
Having Back, Neck Pain And Headache. Taking Morphine And Tylenol. No Proper Sleep. MRI Showed Bulging Disc. What To Do?

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I am Dr. Vaibhav Gandhi; I am orthopaedic surgeon and spine specialist.
1. I went through the details. Back injuries range from simple muscular problem to severe nerve injuries. Often we do see spinal root (nerve) getting compressed due to spinal disc bulge. Compressed nerve following disc bulge accounts for the most severe pain. This kind of pain gets aggravated in particular position. Discuss with your treating doctor/radiologist if any such nerve root compression is seen in your back.
2. The therapeutic index (the dose range where the effects of drug are maximum with least toxicity) is not the same for all drugs. This should explain why 30mg morphine was switched to 7.5mg percocet (percaset).
3. If addition of other drugs to this therapy is possible then I think you need to add methylcobalamine 1500 mcg once daily.
4. Yes, physiotherapy will help in reducing pain. Physiotherapy – SWD (Short Wave Diathermy), ULTRASONIC THERAPY will help. You also need to support your neck with cervical collar. And yes, you should do MRI cervical spine to see for Take care


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As your MRI shows disc bulge, I think the symptoms are due to be some nerve compression.
Yes muscle sprain is associated with that. You may continue physiotherapy and prescribed medication, it will help you with disc bulge and pain.
Take care


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Yes, there is chance that your body is going through withdrawal symptoms.
Diarrhea is one of the symptom of withdrawal along with sweating , anxiety, fear, dehydration, palpitation.
After consulting your doctor you can substitute with oral methadone and gradual withdrawal.
Take care,

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