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Re: Getting Doctors to prescribe opiates

Posted by Deus_Abscondis on October 16, 2007, at 5:28:48

In reply to Re: Getting Doctors to prescribe opiates Deus_Abscondis, posted by misslucrezia on October 15, 2007, at 22:24:21

Thanks MissL,

- funny I knew another MissL (different spelling though). While I try not to wallow in self pity having and showing sympathy is helpful, so thanks again.

The warmer weather is helping.

I'm looking into possible latent virus issues that could account for transient bouts of horrible malaise/sickness and possible antibiotic treatment for the osteoarthritis (which is evident on scans only - no blood indicators of inflammation), possible autoimmune factors also should be investigated.

The problem with chronic pain of musculo-skeletal origin is that neural pathways change not only in function (increased excitability) but also morphologically (nerves sprout extra dendrites and connectivity changes).

Opioids provide symptomatic relief and in absence of changing the underlying neural changes they are useful if used properly. Indeed opioids may allow re-conditioning of peripheral neural networks by, simplifying it, - giving them a rest and possibly resetting thresholds and together with lifestyle changes e.g., increased exercise may have long term benefit.

Cheers

D

> Paracetomol is not ideal, long term.
> A wise move would be to address the root of the problem that is sustaining that level of pain. My sympathies.
>


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poster:Deus_Abscondis thread:774284
URL: http://www.dr-bob.org/babble/20071009/msgs/789533.html