EXPERT
Dr. Michael Alberto Palmer, MD
Pain Management Specialist
Dr. Michael Palmer practices Pain Medicine in Princeton, NJ. Pain medicine is concerned with the prevention of pain, and the evaluation, treatment, and rehabilitation of patients experiencing pain. Pain medicine physicians use a broad-based approach to treat all pain disorders, ranging from pain as a symptom of disease to pain as the primary disease. Dr. Palmer serves as a consultant to other physicians but is often the principal treating physician, providing care at various levels; such as treating the patient directly, prescribing medication, prescribing rehabilitative services, performing pain relieving procedures, counseling patients and families, directing a multidisciplinary team, coordinating care with other healthcare providers, and providing consultative services.
40 years
Experience
Dr. Michael Alberto Palmer, MD
- Princeton, NJ
- University of Rome School of Medicine - Italy
- Accepting new patients
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Are there any injections for knee pain?
There are several injection types. Cortisone for immediate effect in knee articular inflammation. Viscosupplimentation for long term maintenance for osteoarthritis. PRP and Stem READ MORE
There are several injection types. Cortisone for immediate effect in knee articular inflammation. Viscosupplimentation for long term maintenance for osteoarthritis. PRP and Stem cell injections are use for specific situations. Recommend an evaluation by a non surgical rehabilitation physician for further evaluation. Michael A. Palmer, MD ,CIME, FAAPM Recoveryzone 1818 State route 35 Wall NJ 07719 Office (732) 935-0800 Fax: (856) 712-3655
How often should you see a chiropractor for back pain?
It is important to see your chiropractor on a regular basis, providing you were getting relief. It is especially important if the chiropractor provides more manual muscular skeletal READ MORE
It is important to see your chiropractor on a regular basis, providing you were getting relief. It is especially important if the chiropractor provides more manual muscular skeletal treatment and your back remains stable without recurrent or advancing symptomatology. If your symptoms continue to get worse or you are not having Improvement despite chiropractic care, you may need to see a spine specialist to evaluate the progression Symptoms or lack of response to your treatment Michael A. Palmer, MD ,CIME, FAAPM Recoveryzone 1818 State route 35 Wall NJ 07719 Office (732) 935-0800 Fax: (856) 712-3655
What is the best way to heal tendonitis in the elbow?
The best way to heal tendinitis in the elbow is to reduce the repetitive use at the wrist. I tell my patient to use ice over the elbow, obtain a wrist immobilizer to use at night READ MORE
The best way to heal tendinitis in the elbow is to reduce the repetitive use at the wrist. I tell my patient to use ice over the elbow, obtain a wrist immobilizer to use at night so they they do not bend their wrist frequently as one does while they sleep, and if they can wear it during the day, this will reduce the repetitive stress across the elbow. They can wear an elbow strap right below the elbow to reduce the stress across the extensor Tendon's. Over-the-counter anti-inflammatory creams such as Voltaren can also help 3 to 4 times a day. Typically this will take a good 6 to 8 weeks to improve, but if it doesn't, Provo, therapeutic injections may be helpful in the elbow. The key thing is to reduce the repetitive stress, particularly at the wrist if you are doing, weightlifting, playing baseball, or doing Sports like pickle ball or tennis . I hope this was helpful. Michael A Palmer, MD, CIME, FAAPM RecoveryZone 1818 State Route 35 Wall, NJ 07719 Office Phone 732-935-0800 Office Fax: 856-712-3655 Website: recoverzonenj.com
Back pain
It is most likely related to getting kicked in the back. I'm not sure how hard the trauma was but if you were doing massage therapy stretching out using ice on a regular basis, READ MORE
It is most likely related to getting kicked in the back. I'm not sure how hard the trauma was but if you were doing massage therapy stretching out using ice on a regular basis, it should improve.
I’m in pain
In view of your current symptomatology and redness that youre experiencing, I would have someone look at this redness to see if its follows in neurologic pattern. This could be READ MORE
In view of your current symptomatology and redness that youre experiencing, I would have someone look at this redness to see if its follows in neurologic pattern. This could be shingles with irritation to the musculoskeletal system.
Do I need to go to the hospital
After reviewing your question, and you were given symptomatology, I would recommend that you either follow up with your primary care, doctor or gynecologist, and if the pain is READ MORE
After reviewing your question, and you were given symptomatology, I would recommend that you either follow up with your primary care, doctor or gynecologist, and if the pain is significantly, severe and emergency room visit would be warranted.
What is this rib pain?
Good afternoon. Typically rib pain can be caused by a multiple factors which can include inflammation to the rib at the attachment site next to the sternum, which we call costochondritis READ MORE
Good afternoon. Typically rib pain can be caused by a multiple factors which can include inflammation to the rib at the attachment site next to the sternum, which we call costochondritis it can also be caused by non-displaced fractures, stress, fractures, or displaced fractures, depending on the nature of your injury. In most cases taking anti-inflammatories for 7 to 10 days will improve your rib pain considerably. If you determine that there is a lump around your ribs that is very tender. An x-ray may be warranted to determine if you have a fracture the treatment ultimately will be the same, but may require more time for the pain to go away. I hope this helps you All the best. Michael A. Palmer, MD.
Leg swollen in back by calves
Hi, this is Dr. palmer. My concern is that you either have a popliteal cyst from a knee injury or meniscal tear but you also need to let out a deep vein thrombosis if your calves READ MORE
Hi, this is Dr. palmer. My concern is that you either have a popliteal cyst from a knee injury or meniscal tear but you also need to let out a deep vein thrombosis if your calves are also swollen this can be done in the emergency room or an urgent care center and I would do this as soon as possible. All the best. Michael A. Palmer, MD.
What is going on with me
I saw your pictures, and without careful examination physically I was suggested it might be broken vessels or response to taking anti-inflammatories. The questions I have or is READ MORE
I saw your pictures, and without careful examination physically I was suggested it might be broken vessels or response to taking anti-inflammatories. The questions I have or is the spreading, does this hurt, have you noticed any swelling in the area however, this would be best suited to be seen by a dermatologist. I am not a dermatologist.
Can a chiropractor treat ankle pain?
Absolutely if the ankle is sprained, then a chiropractor can manipulate the ankle stretch out the various ligaments and provide manipulative exercises that will help strengthen. READ MORE
Absolutely if the ankle is sprained, then a chiropractor can manipulate the ankle stretch out the various ligaments and provide manipulative exercises that will help strengthen. If your ankle pain is simply a strain. It will get better with time cryotherapy electrical stem can also help. However, if you cannot put weight on your ankle, or if it is the formed, an x-ray would be important in arriving at the correct diagnosis and possibly further imaging studies such as an MRI.
Pain in left shoulder blade area?
Good evening, this is Dr. Palmer. Given your history of osteoporosis and continuous brief bouts of dull pain in your left shoulder the first thing that comes to my mind would be READ MORE
Good evening, this is Dr. Palmer. Given your history of osteoporosis and continuous brief bouts of dull pain in your left shoulder the first thing that comes to my mind would be issues with your rotator cuff or simply tight muscles in view of the fact that it responds to water and to low-dose aspirins. But there also may be an issue with the suprascapular nerve causing irritation to the scapular muscles. I would get an x-ray of the shoulder and follow that up with an MRI if it continues to bother you. You may also try a gentle range of motion program and progressive as tolerated to see if your symptoms become less intense and less frequent .
I wish you all the best
Dr. Pf
I wish you all the best
Dr. Pf
Severe middle to upper back pain?
Good evening this is Dr. Palmer. In reading your question it could be very simple in view of the fact that Franco lumbar muscles sometimes can get very tight and don’t move as READ MORE
Good evening this is Dr. Palmer. In reading your question it could be very simple in view of the fact that Franco lumbar muscles sometimes can get very tight and don’t move as flexible as they should however the thoracic spine is an area that as you get older persistent pain may spell other issues. My recommendations to follow up with your primary care doctor and perhaps kidney an MRI with him without contrast 95% of your answers will be answered through the study. I wish you all the best Dr. Pf
Are you sedated during a bronchoscopy?
Typically you’ll give a light sedation such as propofol that is an amnestic to not allow you to remember the procedure it gets metabolized fairly quickly so when they give it they READ MORE
Typically you’ll give a light sedation such as propofol that is an amnestic to not allow you to remember the procedure it gets metabolized fairly quickly so when they give it they can bring you out of sedation in any time. Bronchoscopy is a fairly quick and the anesthesia should be very simple
All the best Dr. Pf
All the best Dr. Pf
Can I take painkillers before local anesthetic?
This is a discussion you need to have with your anesthesiologist because taking painkillers or an analgesic or even an anti-inflammatory may interfere with a surgical procedure READ MORE
This is a discussion you need to have with your anesthesiologist because taking painkillers or an analgesic or even an anti-inflammatory may interfere with a surgical procedure as long as they understand that you were going to take it they’ll tell you whether it is right or wrong to take these medication‘s prior to surgical intervention and anesthesia
All the best Dr. P
All the best Dr. P
My mom is having side effects from Cymbalta?
Good evening this is Dr. Palmer. Cymbalta is a very good drug for those who have myofascial pain and muscular aching however it must be starting in a very very low-dose and with READ MORE
Good evening this is Dr. Palmer. Cymbalta is a very good drug for those who have myofascial pain and muscular aching however it must be starting in a very very low-dose and with trial and error increased dose until you feel comfortable if you are starting and a low-dose it should be 15 mg every other day and increase it to your on 15 mg daily and see how you feel if you feel too strange with it it’s probably not the right to hug for you I wish you all the best Dr. Palmer
What type of care can help after a sports injury?
Good evening this is Dr. Palmer. Treatment for your ankle can be done by anyone who is trained in sports medicine that would include a podiatrist orthopedic foot surgeon or a family READ MORE
Good evening this is Dr. Palmer. Treatment for your ankle can be done by anyone who is trained in sports medicine that would include a podiatrist orthopedic foot surgeon or a family practitioner who is trained in sports medicine. The key thing is to make sure you use the Rice paradigm for treatment make sure you have a good range of motion anti-inflammatories or Analgesics for your pain. All the best to you
Sincerely yours Dr. Palmer
Sincerely yours Dr. Palmer
Can massage therapy help fibromyalgia?
Fibromyalgia ,which can present as general myofascial pain, can partially respond to massage therapy.. Many of the symptoms can be related to neurotransmitter imbalance in the READ MORE
Fibromyalgia ,which can present as general myofascial pain, can partially respond to massage therapy.. Many of the symptoms can be related to neurotransmitter imbalance in the body.Exercise has shown to be the most beneficial in treatment of the symptoms of fibromyalgia.
All the best.
Dr Palmer
All the best.
Dr Palmer
What is the best muscle relaxer for neck pain?
Muscle relaxers should be on a short term basis. The benzodiazepines such as Valium and Ativan work very well directly on the muscles. The non benzodiazepines are not as effective READ MORE
Muscle relaxers should be on a short term basis. The benzodiazepines such as Valium and Ativan work very well directly on the muscles. The non benzodiazepines are not as effective , such as robaxin , flexeril or skelaxin may cause mental fogginess if used chronically.
What medications can I take for chronic knee pain?
Anti inflammatiories,cortisone injections, ice exercise to the quads and gel injections are usually first line treatment.
Dr. P
Dr. P
How do you live with chronic back pain?
It is difficult to have chronic back pain at such a young age. This is when you have to be open to multiple alternatives to treat your back pain. Holistic approaches such as acupuncture, READ MORE
It is difficult to have chronic back pain at such a young age. This is when you have to be open to multiple alternatives to treat your back pain. Holistic approaches such as acupuncture, CBD, erbs and core exercise is one road. Anti-inflammatories taken chronically work for some but this can lead to significant side effects which can create additional medical problems. It is important to have an good physician that will work with you and advise you as you continue to manage the chronic back pain.
