Was wondering if anyone has any tips for managing pain in patients with Ehlers-Danlos?
You can comment in a general way... But in particular, I have a 30 year old female with EDS hypermobility type (no vascular involvement), confirmed with genetic testing. Briefly, has neck and right shoulder pain. Occasional radicular pain into right arm. MRI C-spine fairly unremarkable, negative for nerve impingement. Had right shoulder surgery for subacromial decomopression and labral tear. She is active and does non-impact exercises 3 times per week. She is not seeking opioids. Tramadol has not helped. Gabapentin 300 mg TID has not helped. On Lexapro, which helps depression/anxiety, but Cymbalta is not covered. Takes Indocin as needed for headaches. She is a minimalist, so not seeking anything drastic.
My thought is to increase gabapentin to at least 600 mg TID before declaring failure. I offered trigger point injections, which she states she would consider if pain worsens.
In the meantime, as I was doing some research online, I came across the suggestion of magnesium supplementation. I think it would make sens to try so I was going to suggest it to her. I am thinking Mg gluconate 500 mg 1-2 TID.
Any thoughts? Thanks!
You can comment in a general way... But in particular, I have a 30 year old female with EDS hypermobility type (no vascular involvement), confirmed with genetic testing. Briefly, has neck and right shoulder pain. Occasional radicular pain into right arm. MRI C-spine fairly unremarkable, negative for nerve impingement. Had right shoulder surgery for subacromial decomopression and labral tear. She is active and does non-impact exercises 3 times per week. She is not seeking opioids. Tramadol has not helped. Gabapentin 300 mg TID has not helped. On Lexapro, which helps depression/anxiety, but Cymbalta is not covered. Takes Indocin as needed for headaches. She is a minimalist, so not seeking anything drastic.
My thought is to increase gabapentin to at least 600 mg TID before declaring failure. I offered trigger point injections, which she states she would consider if pain worsens.
In the meantime, as I was doing some research online, I came across the suggestion of magnesium supplementation. I think it would make sens to try so I was going to suggest it to her. I am thinking Mg gluconate 500 mg 1-2 TID.
Any thoughts? Thanks!
