Overview of Cymbalta, the Brandname Form of Duloxetine
Cymbalta, the brandname form of duloxetine, is a prescription medicine used to treat depression, generalized anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia, and chronic musculoskeletal pain. Cymbalta is in a group of medications called serotonin norepinephrine reuptake inhibitors. These work by increasing the amount of serotonin and norepinephrine in the brain to promote mental balance and by stopping the movement of pain signals to the brain. This medication comes in capsule form and is taken once or twice daily, with or without food. Common side effects include nausea, dry mouth, and sleepiness. Do not.
How to Read a MRI of Cervical Nerve Compression Neck Pain Colorado Spine Surgeon
Now we're going to look at a cervical spine MRI of a patient with arm pain the patient doesn't have much neck pain and he has no spinal cord dysfunction in this MRI again you can see the spinal cord in the center surrounded by the white cerebral spinal fluid or water and the vetrebral bodies and the discs you can see a small disc bulge here and smaller disc bulges here and here since there's no real compression of the spinal cord the patient has no spinal cord dysfunction symptoms.
But if we do come to the right side we can see these spurs that are compressing out of the canal at these two levels and those are the spurs that are catching the nerve root on the right we can look at it from the top down view and we come up to the first level at C two three again spinal cord is clear the white csf water around it these are the nerve exit polls here in here the C two three level looks normal we march down to the C three four level.
And again spinal cord has room the nerve holes have room this one is a a little tight but it still has plenty of room come down to C four five again the nerve holes are free the spinal cord is free come down to C five six and here we see a nice big spur on the right side the left nerve root is exiting quite nicely the right nerve root here is compressed by the spur and this is one of the spurs causing this patient right arm pain.
We can pass by this level and go to the next level at six seven and again see the same thing the left nerve hole is free there's a big spur on the right nerve hole and this nerve is compressed and this is what's causing him the arm pain from the C seven nerve this is a side by side example of a normal level of the cervical spine and a level where there's nerve compression again we noted before this nice large spur is compressing the exiting nerve route right here where the nerve root on the opposite side is open.
Visceral pain is associated with the internal organ. It is also capable of referring pain to other parts of the body. Some of the signs and symptoms of visceral pain are squeezing or cramping, a deep ache in the internal organs a generalized sick feeling and nausea and vomiting. Treatment of visceral pain is generally very successful with opiods. Some of the organs more sensitive to pain stomach, bladder and ureters and these organs will produce significant amounts of pain from even the slightest injury. Other organs that are less sensitive to pain.
Gabapentin To Treat Adults With Nerve Pain Caused by Shingles Overview
Gabapentin is a prescription medication used to treat adults with nerve pain caused by shingles. Shingles is a painful rash that is caused by the varicellazoster virus, the virus that also causes chickenpox. Gabapentin is also used in combination with other medications to treat partial seizures. Gabapentin belongs to a group of drugs called anticonvulsants, which help treat seizures by decreasing abnormal excitement in the brain. It also works by altering the way the body senses pain. This medication comes in tablet, capsule, and oral solution forms. It is taken up to three times a day, with or without food. The capsules.
A part of the cervical spine or neck that is important is the uncovertebral joint and that is this little triangular outcropping of bone right here this point as we get older starts to enlarge and push against this point and that creates a spur the spur can live right in this area and of course that spur is right where the nerve root exits and therefore that spur can compress a nerve root and it's quite a common problem for patients with neck shoulder and arm pain these are actual cervical vertebra.
Dr. Charles Argoff On The Difference Between Nociceptive And Neuropathic Pain
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