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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Pain Due To Fibromyalgia

yes, hope you can help. I m desperate. I have chronic pain. I moved to Portland from FL 2 yrs ago. I finally got a wonderful dr. in NH for past year. Problem is that I have Mainecare and I was paying cash for appt and meds Also Janice wanted me to try shots in back. I scheduled appts with spine dr. and primary care. I had explsined my needs to scheduling person along with referral from Janice. Well, spine drs. sre good, but pc is basically holistic and on my third apt {2 weeks ago?) She started me on fast wean. I sm new to PT, plus neurospine drs. hsve snother procedure to try. I am panicky, in pain and remembering the depression snd non-functioning, no quality of life. I couldn t walk after standing for 10 mins. I also have fibromyalgia. I was planning trip to Fl. in 2 weeks to be with daughter and slso had new startup business. I sm Interior Designer If I can t find new dr. in a wk., my trip and biz will all be cancelled. Help! I am also well aware of how addicting they are, but Jan and I were working on that. Cynthia .
Fri, 22 Mar 2019
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Addiction Medicine Specialist 's  Response
Hello,

Ok, fibromyalgia might be the classic pain of this century. Nerves are set for overstimulation and pain. There are two approaches.

The one most used is of course to pop a pill: any nerve damper including and not limited to amitryptiline, anti epileptics such as gabapentin and nerve acting muscle relaxants such as methocarbamol.

The one which likely is best is to reset the pain sensation of nerves by graded increase of painful input to them by rather large amounts of exercise with both endurance and weight training in physical therapy. Nobody does that one.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Matt Wachsman, Addiction Medicine Specialist
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Suggest Treatment For Chronic Pain Due To Fibromyalgia

Hello, Ok, fibromyalgia might be the classic pain of this century. Nerves are set for overstimulation and pain. There are two approaches. The one most used is of course to pop a pill: any nerve damper including and not limited to amitryptiline, anti epileptics such as gabapentin and nerve acting muscle relaxants such as methocarbamol. The one which likely is best is to reset the pain sensation of nerves by graded increase of painful input to them by rather large amounts of exercise with both endurance and weight training in physical therapy. Nobody does that one. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist