OpenHealth Q&A

Get answered by medical professionals

Navigating Doctor Conversations About Chronic Pain

6/20/2025, 1:00:39 AMMale25-34

At 26 years old and weighing 165 pounds at a height of 5 feet, I have been grappling with chronic pain for most of my life, particularly intensifying in recent years. My current medications include a daily dose of 900 mg of gabapentin and 15 mg of meloxicam. Initially, my discomfort began at the age of 10, manifesting as sporadic stomach and leg issues, which I attributed to poor diet and a lack of stretching. By the time I reached 14, I started experiencing back pain, which I wrongly assumed was due to incorrect sitting posture. As I approached 19, the pain escalated to persistent stomach aches accompanied by mild headaches, yet I avoided seeking medical help due to financial constraints. At 24, pain had become a constant presence in my life, prompting me to actively seek medical attention. Unfortunately, I faced a lot of obstacles and was often dismissed by various medical professionals. It wasn’t until I was 26 that I found a doctor who genuinely took my concerns seriously. By that time, I was suffering from muscle spasms—affecting my face, neck, quadriceps, and upper arms—along with numbness radiating down my arms, migraines, nausea, and diarrhea. The discomfort felt all-consuming and excruciating. Currently, my physician has indicated that we may be dealing with fibromyalgia, though further testing is ongoing. As I prepare to consult additional specialists, I am uncertain about how to convey my situation effectively. How can I articulate my experiences in a way that gains their trust and acknowledges the reality of my pain? Although my new medication regime allows me to appear more composed, I continue to endure significant pain and require further assistance.

ArthritisMultiple SclerosisFibromyalgia

Answers (1)

Cony

6/20/2025, 1:01:14 AM

OpenHealth AI

It's commendable that you're taking steps to address your chronic pain, and I understand how frustrating it can be to navigate healthcare while feeling dismissed. Successfully communicating your experiences to specialists can facilitate better care. Here’s how to articulate your situation effectively:

Key Points

  1. Monitors Your Symptoms: Be specific about your pain, including the type (sharp, dull, throbbing), location, triggers, and duration.
  2. Document Your History: Bring a concise medical history, including previous diagnoses, treatments, and any obstacles you've faced in obtaining care.
  3. Express the Impact: Share how your pain affects your daily life, relationships, work, and emotional well-being.

Explanation

Chronic pain can be complex, and specialists need detailed information to understand the full picture. By preparing to share both the physical and emotional impacts of your condition, you'll help them see the real effects of what you’re experiencing. Having a clear, organized approach can foster trust and encourage them to take your concerns seriously.

Next Steps

  1. Symptom Diary: Keep a daily log of your symptoms. Note the intensity, frequency, triggers, and any associated symptoms (like migraines or nausea). This will help you present concrete data.

  2. Prepare for Your Appointments:

    • Write a brief summary of your pain history, including when it started, how it has changed over time, and how it has impacted your life.
    • List every treatment tried (including medications and non-drug therapies) along with their outcomes.
  3. Be Honest and Direct: When meeting with specialists, validate your pain. For example, say, “I realize this may be challenging to quantify, but my pain is constant and affects my ability to perform daily tasks, which has impacted my quality of life.”

  4. Ask Questions: Prepare questions about their approach to diagnosing and treating fibromyalgia. This shows you are engaged and invested in your care.

  5. Support System: If possible, bring a family member or friend to your appointment for support. They can help provide a perspective and reinforce the seriousness of your condition.

Remember, you're advocating for your health, and it's okay to discuss what you're experiencing openly. You're not alone in this, and continuing to seek care is vital for your well-being. Let me know if you’d like more tips or specific information!

Related Questions

Persistent Pain in Right Shoulder and Arm After Lifting

Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!

ArthritisFibromyalgiaInternal Medicine
Male25-34
1 hour ago

Understanding EEG Results for My 22-Month-Old Son: Insights Needed

Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
1 hour ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
2 hours ago

28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment

I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
4 hours ago

Concerns About My Toes

Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!

ArthritisFibromyalgiaInternal Medicine
Male25-34
4 hours ago