Chronic Pain Treatment Approaches

I write for a couple of medical sites– not the ones I have mentioned here, but sites where they actually allow doctors to identify themselves so that the person asking the question knows the credentials of the person providing the reply.  Oh, what the heck– I think it is OK Read more…

A hazard for kids?

Attitudes toward Buprenorphine, Suboxone, and Chronic Pain

In my last post, I mentioned some of the other blogs out there… one such blog is ‘subsux’.  First, let me say that I find the name funny– I waste money buying interesting domain names, and that one is certainly catchy.  But beyond that compliment, I don’t agree with anything Read more…

Buprenorphine for Chronic Pain– a good choice?

A question about the use of Suboxone and buprenorphine for chronic pain: I would appreciate your comments about long term use of Suboxone for pain. I am a post-polio patient for the last 12 years and have been +10 pain in my buttock. Every exam has come up negative and Read more…

Suboxone, depression, anxiety, and pain

A question about Suboxone and mood: I came across your website while looking for answers to Suboxone. I was wondering what you thought of a patient being prescribed Suboxone for depression and anxiety disorder? I have tried almost every antidepressant you can think of. I have also tried lithium and Read more…

Pain Relief Network

I am moving the post below from the comments section to here because many readers will benefit from the information.  As a doctor treating chronic pain I can attest to the problems and challenges from all angles.  I worry about leaving patients in pain– but at the same time I Read more…

Buprenorphine for pain- recent studies

From an astute reader: I copied and pasted this article. It’s been my impression that bupenorphine isn’t superior for chronic pain. I also read an article that three amputees with phantom pain got adequete relief from using buprenorphine suppositories. Is there a difference between using the under the tongue med Read more…

Chronic Pain Revisited

Some excellent questions about chronic pain: Question. I am an above knee amputee and have chronic phantom pain for 12 years. I have endured 68 operations. Numerous medications have been tried for this but the side efffets are pretty hard to take. I have been on a stable dose of Read more…

Back Pain, Suboxone, Lortabs, Weaning

A question from a patient with back pain: I am a XX year old female with a history of depression and am currently taking effexor. I injured my back last winter and my dr prescribed me lortab, you know the rest.. I am sick of taking the pills, i end Read more…

Suboxone and Pain

A Question: I see my urologist, the prescribing doctor on Monday, August 18th and am planning on asking him to write a prescription for Subutex for my pain. This weekend I am trying to collect some useful information to bring to him in support of my request. As I have Read more…

Taking opiates for pain… on Suboxone.

Question: hi doc, i am a 35 year old man with a very active career and full life with 10 years recovery from alcoholism. i struggled with ongoing pain issues including migraines since age 10 and a diagnosis of fibromyalgia. i have AA sponsees, a very good spiritual life, and Read more…

A Reply to Chronic Pain

I feel that I have a good understanding of suboxone…. With the exception of the pain issue. The reason for my lack of confidence in that area is because first, I have seen less-consistent results in pain patients, and second, some of the claims made by patients just don’t make Read more…

Why Not Just Take Narcotics for my Chronic Pain?

I received a letter today– a person discussing the use of opiates by a family member with chronic pain.  I was not sure if the letter was asking questions about my opinions, or was instead arguing that my ideas were off-base.  In either case it is worth publishing, as several Read more…