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  • What are “nerve pain medications” or “neuropathics”? These can be gabapentin (Neurontin), topiramate (Topamax), or pregabalin (Lyrica). These are anti-seizure medications or anticonvulsants. You might think “but I don’t have seizures”. Well, in medicine, we often use other types of medications to treat other things. When your medical provider prescribes ...
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  • Opioid induced hyperalgesia is a condition where the opioid pain medication creates more pain rather than pain relief. This can be caused from any dose of opioid pain medication, but is more likely to occur with higher doses. Patients with opioid induced hyperalgesia may have: Increased sensitivity to painful and non-painful stimuli such as light stroking or pressure Worsening pain despite ...
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  • Yoga can help increase strength in very specific muscles and muscle groups. It requires concentration and specific use of muscles throughout the body. Many postures in yoga gently strengthen the muscles in the back, as well as the abdominal muscles. Back and abdominal muscles are essential components of the muscular network of the spine, helping the body maintain proper upright posture and ...
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  • Core muscles are the underlying muscles of your trunk or torso. It is important to have strength in this area for many reasons. Core strength can help reduce pain in your back (both now and in the future) by improving your posture. Strong core muscles help keep the spine in alignment and decrease strain on the lower back, preventing future injuries such as disc herniation or vertebral (bone) ...
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  • Often times, I come across patients who believe that exercise has not helped them or has even made their pain worse. When this happens, I question what they did in the gym, at home, in formal physical therapy, or simply what exercise program they attempted. Many times, they were in too much pain to realistically progress in their given program. They would be sent to physical therapy in so much ...
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