Neuropathic pain

[dafty566]

hello just want to know a bit more about this i have a frozen shoulder on my left side for a few years now then before christmas i started to have a soreness behind my left breast i went back and forward to the doctors who gave me stronge painkillers and ibuprofen which were no good i was near up the walls went to someone else who gave amitriptyline which within a few days of takin them it went i ave to go for an MRI scan in 2 weeks and i just want to know will it pick it up wht can be done and how toget rid of it cause as soon as i stop the tablets for a day or two it comes back even when im annoyed about anyting stress as well please help and reply back

[dafty566]

Thanks again doctor for replying back i will have to go back and see my a GP.

[Dr Vinod]

Amitryptiline is used for depression and also for pain relief. If it does not help you, there is no use but to switch to something alternate. This drug acts by the nervous system route

[dafty566]

Thanks so much doctor for replying back  about the frozen shoulder i have tryed the exercises and the TENS which none of them where any good i was told i could get the injection  but hate needles . But its the pain in my chest i wanted to know about it was my doctor who prescribed the Amitriptyline tablets he said they where used years ago to treat depression but would do the same job for my pain and he said it sounds like i have damaged nerves in my chest they did take away the soreness but its comin back again i have it now about 7 months he also called it Neuropathic pain its like a burning ,stabbing ,aching pain very uncomfortable its even a worse pain tht the frozen  shoulder please write back and let me know it really is driving me up the walls  .

[Dr Vinod]

Orally administered amitriptyline has shown analgesic property but amitriptyline (Elavil, Endep) is an antidepressant drug primarly used to treat depression. You should switch on to simple pain killer and taper away your amitryptiline dose over a period of time.

Frozen shoulder, medically referred to as adhesive capsulitis, People who suffer from adhesive capsulitis may have extreme difficulty working and going about normal life activities for several months or longer.

Management of this disorder focuses on restoring joint movement and reducing shoulder pain. Usually, it begins with nonsteroidal anti-inflammatory drugs (NSAIDs) and the application of heat, followed by gentle stretching exercises. These stretching exercises, which may be performed in the home with the help of a physical massage or occupational therapist, are the treatment of choice. In some cases, transcutaneous electrical nerve stimulation (TENS) with a small battery-operated unit may be used to reduce pain by blocking nerve impulses.

The next step often involves one or a series of steroid injections (up to six) such as Methylprednisolone. Treatment may be needed for several months.

If these measures are unsuccessful, the doctor may recommend manipulation of the shoulder under general anesthesia to break up the adhesions. Surgery to cut the adhesions is only necessary in some cases. Surgery to correct other problems with the shoulder may also be needed.

Take care!