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Amitriptylin (Elavil) Anyone? Amitriptylin (Elavil) Anyone?

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Unread 04-04-2003, 10:39 AM
Amitriptylin (Elavil) Anyone?

I'm sorry you are having such problems w/this med I also see a Pain Mgmt Dr who has a huge clinic. Unfortunately, some of the *Pelvic Pain Specialist* tend to believe that our pain comes from emotional trauma & such I have ran across several Maybe looking into just a regular Pain Dr?!? Here are some sites that list them by state, maybe there is another one near you:

Chronic pelvic pain: Puzzling, frustrating condition:
Psychological instigators
Women who are depressed, who are under excessive stress or who have been sexually or physically abused are more likely to experience chronic pain, such as chronic pelvic pain. That's because emotional distress can make pain worse, possibly by causing you to unknowingly tense your pelvic floor muscles or by causing chemical changes that affect your ability to cope with pain.

Your doctor will ask questions about you and your family to determine if you may benefit from a counselor or other mental health professional.

When psychological factors are implicated, treatment may include low-dose antidepressants, which may lessen pain, or psychotherapy, stress management or other relaxation techniques.
Chronic Pain Medications:
Medications can often help to control chronic pain. There are many different drugs used to treat chronic pain, both prescription and nonprescription. All of these medications can cause side effects and should be taken exactly as they are prescribed. In some cases, it may take several weeks before medications work to reduce pain.

Medication Choices
The main categories of medication used to treat chronic pain include:8

Simple analgesics. Analgesics can help control pain without causing drowsiness. Many of these are available without a prescription. Analgesics include acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs).
Adjuvant analgesics. Adjuvant analgesics are drugs that are used primarily for treating conditions other than pain. However, because of the way these drugs work, they can also alter pain signals and thereby help to reduce pain.
Multipurpose analgesics (such as antidepressants or corticosteroids)
Analgesics for neuropathic pain (such as local anesthetics or anticonvulsants)
Analgesics for musculoskeletal pain (such as muscle relaxants and anti-inflammatory drugs)
Opioid analgesics. Opioid analgesics are narcotic drugs, either derived from opium or man-made (synthetic), that can reduce the perception of pain and, in some cases, significantly alter a person's mood and behavior. Opioid analgesics also have the potential for addiction. Because it was believed that their use might lead to addiction, until recently opioids were not used long-term to treat chronic pain. Opioids were only used for short periods for acute pain or for cancer pain. Currently, in specific situations opioids may be used long-term to treat chronic pain. Opioids may help reduce pain and may allow a person to function better without becoming addicted to them.8, 9
Other types of medication used to treat chronic pain include:

Topical agents. Topical agents can be rubbed over painful areas and alter pain signals sent to the brain. Examples include capsaicin or an anesthetic such as EMLA (eutectic mixture of local anesthetics).
Nerve block therapy. Nerve blocks involve injecting a local anesthetic or corticosteroid into peripheral nerves and muscles. Although nerve blocks do not cure chronic pain, they may allow a person to begin physical therapy and to improve range of motion that has decreased from long-term inactivity and chronic pain.
Epidural steroid injections. These injections may relieve pain by injecting steroids around spinal nerve roots. Although they have been used for many years and may provide relief for low back pain, their effectiveness is not known.10 Their use in the management of chronic pain is controversial.
Trigger point injections. These injections may relieve pain by injecting a local anesthetic into trigger points associated with pain syndromes including chronic facial pain and fibromyalgia.
What to Think About
Medications can reduce or provide temporary relief of chronic pain. Medication works best when it is used in combination with other types of treatment, such as physical therapy and counseling, to address the different causes of chronic pain.

Looking for a Physician? Try: Doctors for Pain:

Women report chronic pelvic pain not taken seriously, survey shows:

For a list of organizations that specialize in a particular disease or disorder, contact the American Pain Foundation at or call 1-888-615-PAIN. If you want to find a pain specialist:

Ask your regular doctor, if you have one, for a referral to a good pain specialist or pain clinic.

Ask family members, friends and co-workers who have suffered from pain for a recommendation.

Contact the largest local hospital or medical school in your area and ask if they have a pain team or know of a good local pain specialist or pain clinic.

If you are under a managed care program, call your representative or caseworker and ask for their list of approved pain specialists.

Call a local hospice, even though you may not need hospice care, and ask them to suggest doctors who are good at pain management.

Tip: Ask if the doctor belongs to any pain-related medical societies or has had special training or certification in pain medicine. Check the American Pain Foundation website or call us for information about professional organizations and certifying programs.
Good Luck Pls keep us posted...(((hugs)))
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Unread 04-04-2003, 10:51 AM

Personally, I would have a problem going to a Pelvic Pain Specialist that was male. No matter how much studying he has done, he has never had the parts or experienced the pain we refer to.

I think you finding another doc would be a wise move as this one seems to be willing to try only one approach. Like Kim said, there are many different meds that can be tried. Good luck!

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