- Joined
- Sep 26, 2011
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Good Evening. I have been a frequent lurker on this forum for several years. I appreciate what you all do and tip my hat in respect. I am a physician assistant who works at an Interventional pain clinic for the past 10 years. I enjoy the daily challenges this position brings.
After attending a workshop last fall that had a section about using Low Dose Naltrexone in patients with CRPS, neuropathy, fibromyalgia and Crohn's disease, I was skeptical to say the least about prescribing LDN to any patient. But along came a few with no pain reduction despite the gamete of physical therapy, chiropractic, multiple medications and pain procedures, pain psychology, so i figured why not try it as it is regarded as a safe medication with a much better side effect profile than so many others. The cost is about $50 for a 3 month supply so most can afford it.
I now have approximately 40 patients on LDN or Ultra LDN. I would say 70% have had definite improvement of their pain, some with unbelievable results. CRPS symptoms gone, all over body pain improved, neuropathy pain significantly improved, some say panic attacks greatly improved, more energy, better outlook on life, etc. Even having some luck with slow ultra low dose titration and being able to reduce their opioids. This won't be 70% but there are a few.
My question to you researchers is: What is the best assessment tool for pain and general well being in a questionnaire form that I can give before starting them on LDN and 3 and 6 months later? I searched the web and have not found what I am looking for. The 36 question SF-Health survery is not quite it. We may eventually give a presentation to local providers on how we have been doing with LDN.
Thanks for reading.
After attending a workshop last fall that had a section about using Low Dose Naltrexone in patients with CRPS, neuropathy, fibromyalgia and Crohn's disease, I was skeptical to say the least about prescribing LDN to any patient. But along came a few with no pain reduction despite the gamete of physical therapy, chiropractic, multiple medications and pain procedures, pain psychology, so i figured why not try it as it is regarded as a safe medication with a much better side effect profile than so many others. The cost is about $50 for a 3 month supply so most can afford it.
I now have approximately 40 patients on LDN or Ultra LDN. I would say 70% have had definite improvement of their pain, some with unbelievable results. CRPS symptoms gone, all over body pain improved, neuropathy pain significantly improved, some say panic attacks greatly improved, more energy, better outlook on life, etc. Even having some luck with slow ultra low dose titration and being able to reduce their opioids. This won't be 70% but there are a few.
My question to you researchers is: What is the best assessment tool for pain and general well being in a questionnaire form that I can give before starting them on LDN and 3 and 6 months later? I searched the web and have not found what I am looking for. The 36 question SF-Health survery is not quite it. We may eventually give a presentation to local providers on how we have been doing with LDN.
Thanks for reading.
