and they can do it. But...

  50. Shoreline-what To Do?
    ... difference. If your present doc doesn't offer Botox , and you want to consult with doc that uses Botox...

  51. Piroformis Muscle/ Doctor Thinks This Is The Source
    ... entiire area with numbing agents into the muscle. Botox may even be an option if your insurance will cover...

  52. A Rough Patch – Your Advice Please
    ... to ask mine 3X while he was doing nerve blocks and botox and trying all the other meds he could think of, but...

  53. Shore, Question about something you said...
    ... a trip to the ER. I also recieved 12 injections of Botox at ONE time, which also caused an allergic reaction ... I hope that the Topomax works for you. I know that Botox is also another form of modality they are using. It...

  54. Chronic daily migraines-SOS!
    ... relief (no more emergency visits to the hospital) with Botox and the occasional Fioricet. Maybe a Maxalt if nothing...

  55. botox-not cosmetic
    ... Not much has helped so my new pm dr is giving me botox injections to help relax them. I was just wondering...
    ... I did a search on web md and got an article about botox treatments for muscle spasticity. Said that takes...
    ... that I can function with. Of course, I am hoping the botox will take care of it, though it won't help my low...
    ... interested to know how it works. I am trying to get the Botox injections approved for the right side of my neck...

  56. I just got out of the hospital after 18 DAYS!!!
    ... it being there for 6 months!)...We talked about the Botox injections the insurance won't cover...he told me...

  57. Another policy change at the pain clinic
    ... have to worry about growing tolerant. Have you tried botox , Occipital blocks, TP injections? All the latest...

  58. Problems with Insurance and Meds
    ... change in PM clinics to handle things like RFL's and Botox injections is in order. When I meet with my GP tomorow...

  59. Radio Frequency Lesioning NIGHTMARE!!
    ... wanted to try a controvercial procedure that uses Botox . Im not well versed on the proceedure but I think ... much like the RFL although he did mention injecting Botox directly into the Rhomboid muscles just to the right ... Everytime I see a Dr I adamantly point this out. Shooting Botox directly into those muscles would help shut them up ... they are angry in drops me to my kneed. He thought botox would work much like the RFL and have the same duration ... was clearly a nerve problem which made the RFL and Botox more logical to start out with. The fact that he ... prepared manner or if we are going to move onto the Botox . Problem with the Botox is that because its a costly ... to have the same procedure so they can use all the Botox in one day. Have no clue to the validaty of that point...

  60. Pain Management for heroin addicts
    ... too. Only she benefits more from Occiptal blocks, Botox and trigger point injections.The doc had told her...

  61. Morphine Pain Pump - Again!!!
    ... with occipital blocks, trigger point injections and Botox and pain meds PRN. The facial and mouth numbness has...

  62. RE: LA meds and BT pain meds???
    ... burn bridges if you know your doc doesn't use say Botox and you want to try it. You ant to talk to a doc about...

  63. Need advice with pain meds
    ... physical medicine docs do plenty of trigger points , Botox injections and Robaxin and Lido infusions as well...

  64. Dizziness from and Access to Tramadol
    ... physiatrist in 3 years. Have you had ESI's, Nerve blocks, Botox , trigger point injections, tried TENS, TINS, ACupuncture...

  65. Hi Shoreline, question for my Mom
    ... neck are a prblem, my wife had great results from botox , trigger point injections and occipital blocks, but...

  66. Pinched Nerve & Numbness on head/arms/legs help with advice please
    ... steroid injections at cervical levels. She also had botox and greater occiptal nerve blocks done at cervical...

  67. Has anyone ever had an implant to stop their chronic pain?
    ... as the headaches, My wife has had great luck with Botox , it paralyzes the muscles that clamp down on the nerves ... option, Insurance companies don't like to pay for 3k in Botox for your headache if there is another option, but ... right DX codes and can show other methods don't work, Botox has been a lifesaver for my wife and insurance will...

  68. Need Advice on nerve blocks
    ... this, you may want to talk to your neurologist about botox injections. that's the latest thing I've been doing...

  69. Reasons for chronic pain
    ... type of donar site pain. I also see more and more botox being used for muscle pain which may be worth investigating...

  70. Really need help, long post but urgent, need info
    ... Injection, Facet joint blocks and is even starting to use Botox in muscles that are causing problems. I am awaiting...
    ... med may believe these modalities "blocks,ESI's and botox " will relieve some if not all of your pain. It would ... My wfe has gotten relief from nerve blocks and from botox and from Robaxin infusions. She has been able to reduce...

  71. Lidocaine Puch via IV over 6 hours - Anyone ever heard of such a thing?
    ... reduce the pain. My internal med doc wants to try Botox injections into my neck/shoulder area, but my insurance...
    ... ectiveness. It's great your NS is aware of Ketamnine and Botox , but he is surgeon, not a PM doc, Surgeons don't ... to mange the pain isn't good medicne. What if botox is the answer and worth fighting for, if you give ... condition that insurance companies will authorize Botox for where a surgeon isn't used to having to fight ... opiates or justifying to your insurance that you need Botox . I'm not suggesting everyone should be forced ... opiates because their are so many options to try. Botox works very well for some people. My wife Has several ... rigor she looked like the incrediable hulk flexing. Botox worked very well for the headaches caused by the neck ... trigger point and Ocipital blcks when the doc suggested botox . The insurance denied it at first but with the right ... need to know the diagnostic codes needed to get the botox aporoved. It took 3 months just to get it aproval ... but they did, so they did 2 rounds of Botox , trigger point injections and OC blocks over 6 weeks ... and she's doing much better. The botox can be extremely effective on spastic muscles. ... problem in your neck spacticity Vs spasm. They may cover Botox for one and not the other. This is where a PM doc ... treatment and allows docs to get procedures aproved like Botox by havng all that info right in the front of your ... clinic or doc, Have your surgeon keep fighting for botox aproval or have the new doc fight for it. But when...

  72. Back Brace for Muscle Spasms..Need Help
    ... to find that type of procedure. With the right DX Botox can be approved also. When a doc runs out of useful...

  73. 4 Bad Cervical Discs - In Extreme Pain - Please Help
    ... to try the same things: Epidural, Facet Injections, Botox , Accupuncture Etc. Mine always seemed reluctant to...

  74. Nagging pain in buttocks
    ... recources and you simply have to live with it. Even botox may be an option, there are a lot of ladies that would...

  75. Levator ani syndrome anyone, please???
    ... You might want to ask him about about the Librax, Botox also sounds promising if youur insurance would cover ... more helpful than a GI, I doubt they have done many botox injections. Getting something approved for off label ... and got really good neck and headache results from botox and it's been almost 3 months. The doc did mention ... lots of women that would have loved to have 2K in botox approved by insurance. They don't cover cosmetic use...


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