EXPERT
Dr. Dario Aquiles Grisales, M.D.
Pain Management Specialist
Dr. Dario Grisales practices Pain Medicine in Tampa, FL. 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. Grisales 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.
41 years
Experience
Dr. Dario Grisales, M.D.
- Tampa, FL
- Univ Nac De Colombia, Fac De Med, Bogota, Colombia
- Accepting new patients
No results found
How do you relieve pain after a tonsillectomy?
Tonsillectomy is painful. Prescription for Acetaminophen in syrup can be obtained from your pediatrician. At least 500mg every 4 hours if weight allows it, should help. Also eating READ MORE
Tonsillectomy is painful. Prescription for Acetaminophen in syrup can be obtained from your pediatrician. At least 500mg every 4 hours if weight allows it, should help. Also eating cold food like jello may
help. Eating ice and local external ice can add some benefits. No opiates should be given.
help. Eating ice and local external ice can add some benefits. No opiates should be given.
How do you relieve pain from varicocele?
Varicocele is a painful condition secondary to swelling of the veins of the testicles. It is diagnosed by the primary doctor and requires most of the time a surgical solution performed READ MORE
Varicocele is a painful condition secondary to swelling of the veins of the testicles. It is diagnosed by the primary doctor and requires most of the time a surgical solution performed by the urologist. If pain persists after surgery, the genitofemoral nerve can be blocked and then do neurolysis with cryoablation. This provides relief. Unfortunately, it is temporary, 4-6 months because nerves grow back and pain returns. The good part is that it can be repeated once the pain comes back.
Frequent hand numbness?
You may be suffering from Carpal Tunnel syndrome. More history and perhaps some testing may be necessary to come to a concluding diagnosis. Percocet is not the best medication READ MORE
You may be suffering from Carpal Tunnel syndrome. More history and perhaps some testing may be necessary to come to a concluding diagnosis. Percocet is not the best medication for this condition. A wrist brace may help improving overall symptoms.
How do you manage pain while waiting for a root canal?
This pain is caused by inflammation and therefore the best is to take something like Ibuprofen 800mg 3 times a day with food until the root canal is done. Ice can help. Nerve pain READ MORE
This pain is caused by inflammation and therefore the best is to take something like Ibuprofen 800mg 3 times a day with food until the root canal is done. Ice can help. Nerve pain also responds to Gabapentin which requires a prescription. Stop the Ibuprofen if you develop gastric pain while taking this high dose to attack both inflammation and pain. Not everybody develops gastritis.
How do you deal with contact lens pain?
I honestly do not have an answer for this question. I would ask the ophthalmologist or the optician, or use soft ones, or just use regular lenses. I particularly, would not be READ MORE
I honestly do not have an answer for this question. I would ask the ophthalmologist or the optician, or use soft ones, or just use regular lenses. I particularly, would not be able to tolerate contact lenses myself because I feel my eyes are very sensitive and the presence of a foreign object would make me go crazy from the discomfort.
Should I get a chiropractic adjustment if my back hurts?
See your primary doctor first. He should be able to recommend you the next step. If you are young, it will probably resolve by itself in a couple of weeks. If you are somewhat READ MORE
See your primary doctor first. He should be able to recommend you the next step. If you are young, it will probably resolve by itself in a couple of weeks. If you are somewhat older, arthritis of the spine may be stalking you with degeneration of discs or similar problems and/or sacroiliac joint disfunction. Do not let a chiropractor manipulate your back until you are sure there is no disc pathology that may worsen during a forced chiropractor maneuver for an adjustment. Follow an algorithm.
How do I get my sciatic nerve to stop hurting?
Sciatic pain is pain radiated down the lower extremity caused possibly by a disc herniation, a spur from degenerative arthrosis pushing on the nerve now at a critical point, spasm READ MORE
Sciatic pain is pain radiated down the lower extremity caused possibly by a disc herniation, a spur from degenerative arthrosis pushing on the nerve now at a critical point, spasm of the piriformis muscle and also sometimes associated to sacroiliac joint disfunction or narrowing of the spinal canal. Each condition has a treatment including spine surgery if necessary with quite good success if the pain is mainly the leg. You can see a pain physician. I think he or she can be the best option to guide the process, diagnostically and therapeutically.
What is the best treatment for sciatica?
Caudal epidural injections, lumbar or transforaminal approach if the cause is a herniated non-surgical disc. Piriformis muscle injection and perhaps Botox injection if physical READ MORE
Caudal epidural injections, lumbar or transforaminal approach if the cause is a herniated non-surgical disc. Piriformis muscle injection and perhaps Botox injection if physical therapy does not provide benefit, if piriformis spasm is the cause, and lastly, incidentally SI joint injection and RFA may improve symptoms that are similar to sciatic pain but that are pathway pain distribution of Si joint disfunction. Oral Gabapentin can help. It requires prescription.
How many painkillers can you take a day?
Ideally, none. It depends on the medication. If you are prescribed that medication discuss that with your physician who initially prescribed it.
How do you deal with chronic pain psychologically?
You may receive benefit from Cognitive Behavioral therapy. Also support groups may help. Feedback. Yoga.
How can I stop neuropathic pain?
You are quite young for this problem. What is the cause or the rest of the history? I recommend first see a neurologist.
Is it ok to massage plantar fasciitis?
It is fine. Better yet. Use a special brace to keep the foot in dorsiflexion while sleeping to maintain the fascia stretched. You can get it at any of the pharmacy stands for braces. READ MORE
It is fine. Better yet. Use a special brace to keep the foot in dorsiflexion while sleeping to maintain the fascia stretched. You can get it at any of the pharmacy stands for braces.
Total knee replacement
If you continue with pain, then the answer is Peripheral Nerve Stimulation.
What is the best pain reliever for severe arthritis?
If you have severe arthritis you should be seeing a rheumatologist and receiving a DMARD, which reduces significantly inflammation and therefore pain. Ibuprofen (NSAID) is very READ MORE
If you have severe arthritis you should be seeing a rheumatologist and receiving a DMARD, which reduces significantly inflammation and therefore pain. Ibuprofen (NSAID) is very good at 800mg 3 times a day. When nothing else helps, unfortunately, narcotics or opiates and opioids have to be used. Long term use is not recommended.
What can you not do with tennis elbow?
At your age could be self limited. Avoid using the arm excessively. Computer use may worsen it. Using hand for maneuvers like pulling the trigger may worsen the pain. Look up on READ MORE
At your age could be self limited. Avoid using the arm excessively. Computer use may worsen it. Using hand for maneuvers like pulling the trigger may worsen the pain. Look up on You tube exercises to improve it.
