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Ask an Expert
Karen Pantazis, M.D.
Sutter Amador Hospital
I've been taking vicodin for a number of years because of chronic back pain. My concern is that I've become dependent on them. Is there a difference between physical dependence and addiction?
This is a common concern for many patients taking pain medications. Yes, there is a difference between addiction and physical dependence.There are several terms that are important to understand related to takin... continue reading about I've been taking vicodin for a number of years because of chronic back pain. My concern is that I've become dependent on them. Is there a difference between physical dependence and addiction?
Karen Pantazis, M.D.
Sutter Amador Hospital
I have severe bloating from taking pain medication. Is this normal?
I would need to know more about what symptoms are being described as "bloating". If it is referring to constipation or an expanding abdomen, yes - many pain medications, especially opioids (hydrocodone, oxycodo... continue reading about I have severe bloating from taking pain medication. Is this normal?
Karen Pantazis, M.D.
Sutter Amador Hospital
What is the difference between acute and chronic pain?
Acute pain is a pain that has a limited time frame. It usually, though not always, starts suddenly, has an identifiable cause, can be treated, and once treated, the pain subsides. In that sense, since the cause... continue reading about What is the difference between acute and chronic pain?
Karen Pantazis, M.D.
Sutter Amador Hospital
I have been dealing with chronic pain from a back injury for a number of years. I read recently that vitamin D can help reduce pain. Is this true, and if so should I start taking a supplement?
Vitamin D can help with certain types of chronic pain, especially muscle and joint pains. However, before you start taking vitamin D supplements, it is important that you have your vitamin D level checked to se... continue reading about I have been dealing with chronic pain from a back injury for a number of years. I read recently that vitamin D can help reduce pain. Is this true, and if so should I start taking a supplement?
Karen Pantazis, M.D.
Sutter Amador Hospital
My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
It is not unusual for patients who take pain medication and are depressed due to chronic pain to have diminished interest in sex. It could be due to the medications, the depression, the chronic pain, diminished... continue reading about My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
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