Dr. MD Health Clinics
Anesthesiologist | Addiction Medicine
14591 Newport Blvd., Suite 100 100 Tustin CA, 92660About
Dr. Robert Kutzner practices Pain and Addiction Medicine in Orange County, CA. Pain and Addiction medicine is concerned with the prevention of addiction and pain, and the evaluation, treatment, and rehabilitation of patients experiencing pain and addiction. Pain and Addiction 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. Kutzner serves as a Medical Director for 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.
Provider Details
Dr. MD Health Clinics's Expert Contributions
My shoulder hurts when I raise my arm. What should I do?
Go to your primary care doctor. Seek an X-ray to make sure nothing is broken and see if you have arthritis. If all is clear you probably have a rotator cuff tear. Before you go much further get on an NSAID with a non-addictive muscle relaxant, rest your arm, apply heat packs and stretch because your pain is probably related to muscle spasm. A couple of weeks of mysofascial release massage should help. If your pain and myospasm doesn't improve then get an MRI looking for tears and cervical spine problems. If you do get a response keep on with the stretching and therapy even though your pain has improved. Remember that getting your pain under control doesn't mean you are healed, that takes weeks, if not months, so take it easy and you will get better. Good luck. READ MORE
Long term narcotic use
2 or more dried prunes a day are great to help with regularity and prunes have a lot of magnesium which helps with muscle spasm pain. READ MORE
Went from pill addiction to suboxone addiction- what can I do?
I agree that being chained to an opiate with physical dependence isn’t optimal. The real question is can you find alternative tools to use to control your pain, meaning that can you prevent suffering from pain, without opiates? If not, then you’re better off on long-term maintenance with Buprenorphine than any other opiate lest you run the risk of becoming another prescription OD statistic. It is not an all or nothing issue either because you can use opiates medically to prevent suffering and not become physically dependent as long as you find ways to treat your pain well enough to prevent suffering at least 1 or 2 days out of 7, so you don’t have to take opiates. Pretty hard to become physically dependent on any scheduled medication when you frequently and randomly don’t take it. Hope this helps. R. R. Kutzner MD READ MORE
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