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What Are Opioids

Opiates and opioids are a class of prescription drugs that are often used to treat pain. Though they can be very effective in keeping pain at bay from injuries, surgeries, or common issues like migraines or back pain, they can become very dangerous when taken excessively or over an extended period of time.

Commonly Prescribed Opioids

Commonly prescribed opiates include

  • Oxycontin
  • Vicodin
  • Dilaudid 
Prescription Opioids
What are Opioids?

Opioid Dosage

     These are meant to be taken for a short period of time until the cause of the pain heals or another solution is found. However, because these drugs are highly addictive, many people find themselves unable to wean themselves off the drugs in the recommended amount of time. Others begin taking more and more of the drugs as their bodies become used to them and they need higher doses to get the same effects.

Opioid Effectiveness

  Opioids affect nearly every part of the body, attaching themselves to receptors in the spinal cord, gastrointestinal tract, and the brain. The brain itself produces its own opioids that can prevent anxiety and depression and manage pain, but not in high enough quantities to deal with injuries or other causes of intense pain. Prescription opiates mimic the brain’s own opioids but in higher quantities. Depending on the amount taken, they can have major effects on different parts of the body. In the brain, opioids can affect the brainstem and slow breathing, reduce couching, and affect the rate at which the heartbeats. They can also have an effect on the limbic system, which controls emotions and levels of anxiety, and on the spinal cord, affecting the messages that are sent from that system to the brain.

While the effects on the brain and the rest of the body may be positive at first and produce feelings of reduced anxiety and pain, the user becomes desensitized to the effects and must take more and more overtime to produce the same results. The more opioids that are taken, the greater the risk of side effects and possible overdose. Those who take opioids over a long period of time can develop a dependency on them as the receptors in the brain can begin to rely on them to function properly. If the individual attempts to reduce the amount they take or stop taking them completely, they can become ill or experience other withdrawal symptoms.

Opioid Addiction and Withdrawal

The National Institute on Drug Abuse estimates that over two million people in the United States abuse opioids. Because many opioids are legal when prescribed by a physician, many who take them do not view themselves as addicts and are not aware they have a problem until it’s too late. If you have been taking opioids for longer than the prescribed time frame, are taking more than your prescribed amount, or feel sick when you attempt to reduce the amount of opioids you take, you could be addicted.

Withdrawal Symptoms

Though withdrawal symptoms vary from person to person, there is usually a typical timeline that most addicts experience.

Within the first 24 hours after stopping the drug, individuals may experience :

  • Restlessness
  • Anxiety
  • Runny nose
  • Excessive sweating
  • Muscle aches
  • Insomnia
  • Excessive yawning

After 24 hours, these symptoms usually intensify and progress to more serious problems that can include

  • Abdominal cramping
  • Nausea
  • Vomiting
  • Rapid heartbeat
  • High blood pressure
  • Blurry vision
  • Diarrhea

 While these symptoms can be painful and frightening, they usually improve for most people within 72 hours. However, many of those experiencing withdrawal never make it past the first few days and end up resuming their opioid use to deal with the symptoms.

Opioid Addiction and Withdrawal
Opioid Addiction

Getting Help In Miami

Many of those experiencing opioid addiction tend to go through a cycle of abuse followed by an attempt to stop using the drugs. However, once they start experiencing withdrawal symptoms, they begin abusing the drugs again and the cycle starts over—usually with higher levels of opiate intake than before. For these individuals, it’s vital they get medical help to assist them in breaking the cycle and ending the addiction once and for all.

Getting medical help in a controlled environment and with the assistance of certain types of drugs can be very effective in treating opiate addiction. Though some individuals can treat themselves at home with over-the-counter medications such as acetaminophen and ibuprofen, others need stronger drugs under medical supervision to get through the withdrawal period and successfully recover.

Getting Help With Suboxone

 Many clinics that specialize in opioid addiction recovery use the drug suboxone, which is a combination of a mild opioid called buprenorphine and an opioid blocker called naloxone. The drug does not produce the addictive effects of stronger opioids and the naloxone helps to prevent withdrawal symptoms such as constipation. The drug can be used to shorten the intensity and timeframe of withdrawal symptoms and help patients detoxify their bodies of other opiates.

Though it is believed to be a safer and less addictive alternative to the other widely-used opioid addiction medication, methadone, suboxone still carries some risks and can cause side effects such as dizziness, vomiting, loss of coordination, difficulty breathing, dry mouth, drowsiness, and difficulty concentrating. If taken in a clinical setting, experienced staff can help patients exhibiting these symptoms and adjust dosages to lessen the negative side effects.

In addition to using suboxone to help deal with withdrawal symptoms, clinics that specialize in opioid abuse may also recommend therapy in a group, family, or individual setting to help the individual deal with other issues that have helped contribute to their addiction. The combined use of medication and therapy can help addicts recover both physically and emotionally from their addiction and be better prepared to live their lives free of addictive substances.

    Addiction to opioids is a serious problem in the United States and can lead to anxiety, depression, health problems, or even death. If you or someone you love is experiencing issues with opioids, contact one of our specialists at Mango Clinic to get the help you need.

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If you are looking for a way to get prescribed amphetamines such as Evekeo, then come to Mango Clinic Miami. We have medical professionals who will be able to evaluate you and properly prescribe you medication, as well as help you understand the difference among treatment options. There is a lot that can be important to know when it comes to amphetamines, such as what they do and how they work. We want to make sure all potential patients know who Evekeo is for, how it helps, and the risks that are involved.

Some people live their entire lives understanding they have extreme anxiety and stress, though some of them do not do much about treating it. In some cases, they do not know they have a disorder or an issue, sometimes living with it and thinking it is not something that is easy to cure or worth worrying about. If they have lived this long with the issues that they have most of the time, then they should be fine, right? But sometimes these issues can become a greater problem, not just for them, but for those around them. It can get to the point where their work and relationships begin to suffer, and no one should get to that point to properly treat their symptoms.

What Is Evekeo?

A drug like Evekeo can help people with symptoms and disorders that cause severe disruption in their lives. One such disorder is ADHD, which amphetamines are strongly recommended for. If you have ADHD, you are likely to find yourself unable to stay focused, with your brain often racing and going from one thing to the next, always looking for something else to keep its attention. This sort of behavior can prove very distracting and problematic for those with ADHD as well as those in the lives of disorder patients. In a work situation, ADHD can cause a person to not do their job properly, while fellow coworkers can become distracted by the person with ADHD being restless or acting disruptively. Thankfully, many with ADHD can take drugs like Evekeo to treat their symptoms and go back to living a calm and productive life.

Amphetamine Sulfate
Evekeo (Amphetamine Sulfate)

Aside from ADHD, Evekeo is also recommended for treating another disorder: narcolepsy. While not as common, this disorder is just as problematic, if not more so, due to it causing people to be perpetually sleepy during the day, and sometimes, fall asleep during their regular waking hours. This means a person with narcolepsy might randomly fall asleep during an important meeting or during a social event with friends, which is something no one wants. With Evekeo, someone with narcolepsy will find themselves able to stay awake during the day and feel rested after a normal evening of sleep.

How Does Evekeo Work?

How an amphetamine such as Evekeo is able to accomplish this is by locating your brain’s reward system and making sure things start working as they should. When a person has ADHD, their brain is craving activity that it cannot keep, and this is because the brain is not releasing dopamine. The amphetamine locates the brain’s reward center, finds out where the dopamine is hiding out, and stimulates it so that it can be released. From here, the release of dopamine provides the brain with the stimulation it was so badly craving. Once the brain has finally achieved this activity, the user can regain their focus, concentration, and alertness.

Due to the positive effects of Evekeo, some who do not have ADHD or narcolepsy may think it can help them with their anxiety or stress. Thankfully, you do not have to have a disorder in order to be prescribed Evekeo, as long as you legally qualify for the conditions and are properly evaluated by a licensed physician. This is a major reason why people like college students find themselves taking these prescription drugs, as they are able to focus and stay concentrated on their studies. College can be a stressful time for many, so it can be understood that students are attracted to the cognitive enhancement capabilities of Evekeo and other amphetamines.

Evekeo (Amphetamine Sulfate) Precautions
Evekeo Precautions

Evekeo Side-Effects

While many people are able to be prescribed Evekeo and benefit from the positive effects, it’s also important to understand that there are risks involved with amphetamines. It should come as no surprise that any prescription medication comes with side-effects, such as

  • Nausea
  • Dry mouth
  • Blurry vision
  • Anxiety
  • Insomnia
  • Restlessness

However, there are other dangers associated with amphetamines that some people may not consider.

Evekeo Dosage

The primary thing some may not realize is that a sizeable amount of people who take amphetamines can find themselves dependent on the drug, which can lead to serious addiction. Dependency can start with tolerance, where one’s body is no longer being affected by the drug. Some users might want to increase their dosage because of this, but this can lead to dependence, as the user may feel a strong need to keep taking the medication. If it gets out of hand, dependency can become a full-blown addiction, at which point the user must seek serious help in being weaned off the drug. If not careful, addiction can lead to an overdose, something which has happened to some users of Evekeo and other amphetamines.

There are many benefits to taking Evekeo, and it has proven itself as a helpful drug for those with ADHD and narcolepsy, as well as those who have general stress and anxiety. However, these drugs can also be dangerous if not taken responsibly, so be sure to bring it up to your doctor if you feel as though you might easily abuse your medication.

Mango Clinic can help all users with their amphetamine needs, from prescriptions to information. We are here to make sure all our patients get the treatment they need to live a healthier life. So if you are interested, give us a call or visit our website to make your appointment with one of our medical professionals.

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Looking for a place to help you find medical relief? Mango Clinic Miami is here to provide patients both local and remote with medical services ranging from emotional support animal letters to prescription medication. Mango Clinic can help you get a prescription to Strattera from our licensed doctors, who can evaluate your situation and decide if you properly qualify. All patients are different and have their own unique situations to contend with, so we make sure each patient is treated with care. We also want to make sure patients understand the benefits and risks associated with drugs such as Strattera.

Who Is Strattera For?

Strattera is primarily used for treating ADHD, a disorder that affects many who may have had it all their lives or only started recently getting symptoms. For someone with ADHD, it can be challenging to get through the day, especially if you have work and are engaging with various people. ADHD causes a person to be easily distracted in a way they cannot control, and this is the sort of thing that can cause a person’s work to suffer. Especially under work conditions, ADHD is not something that is necessarily only affecting one person.

Outside of work, a person with ADHD might find it hard to stay focused with friends and family. They might not want to engage with friends because they know they will not be able to dedicate the right amount of time when participating with others. Because of this, they may prefer to spend time alone, but even then, they can become frustrated by their behavior. ADHD is something that is highly detrimental to one’s health, and sometimes those with the disorder do not want to admit it. This is not something anyone ever has to deal with alone, but it can be difficult. This is why drugs like Strattera exist: so that users can take control of their life and get back to feeling better about themselves and their situations.

Attention-Deficit Hyperactivity Disorder (ADHD)
Strattera for ADHD

How Does Strattera Work?

By responsibly taking Strattera, a user will be able to get back to living a more productive life, while also being able to engage with others. The drug is able to help the brain get back to a point where it is able to maintain focus and help the user stay alert. A brain under ADHD is unable to satisfy a need for activity; this is what causes a person with the disorder to be so distracted, as the brain is desperately looking for ways to stay distracted. Due to its inability to be satisfied, the mind causes the person to stay unfocused, resulting in frustration. Strattera is able to help the brain make sure it is being stimulated, which can help the brain work with neurotransmitters that allow the mind to remain calm and focused. This then helps make the user stay concentrated, focused, and alert.

Strattera Side-Effects

Strattera is an effective prescription drug, as it has been shown to be helpful for those with ADHD. However, for those interested in being prescribed Strattera, it is also important to understand the side-effects that are involved. Side-effects are fairly common with prescription drugs, and even though many know this, it is always important to understand what they are.

As with other prescription drugs, some of these side-effects are more common than others, so we will start with the most common :

  • Nausea
  • Dry mouth

These are among the most reported, which should not come as too much of a surprise, considering how prescription drugs can sometimes make users feel.

Some of the others include :

  • Fatigue
  • Insomnia
  • Appetite loss

which can be less reported but just as likely.

Among the least common side-effects are

  • Dizziness
  • Sexual dysfunction
  • Abdominal pain
  • Constipation

It is always important to remember that, as unlikely as some of these side-effects can appear, they are still probable. There are also, of course, much less common side-effects that have been known to affect at least a small portion of those who have taken Strattera. These can include palpitations, migraines, liver problems, fainting, and thoughts of suicide. While some of these can be much more serious than other common side-effects, it is important to remember that they are quite rare.

Other Strattera Risks

Some risks that are not widely advertised are related to tolerance and dependence, which can lead to addiction and overdose. Drugs such as Strattera can be easily abused, which can lead to the previously mentioned side-effects but can also lead to tolerance. If your body becomes tolerant to the drugs you’re taking, you may feel a need to increase your dosage. This can lead to you becoming more dependent on the medicine, which can turn into a flown blown attention for some.

Strattera (Atomoxetine) Dosage
Strattera (Atomoxetine) – General Dosing Information

From there, if you really go overboard, it can result in taking so many pills that you overdose. This is a serious problem that affects a percentage of those who have taken prescription pills in the past. For these reasons, it is vital not to become addicted to your prescription medication. This is also why it is not recommended that those with addictive personalities, or who have a history of addiction, take Strattera or similar medication.

While Strattera can be extremely beneficial for those with ADHD, it can also be easy to abuse if you are not careful. For these reasons, it is important that you take care of yourself and take your medication responsibly if you decide to go through with getting prescribed.

If you would like to be prescribed Strattera, you can make an appointment to speak directly with a licensed doctor, courtesy of Mango Clinic. Our professional staff is highly trained and understands your needs; they will evaluate your situation, help you understand what it all means, and whether Strattera is right for you. There has never been a better time for being prescribed medication that can change your life for the better. Make your appointment by calling us or visiting our appointment webpage.

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Making sure you are healthy and fit can be a challenging process, but it doesn’t have to be. Mango Clinic Miami wants to make sure you are as healthy as can be, and that includes being both mentally and physically well. For those in the market for a weight loss pill, Alli (also known as orlistat) is an over-the-counter medication that helps many people around the world. We at Mango Clinic understand how important it is to stay healthy and how everyone goes about it in their own unique ways. By informing you of Alli, we want to make every potential patient understand the basics of the drug, including who it’s for, what it does, and what the risks might be.

What Is Alli?

Alli (Orlistat)
All About Alli (Orlistat)

Whether you are very overweight or obese, losing weight is usually not as easy as some make it look. Just as there are various reasons why someone might be overweight or obese, there are multiple ways to lose weight. Depending on your condition, regular exercise may not do the job, or so it may seem. Many who wish to lose weight can get frustrated by what appears to be a lack of results, without understanding that losing weight is not an overnight process. Not only that, but you do not have to be losing a high number of pounds all of the time. Losing weight in a healthy manner takes time, and sometimes it can be hard to come to terms with that.

Alli is a drug that is designed for those wanting to lose weight, especially those whose body mass index (BMI) puts them at either overweight or obese. Available as a 60-milligram pill, Alli helps you lose weight by limiting the action of certain enzymes in your body. Enzymes such as lipase exist to store some of the food you eat into energy that can be used later. By inhibiting the abilities of this enzyme, Alli makes sure this fat, instead of being stored for later, is broken down into your bowels.

How Does Alli Work?

When working as intended, the results of Alli should not be immediately tremendous; in fact, the amount of weight you should be losing with Alli is modest. This, of course, is by design, as losing weight is not something that happens as soon as you start taking a pill, nor does it mean losing so much weight that it becomes unhealthy. As part of a larger on-going process, you should begin losing a pound or so per week when taking Alli; one month should provide a good indication of whether the drug is working for you or not.

The importance of losing weight might vary between individuals, but there are often commonalities that benefit everyone. You do not have to lose that much weight to decrease your chances of heart failure or other similar health risks. While your goal should be to lose as much healthy weight as possible regularly, you should not be concerned if you are not losing as much weight as originally predicted. Losing any amount of weight is progress, and it is beneficial towards losing even more weight and maintaining a healthier lifestyle.

Alli and Lifestyle Choices

With regards to lifestyle, losing weight is not a one-step process of taking a pill and letting it work its magic. In order to make sure that Alli is most effective, you must also make sure you are doing regular exercise and eating well. Exercise can be just about anything, so long as it is active, such as walking, playing a sport, or visiting the gym. A weight loss pill works best when maintaining an active lifestyle, so make sure you stay active if you decide to take Alli.

Exercise is vital, but it’s only half of what makes Alli more effective for those taking it. Many people will tell you that hitting the gym and exercising is not enough to effectively lose weight. If you intend to lose weight, you must make sure that your diet is following suit. Many who recommend Alli and other weight loss pills also recommend, if not outright require, a low-calorie diet for users. This is important, as it will allow the user to get the maximum positive benefits of taking a weight loss pill.

Alli Side-Effects

Alli -Common Side Effects
Common Gastrointestinal Side Effects Of Alli (Orlistat)

While Alli is an effective and substantial drug for many wanting to lose weight, it must also be known that it comes with its share of side-effects. These do not affect everyone, but there is still always a chance that the drug in question might be causing more problems for the user instead of helping. As far as side-effects go, Alli is best known for gastrointestinal ones, which are the highest reported. What this tends to amount to is that the drug might make your stool oily due to excess fat; other uncomfortable bowel movements may also occur. These may be the most reported side-effects associated with Alli, but they thankfully do not last for very long.

Weight loss medication can be supremely beneficial for those who need it. Whether you are obese or just a bit overweight, losing weight can be extremely difficult, and some people need as much help as possible. Alli can be life-saving for many, lowering the chances of disease and health issues, along with promoting users to adopt a healthier lifestyle for maximum effect.

Mango Clinic can help you understand which weight loss options are best for you, from medication to lifestyle choices. Our licensed physicians can evaluate you to determine best what you should do to most effectively lose weight, along with other suggestions and recommendations. Losing weight is not easy, but with the right support, your goals can be achieved in a healthy and successful manner. Visit MangoClinic.com or call our number to make your appointment today with one of our medical professionals.

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IASP (The International Association for the Study of Pain) describes the pain as undesirable sensory and emotional feelings associated with potential or actual tissue injury. It is not just a physical experience. It is influenced by factors such as personality, beliefs, attitudes, and social factors that affect mental and emotional well-being. Essentially this means that two people can experience the same pain, but how they respond can be completely different. There are several different types of pain, as well.

Pain signals are mainly triggered by:

  • Damage or injury to the body: For instance, a sprained or damaged ankle
  • Internally produced chemicals in the body that irritate nerve endings. It can be because of an overuse injury or infection
  • Injury to nerves that causes them to send pain signals to your brain without any physical damage. This happens mainly because of complex regional pain syndrome.
Chronic Pain, Cancer Pain,Acute Pain
Types of Pain

Types of Pain

Pain is classified into three main categories:

  1. Cancer pain
  2. Chronic pain
  3. Acute pain

Cancer pain

Patients with advanced or early-stage disease may experience cancer pain. Cancer survivors also experience this type of pain as a result of a debilitating or severe side-effect of treatment.

Chronic pain

Chronic pain, on the other hand, lasts for longer than the expected time for healing as a result of trauma, surgery, or any other condition. Similarly, it can also be a disease on its own caused by changes within your central nervous system.

Acute pain

Acute pain lasts for a short time and usually occurs after a trauma or surgery. It acts as an early warning signal to the body to seek medication or help though it fades as the body heals; in some scenarios, it may not.

Causes of Pain

Some types of pain can originate from a particular injury that has since healed like severe infection or surgical incision. Other causes don’t have a specific trigger (underlying tissue damage or prior injury). However, most cases are related to these diseases and conditions:

  • Arthritis
  • Multiple sclerosis
  • Shingles
  • Fibromyalgia
  • Nerve damage
  • Low back pain
  • Headache

Treating the leading cause is obviously very important. Nonetheless, that doesn’t always alleviate pain. Most doctors today, treat pain as disease on its own, requiring treatment that keeps in mind the patient’s psychological and physical health.

Understanding psychology and pain

At a basic level, anxiety is mainly a biology-related issue. Rogue nerves keep notifying your brain about a specific tissue injury that healed. Now, sophisticated psychological and social aspects also play a role in causing pain, and help ascertain who fares well and who doesn’t.

Negative emotions, such as anxiety, sadness, may aggravate pain. For instance, those who focus on their discomfort are often affected more by pain than those who take their pain more positively. Similarly, patients with the condition as a result of a work-related injury and report job satisfaction fare much better than those who say they don’t like their jobs.

Managing Pain

Effective management or counter of pain requires a multifaceted approach. It should consider emotional, social, and physical factors. It’s a complicated puzzle for physicians and patients alike. Different types of pain may require different treatments. But understanding the leading causes of the pain as well as the emerging techniques and therapies to counter them, it is possible to not only manage the pain but also overcome. To help you solve this complicated terrain, here are tips, advice and lifestyles changes:

Get some gentle exercise

Simple, regular exercises like dancing, swimming, walking, gardening can help ease pain by blocking pain signals to your brain. They also help reduce pain by stretching tense and stiff muscles, joints, and ligaments. It’s normal to feel more pain at the beginning, and you may be tempted to quit for fear of doing for more harm than good.

However, if you are resilient and become more active eventually, it’s unlikely you will do any harm or damage. The initial pain you experience is because the joints and muscles are getting fitter. At the end of the day, the benefits you will accrue far outweigh any pain.

Positive thinking

Switch your mind to something else such that the pain you are currently feeling is not the only thing occupying your mind. Do something that you enjoy. It can be knitting, swimming, or photography. They are possible, even for those that their mobility is limited.

When experiencing different types of pain, we tend to focus on what we are not able to do. Shifting your concentration on what you can actually do, instead of what you cannot, is a more positive approach to life and the world. Think about all the things you are thankful for. Yes, you have limitations, but that does not mean somebody else is better than you.

Pain relievers

Medication is also an option to counter pain. Your physician may prescribe pain relievers such as naproxen sodium, ibuprofen, and aspirin to:

  • Reduce inflammation
  • Improve sleep quality
  • Reduce muscular aches
Naproxen sodium, Aspirin,Codeine,Ibuprofen
Common Pain Relievers

Antidepressants

They help ease fatigue and pain. Make sure you talk to your doctor about the side effects of taking antidepressants for pain. They can cause loss of sexual desire, weight gain, and nausea in some people.

Talk to family and friends

Do not allow the pain to make you cut or minimize contact with people. Talking to family and friends is right for you and may help you feel better. Try short visits often. If you cannot move around, call a friend, or invite them for a chat or tea. Talk about anything apart from your pain.

Yoga

Research has shown that people who participate in yoga classes experience enhanced mood and reduced fatigue and pain. The specific exercises include:

  • Group discussions
  • Meditation
  • Gentle poses
  • Breathing exercises

These practices increase muscle strength, incorporate meditation, and teach various relaxation techniques. Just make sure the yoga instructor knows your condition so that they can change the posses as required for you.

Deep breathing

Breathe in deeply and hold for 5 to 10 seconds and then exhale. To help you concentrate, use a word to guide you. For example, you can breathe in ‘relaxation’ and breathe out ‘stress.’ Some many tablets and apps use images and sound to help you maintain proper breathing rhythms.

  • Acupuncture
  • Acupuncture can also help relieve pain. It entails pricking certain parts of the body with needles to
  • Encourage blood flow
  • Promote self-healing
  • Counter various health conditions such as chronic pain
  • Adjust levels of neurotransmitters in the brain

Research done by the Journal of Rehabilitative Medicine shows those patients with chronic pain who tried acupuncture benefited from pain relief for over two years. If you can’t tolerate the pricking, acupressure may be an effective alternative. Risks of the solution include bruising, minor bleeding, and soreness after treatment. Also, make sure your acupuncture provider is authorized to reduce the chances of infection from unsterilized equipment.

Physical therapy

Physical therapy’s primary goal is to strengthen muscles and increase range of motion. This plays a critical role in minimizing pain. A therapist can customize a program to help relieve or manage pain or teach self-care methods, including pain education, to help patients manage pain and fatigue on their own. Similarly, research shows that pain education can lead to enhanced performance during workouts.

Is pain preventable?

Although you cannot prevent aging, change your genetic makeup or an accidental injury, lifestyle changes can help you avoid different types of pain;

  • Stop smoking or vaping
  • Stay active
  • Apply ergonomic factors to your workplace
  • Use proper body and posture mechanics
  • Lose weight
  • Improve physical fitness

Many types of pain are very well manageable by different means. If you suffer from pain, contact Mango Clinic Miami and schedule your appointment today; call us at (786) 422-9327

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If you are looking to lose weight, let Mango Clinic help you find the best treatment options for you. Drugs like Qsymia can help patients get the results they are looking for and help them reach goals relating to losing weight and having a healthy lifestyle. We know how important it is to stay healthy and that everyone has different reasons for losing weight. Our staff of medical professionals will make sure you are taken care of by recommending the very best treatment solutions to you.

Reasons for weight loss

Losing weight is not an easy thing for most people to do. There are many reasons why losing weight might be difficult for you, as everyone has a different reason for why they need to lose weight. It could be strictly health, such as not wanting to have a risk for a disease, or it could be a lifestyle reason, such as wanting to get fit. Regardless of your reason, losing weight is an important thing for many, but it can be difficult for some to do. What makes it more difficult is how progress is usually shown, along with there being many different ways to lose weight. Someone who does not know much about losing weight may be overwhelmed by the options, along with not knowing which treatment is best for them.

What Is Qsymia?

Qsymia (Phentermine-Topiramate)
What is Qsymia?

Taking a weight loss pill can be very helpful for some, and Qsymia is one such drug. It helps the body suppress hunger and helps break down food to allow the body to lose weight over time. As a supplement, it can be extremely helpful for those who are having trouble losing weight with other means only. If your BMI (body mass index) puts you at a point where you are very overweight or obese, a drug like Qsymia will help you lose weight in a helpful and healthy way. Like other supplements, it has proven results that show it works when combined with exercise and dieting.

It’s important to remember a few things about weight loss drugs. For starters, it will not magically make you lose weight overnight. The process of these drugs helping you lose weight is something that can take a bit longer than some might expect. It can probably be frustrating for many, but understanding that weight loss pills are intended to work gradually is essential. Too easily can someone start taking weight loss drugs and see that they are only losing one pound or two per week, thinking that the medication does not work for them. However, this is all part of the process and a healthy way of losing weight. Any progress is good, and as long as you are losing weight continuously, there is nothing to worry about.

Diet and Exercise with Qsymia

In addition to understanding how weight loss pills work, it is essential to understand that only taking the drug is not enough. You cannot simply take this drug and start losing weight without also living a healthy lifestyle. This means making sure you are getting regular exercise while also taking the medication. What constitutes exercise will depend on the individual, since there are no clear cut rules, so long as you are physically active. You can go on walks, hit the gym, or play a sport; your choices for exercise are greater than you might think.

Exercise works best when paired with a good diet, something many people can overlook. Along with staying active, you have to make sure you have a diet that can follow suit and help you on your way to losing weight. Many people recommend having a low-calorie diet, as calories are a major reason behind why someone gains weight. Simply put, the more calories you take in, the more weight you’re taking in, which can add up to fat that stays stored in the body. By eating nutrient-rich foods with low-calories, your body has a better chance of keeping unnecessary weight off. A good diet is a part of what makes up a healthy lifestyle that keeps you in the best possible shape.

Healthy diet and exercise with Qsymia(Phentermine-Topiramate)
Diet and exercise with Qsymia(Phentermine-Topiramate)

Qsymia Side-Effects

Taking weight-loss drugs, along with exercise and eating right, can definitely help you with losing weight and living a healthier life. However, it is essential to remember the side-effects involved with weight loss drugs like Qsymia. Having side-effects is nothing new, but it is always good to keep it in mind before you decide to take a new form of medication.

Some of the most common side-effects associated with Qsymia include :

  • Dizziness
  • Constipation
  • Dry mouth
  • Insomnia

 Keep in mind that not everyone will have these effects, only that they are among the most common of the ones that exist. 

Some other side-effects are also possible, such as :

  • Glaucoma
  • Mood disorder
  • Increased heart rate

These are not as common but are among the more severe side-effects that can affect you.

Qsymia and Pregnancy

One other thing to mention is that the use of these drugs while pregnant is usually not recommended. This is because the elements of the drug can be transferred into the womb, which can cause complications and health issues with the fetus.

Qsymia can be a major help to patients who want to lose weight, but they should always keep in mind side-effects and supplemental things to do to make the drug as effective as possible. If you are interested in Qsymia or another type of weight-loss drug, get in touch with Mango Clinic. We can have you speak directly with one of our licensed physicians, who will be able to evaluate you and help you come to a decision. No matter your situation, we can help patients lose weight and continue on the path of a healthy and fruitful lifestyle. Call us or visit our website to make your appointment today.

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Mango Clinic Miami is open to both South Florida locals and remote patients across the country. We are here to help people looking for relief via a variety of means, including Quillivant, a methylphenidate which can help all sorts of people. With this prescription medication, people are able to live their lives in a way that is both healthy and beneficial.

Who Is Quillivant For?

The pressures of life can lead some people not to be as healthy as they ought to. Sometimes things happen to us, and we do not notice the effects until later; by the time we notice, we may be accustomed to whatever is happening to us. Specific ailments can be with us all our lives, and we just learn to live with them, regardless of how they affect our quality of life. Other times things begin to happen in our lives that we are unsure how to handle, resulting in us feeling frustrated, and at times, frightened of what is happening. While it can be unwanted stress, it can sometimes be a disorder that we do not realize is a part of us. Even if we do recognize something is wrong, it can be hard for us to accept that, or admit that there is something in need of treatment.

Quillivant for ADHD

Among the disorders that can be treated with Quillivant is ADHD, which can be part of a person their whole lives, or it can show up later in their life. Those with ADHD are prone to feeling frustrated over feeling more agitated than usual, highly unfocused, and lacking in concentration. You might be paying attention to one thing, and then quickly turning your attention to something else, again and again. It can be highly problematic for the person with ADHD or adult ADHD, but it can also be disruptive for other people, such as coworkers and family members.

Quillivant for Narcolepsy

Narcolepsy is another disorder that can be treated with Quillivant. While not as common as ADHD, narcolepsy is a severe problem for those who have it, as it leaves them exhausted throughout the day. In addition to feeling sleepy most of the time and desperately wanting to sleep, one with narcolepsy could actually fall asleep during their regular waking hours. This is something that could happen any time, even if you are engaging in what would typically be classified as an energetic activity. This means that someone with this disorder could fall asleep during a business meeting just as easily as if they were attending a party.

Thankfully, drugs like Quillivant are ideally met to treat ADHD and narcolepsy. However, you do not have to exclusively have either of these disorders to be prescribed the medication. Those who have similar ailments related to anxiety and stress are able to be prescribed, so long as they go through the legal means of being evaluated by a licensed doctor.

How Does Quillivant Work?

A reason why Quillivant can be widely prescribed comes from how it works on the body. For those who are looking to get a prescription drug of this type, their brain is acting unusual. What is going is that the brain is desperately seeking activity that it is unable to satisfy; this is why those with ADHD cannot stay focused. When your brain seems to be looking for something new all of the time, it’s because there is something wrong that is causing it to be perpetually unsatisfied. Quillivant helps the brain release dopamine, a neurotransmitter that allows the brain to go back to normal. What releasing dopamine does is give the brain the activity it was so badly seeking; by stimulating the brain, the user is now able to be focused again.

Among the many who could benefit from Quillivant are college students, who are known to take methylphenidate for its cognitive enhancement. Since school can be extremely stressful for many students, taking drugs like Quillivant allows them to stay focused and concentrated on their studies in a way they may not have otherwise. Thanks to these prescription drugs, students are able to keep their concentration and stay alert when studying and meeting deadlines, among other things. A high percentage of students who take methylphenidates are taking it legitimately, too, as the effects are highly beneficial to their studies.

Methylphenidate (METH il FEN i date)- Side Effects
QUILLIVANT (Methylphenidate) – Side Effects – Visit your doctor preferably at MangoClinic.

Quillivant Risks and Side-Effects

For all the benefits one can receive from such drugs, it is always important to understand the risks involved.

Common side-effects

  • Dry mouth
  • Blurry vision
  • Nausea

Psychological side-effects

There are also psychological effects, such as

  • Delusions
  • Insomnia
  • Lack of self-confidence

Some of these psychological side-effects can be just as damaging as the physical, as an unhealthy mind can do a lot of damage for people already dealing with these disorders.

QUILLIVANT - Uses and Dosage
QUILLIVANT (methylphenidate) – Uses and Dosage – Get it prescribed by MangoClinic.

Quillivant Overdose and Addiction

It is also important for a person taking Quillivant not to let their body become tolerant of the drug. What this means is that the user has taken so much of the drug in question that their body is no longer feeling the effects. This can also lead to dependence, as the user will find themselves needing to take the drug frequently, which can be terribly damaging to the mind and body. All of this can lead to the worst-case scenario of overdosing, which is something that happens with users of prescription drugs. Those who do not take their prescription meds responsibly can find themselves in a situation where they might overdose, especially if they become tolerant and dependent.

For all the risks involved, Quillivant is still a very beneficial drug for so many with ADHD, narcolepsy, and other related ailments. It can be a great help for people with similar symptoms who want to lead a more healthy and regular lifestyle. If you would like to be prescribed Quillivant or a similar drug, get in touch with Mango Clinic. Visit our website to schedule your appointment with one of our licensed physicians.

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Get it prescribed by MangoClinic – Make an appointment today!

 


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ESA Letter From USA Service Animal Registration – Review

Having an emotional support animal can be a huge benefit for so many people across the world. However, the information regarding ESAs and how to get a letter can be very confusing. Mango Clinic wants to make sure you understand what counts as an ESA, what a letter is used for, and how you can get one. There are many fraudulent websites online, but we are here to help you know what to look out for when you need an ESA letter.

What is an Emotional Support Animal?

If you have a health disorder or ailment that affects your day to day living, you might have already seen a doctor for medication. This can often help, but this is not the case for everyone. Some people require a different form of treatment from what is most commonly taken. In these cases, people might seek alternative treatment options.

Emotional Support Animal
An Emotional Support Animal (ESA)

Treatment with ESA

An emotional support animal can be a very effective form of treatment. Often known as ESAs, these are animals who are able to make their owners feel so much better than they would without them. It is a fairly straightforward relationship, as the ESA does not need to be specially trained in any way. A person who already owns a pet may be able to make them an ESA, as many people with pets already feel so much better when they are with them.

ESA pet

An ESA does not have to be much more than a pet. However, the pet being dignified as an ESA is a serious claim. It means the animal is of extreme importance to the owner for medical and health reasons. So while you may love your pet and feel better when you’re with them, they are not your ESA if you can easily be away with them. ESAs are for people who have a genuinely harder time functioning and doing things without their pet keeping them company.

As for what type of animal counts as an ESA, the answer is many different types. ESA cat and ESA dog count, but so do many others, such as birds, rabbits, snakes, and pigs. Each type of ESA presents advantages unique to them, such as an ESA bird being a small and pleasant company, or an ESA dog being lovable and protective. The same goes for an ESA snake.

What Is an Emotional Support Animal Letter?

You might be curious as to what an emotional support animal letter is, as it can sometimes be vague. What it amounts to is a letter that you can use for housing or travel, which permits you to be with your animal companion in any of these situations.

An ESA letter for housing

It comes in handy if you are living in an apartment complex that does not otherwise allow animals. With this letter, you will not be forced to pay additional fees or be kicked out of your apartment.

An ESA letter for travel

There is also the ESA letter for travel, which permits you and your animal companion to ride on an airplane cabin together. Airlines would not hesitate to charge you for having your ESA with you, but an official ESA letter will stop them from bothering you. You will not pay any additional fees, and your animal companion will not be thrown into cargo.

Emotional Support Animal Letter
An Emotional Support Animal Letter

Who is USA service animal registration?

We want to start this one out by saying that USA Service Animal Registration is actually USA Service Dog Registration. Both websites for these names use the same logo, but they are incredibly different from each other, appearance-wise.

The URL for USA Service Animal Registration includes “myshopify” in its name, and that’s because USA Service Animal Registration is essentially the shopping page for USA Service Dog Registration. If you manage to find USA Service Animal Registration on its own, as we did, you will encounter a homepage that has nothing on it. Nothing of legitimate value, anyway; the homepage is nothing but a placeholder that never got updated. It features static images that say things like “Example Product Title” and a price. This sight alone could convince you to leave immediately if the website’s look as a whole did not already convince you.

However, there are options near the top that allow you to look over their products. It is here where it is made abundantly clear that USA Service Animal Registration is nothing more than a store for purchasing vests, collars, IDs, and so on. If you manage to fall for the old “registration” trick and think you have to register your animal, it will just take you to USA Service Dog Registration’s website.

Registering an ESA

It should be made very clear that an ESA cannot be registered for any type of registry. This is because these registries do not actually exist; an ESA does not have to be registered in any way. This means that all those certificates and ID cards that mention a dog being registered are bogus. Even if you did get one of those ID cards, you would not be able to do anything with them. They do not actually hold up if you need prove to someone your ESA can board an airplane or stay with you in an apartment. Also, the website does not seem to care about mixing up service dogs and emotional support animals, so that’s another thing to let you know they can’t be trusted.

Is USA Service Animal Registration Legit?

We can say with confidence that the USA Service Animal Registration is extremely illegitimate. Other than being another name for USA Service Dog Registration, their insistence of registering your ESA and their USA Service Animal Registration URL being nothing but a shopping page shows what type of service they are. You do not want to get your ESA letter from websites and businesses like these, of which there are many online.

Why Choose Mango Clinic?

There are no vests, no ID cards, and absolutely no registration at Mango Clinic. Mango Clinic provides authentic ESA letters that are written and signed by licensed doctors who you speak to directly. Once you have spoken to your doctor either in person, on the phone, or via video chat, your ESA letter will be emailed to you and also presented in person. To make your appointment with Mango Clinic, visit our appointment webpage or call us today.

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What Are Stimulants?

Mango Clinic Miami provides health services for patients who are looking for prescription medication amphetamines such as Adderall. Our staff of medical professionals understands that everyone has individual needs, and we make sure they are met to full satisfaction. If you are interested in stimulants such as Adderall, make sure you understand the reasons for being prescribed, the benefits, and risks involved.
In a busy and stressful life, it can be beneficial to have something to keep us going. Many people who do not think they have any ailment or do not have a disorder may still benefit from seeing a medical professional about their health. Even if everything seems fine, underlying issues, whether admitted or not, can be preventing a person from living a better life. Some of these people might be feeling anxiety and overstress which can cause them to exhibit symptoms associated with specific disorders.

Attention deficit hyperactivity disorder (ADHD)

ADHD is among these disorders, which prevents people from being as focused as they could be. This disorder can be present in individuals for many years in childhood, or it can become a more significant problem when they reach adulthood. Sometimes a person may not realize they have symptoms associated with ADHD, or they have lived with it for so long that they would rather not treat it. In any case, whether minor or severe, a person with ADHD can take stimulants such as Adderall for treatment.

What Is Adderall?

Adderall can treat a wide variety of ailments, so do not think you are excluded if you do not have ADHD. Aside from other severe cases such as narcolepsy and obesity, a patient can be prescribed Adderall if they qualify under certain conditions. If you are feeling stressed and unfocused, and if that stress and lack of focus are ruining your daily life in some way, you can qualify.
You can speak with a licensed doctor about being prescribed the medication. After an evaluation, you and your doctor will come to a decision that will work best for you. You can choose from different types of amphetamine drugs, including Adderall, which is among the most well-known amphetamines.

Adderall ADHD Stats
Adderall ADHD Statistics 2020

How Does Adderall Work?

The way stimulants like Adderall work is by going to your brain and helping release dopamine. The name “stimulants” gives away the primary process of the drug, which is to stimulate the brain, which helps release dopamine into the body. This is important because the cause of the stress or ADHD symptoms usually stems from your brain not having enough activity, which then makes you much more restless. Without an active mind, you will be unable to focus properly, as your brain will be in desperate need of stimulation.
As contradictory as it may seem, it’s the stimulated activity that allows the brain to regain focus. Instead of being distracted and unfocused, Adderall will make you alert and sharp, with increased focus and concentration. The drug’s ability to make patients more alert and focused is a big part of why people, such as college students, who deal with their own type of stress, become so interested in it. As long as you meet the conditions that make it legal to be prescribed stimulants, you should be able to get them with the help of your local and licensed physician.

Adderall Types

Adderall comes in a couple of variations, specifically

  • IR (immediate-release): IR works quickly, but it only lasts for a few hours, meaning you have to take it multiple times throughout the day.
  • XR (extended-release):   XR instead takes a bit of time to get working, but lasts for usually half of a day; this means XR is meant to only be taken once per day or every 12 hours

The differences have to do with how long the drug will last per dose, and this also varies by individual dosage from patient to patient.

Side-Effects of Adderall

ADDERALL SIDE EFFECTS
Adderall abuse and side effects

While Adderall can keep you alert and provide you with higher concentration, you should still be alert to the dangers associated with prescription drugs. Whether it’s stimulants or something else, these drugs can be a problem if you do not take them responsibly. Some of the common side-effects can include increased heart rate and hypertension, which causes a patient to feel worse than they already did. This is especially an issue since drugs like Adderall are designed to reduce stress and anxiety, making such effects highly unwanted and problematic.
Some other side-effects associated with stimulants include

  • Nausea
  • Dry mouth
  • Blurred vision
  • Muscle contractions.

Psychological Effects

In addition to physical effects, stimulants are also known to provide psychological problems as well, possibly. One of the most common is being too alert, which can cause a person to be overly active and unable to be still. This can also result in a person getting insomnia, which might be a reason why many do not recommend taking stimulants before going to bed.
Anxiety, issues with libido, and delusions can also be part of the side-effects of taking an amphetamine.

Causing Dependency And Addiction

One other issue that is not always stated has to do with dependence and tolerance. Stimulants, like other prescription drugs, can be easily abused by patients, resulting in dependence and addiction. The body can become quite used to the drugs being taken, especially if you take too many in too short of time, which might encourage a patient to increase their dose. While increasing your dose is fine and something you can do, it can be a problem in some cases. Patients who have addictive personalities might be recommended not to take stimulants and other prescription drugs for these very reasons.

Adderall can be a very helpful stimulant for many patients, but it is always important to understand exactly what the drug does and the possible side-effects involved. If you are interested in getting prescribed, then make an appointment with Mango Clinic. Our licensed doctors can help you understand the drug options available to you, the pros and cons, and which ones would be best for your individual circumstances. Mango Clinic understands that everyone has a different medical history, and we want to make sure you get the absolute best treatment possible. Call us or visit our website to set up your appointment today.

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Conditions Treated with Trigger Point Injections

A trigger point defines a sensitive portion comprising of a tight, constricted muscle. It derives its name from being an area on your body tender to the touch, yet having the propensity to induce pain when pressure is exerted. Often, there can be a multitude of such sensitive points in a single muscle. There are a handful of medical treatment options with trigger point injections being amongst the effective ones.

These subtle spots become apparent when a specific muscle is in a continuous state of contraction. Consequently, the region around the muscle may feel tight. Furthermore, you’re likely to experience intense pain (burning ache), an outcome of muscular contraction—making it significantly difficult for blood to circulate through the muscle. Fundamentally, this additional tension exerts stress on adjacent joints plus connective tissues.

Over time, trigger point injections have become substantially popular in the management of these sharp and intense pain on a specific muscle at rest or in motion.

So, how can trigger point injections offer you relief from chronic muscle pain? Let’s find out.

What Are Trigger Point Injections?

Trigger point injections are a straight forward procedure performed to relieve pain. The treatment involves the injection of medication into the trigger points—depending on the severity and cause of pain. The dosage may include a local anesthetic, a corticosteroid, or a botulinum toxin A (Botox).

While the anesthetic serves to block the pain receptors, corticosteroid reduces muscle and connective tissue inflammation. Moreover, Botulinum toxin A functions to interfere with nerve signaling pathways and prevent muscle contraction. If you have tense muscles, you might feel a crunching sensation after the injection. But the feeling goes away as the muscle relaxes. Sometimes you might also have a needle inserted, with no medication in it—this is known as “dry needling.” It helps relieve pain by making the trigger point inactive.

What Do Trigger Point Injections Treat?

Trigger Point Injections Miami
Trigger point injections have proven to be effective with minimal possible side effects

These injections help relieve pain that is caused by conditions that affect the musculoskeletal and nervous systems. Such cases include myofascial pain syndrome, fibromyalgia, headaches, and chronic pelvic pain syndrome.

Myofascial pain syndrome—This health concern manifests itself as a musculoskeletal pain condition that affects the muscles and their surrounding tissue. In myofascial pain syndrome, trigger points stimulate pain responses in disparate body parts, a phenomenon known as referred pain.

The trigger point injections reduce localized muscle pain by relaxing the affected muscles and interrupting the nerve signaling pathways that cause referred pain.

Causes of myofascial trigger points include repetitive motions, trauma to a muscle, poor posture, and psychological stress. In addition to referred pain, when you have myofascial pain, you may also experience pain that intensifies when you stretch or move the affected muscle, muscle stiffness and weakness, limited motion, and muscle knots that you can feel by touch.

Fibromyalgia—Fibromyalgia is a chronic pain condition that has symptoms similar to those of arthritis but affects the soft tissue instead of the joints. It is associated with widespread pain, sleep abnormalities, fatigue, and often distress.  Although its causes are unknown, some risk factors include infections, a family history of fibromyalgia, gender, and a history of an autoimmune disorder like rheumatoid arthritis or lupus.

With the condition, you might experience symptoms such as headaches, pain, and stiffness in the body, digestive issues, fatigue, difficulty concentrating, and numbness or tingling in the hands and feet. The condition causes widespread or systemic pain, which suggests that the pain comes from neurological problems that impact how the brain processes sensory information.

According to some studies, the medical intervention of trigger points in fibromyalgia patients produces significant relief of the pain and improves range of motion.

Headaches—Trigger points in the neck, shoulders, and head can contribute to a migraine and tension-like headache disorder. According to research, people with episodic migraines feature more trigger points than people without—while individuals with more myofascial trigger points also depicting more sensitivity to pressure pain. These findings suggest that myofascial trigger points influence the intensity of migraines. When treating headaches with trigger point injections, some specialists accompany the injections with peripheral nerve blocks in the same session.

Chronic pelvic pain syndrome—This pain syndrome not only affects the lower urinary tract, but also causes sexual dysfunction concerns, chronic pelvic health issues, besides interstitial cystitis, chronic prostatitis in men, and painful bladder syndrome in women. There may be a relation between reported painful sites in people with this syndrome and myofascial trigger points. Concentrating your therapy regime on trigger points outside and inside the pelvic floor has the potential to relieve symptoms.

How Are The Injections Done?

During the procedure, your doctor first locates the trigger point by pressing around the painful area, which may cause your muscle to twitch or hurt. The medic then cleans the area and then proceeds to inject medicine into that point in either one direction or more. If you have several trigger points in the muscle, the doctor might repeat the process. Your physician may stretch the area to relax the muscle or instruct you on how to stretch or move the muscle yourself.

This process takes between 10-30 minutes, depending on the number of trigger points present. But the actual injection takes only a few moments. Basically, the procedure does not require sedation. In fact, it’s frequently performed in the doctor’s office.
Trigger point injections may accompany other forms of treatment in the same session. And primarily, you should be in a position to continue with your daily activities immediately after the injection.

How Frequently Will You Require Trigger Point Injections?

Often a trigger point resolves fast after one injection. More so, if you have one trigger point, and the cause of the trigger point has effectively been removed. If you have trigger points resulting from chronic conditions like myofascial pain syndrome or fibromyalgia, they might, however, recur from the underlying problem.

In these cases, you will need to have the injections administered regularly or on a need basis.  The frequency of the treatment will depend on the medication administered. If you are having steroid medication injections, the sessions will be much less frequent, because steroids can expose tissues to the risk of damage or shrinkage.

What Side Effects Might You Experience From Trigger Point Injections?

Trigger point injections may cause some immediate and long-term side effects. Some people might experience temporary numbness or pain around the injection site, lightheadedness, dimpling or discoloration of the skin around the injection site, or bleeding.
Anesthetic trigger point injections may also cause myonecrosis, a severe form of muscle damage that may take 3-4 weeks to heal. Swelling, pain, and tenderness around the injection site wear off within a few hours. If you experience any side effect that does not go away within a couple of weeks, contact your doctor.

pain injections
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What Are The Risks of Trigger Point Injections?

Trigger point injections rarely bring about any severe complications. However, they can lead to bruising, infection at the injection site, and muscle or nerve damage. Nevertheless, ultrasound imaging can help reduce the risk of developing any serious complications from the injections.

Trigger point injections are considered a safe treatment for chronic pain conditions. They can provide immediate relief for some patients, while for others, it might take a few days or even weeks. If you are experiencing chronic muscle pain, consult a doctor for further assessment and to establish if trigger point injections are a suitable option for you.

Contact us at Mango Clinic by dialing our toll-free number (1-888-578-6704) for all your healthcare needs including common acute pain problems, abdominal pain, back/muscle/joint pain, migraines, and counseling; schedule your appointment here.

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Mango Clinic

+1(786) 422-9327
434 SW 12th Ave
#205 Miami, FL 33130

Mon-Sat 10 am – 6 pm

Mango Clinic

Mango Clinic

347 5th Ave Ste 1402,

New York, NY 10016

(888) 578-6704

Mon-Sat 10 am – 6 pm

Mango Clinic

Mango Clinic. All rights reserved.