Suggest treatment for slight pain in chest with semi-minor mva
Patient: Ok please i need another oppininon. i mean it hurts a lil just to have my shirt touch the skin. thanks Jackie Rorick South Fla Doctor: Hi most likely you are having hyperasthesia ot tactile allydonia.This form of pain comes from a malfunction of specialized nerves called nociceptors. Allodynia can lead to the triggering of a pain response from stimuli which do not normally provoke pain.Tactile allodynia, which is pain caused by touch. This can include clothing laying against the skin,I would recommend you to go for nerve conduction velocity test tro see if there is cenralised demyelanisation of the nerves.A MrI spine and brain should be done.6ablet pregabalin 75mg once daily should be started along with 1500mcg methyl cobalamine once daily.A complete neurological and skin  review should be done.Thanks