Are you in the states? This Dr is in Germany or that's what it says when I googled him. They treat things differently over in Europe. I think what he was saying was that he specifically doesn't prescribe narcotics. I think its in the first thing he posted.
I believe his reply is in "A Spine Surgeons Roadmap," though I'm not sure he specifically answered that question. Repost it on that thread. I want to say Daniel said Dr. Fouradoulas only comes online 2 days of the week. 🙏🌼
Thanks Flappy - I get a little sensitive because my blood is on freKing fire all day my bones ache and that is my base line! With huge modalities of care. If he is, are they alive, functioning, happy with care? If so...Bring It On! I want to be cured! And there are about 3,000 of my support group friends w this that would line up w me. Jenna being the first! Anyone hear anything?
Crps, don't apologize for being sensitive on certain subjects.. We all have things that run us the wrong way. I don't have CRPS but that doesn't mean I can't understand how painful it must be for those who do. (((Hugs!))) 🙏🌼
Yes, I've stated that we don't give narcotics for chronic pain. We give them only for temporary indications or cancer pain. I know they work well in the beginning and one gets used to it and likes it. The problem is that in the long term they cause what is know "opioid-induced hyperalgesia". This is a relatively new discovery and not so known among doctors. It means that after a while (months to years) the body get's sensitized to pain. The nervous system reacts more easily to pain triggers and once you pause the drug you will feel pain all over the body. There are numerous other unfavorable long term effects in the body. The immune system gets compromised, cognition is affected (fatigue, memory), hormonal system gets affected. Opioids are hormones with numerous effects in the body, not only pain relief. Once you go down the road on narcotic prescription, the benefit lasts for a while only until you need to increase the dose and this we really want to avoid. The body has it's own opioids which inhibit pain sensation and they get released through different triggers like positive expectation, laughing, joy, distraction, exercise. We work with a multi-component pain management program, what else can you do instead of taking drugs is the central question. Other treatment in crps are mirror therapy, graded motor imagery, bisphosphonates, calcitonin, anti-epileptic drugs like lyrica. You can read more about it here: http://healthcare.utah.edu/paincenter/treatments-conditions/opioid-induced-hyperalgesia.php By the way, we are swiss based.