Suggest Treatment For Chronic Back Pain And Periodic Flare Up Of Arthritic Pain

Posted on Sat, 10 May 2014

Question: Paid $35.00 little advice,3 left :Male, 62, 6.5 ft. 220lbs, Poor physical shape, lack of exercise , mobility very limited. Severe Daily Chronic Back Pain for 10 yrs.limit of 50 ft walk WITH Cane last2 Diagnosed at 25 DDD low back. Always excelled Sportss ( disabling attacks 38 to 52 up to 3 months,severe Pain) physio helped minor meds. At 52 woke by Back Pain,in Panic Daily level 4-9of Chronic Pain, Anxietyattacks DAILY from then on, given celebrex for pain it worked for 10 days BP 160 over 120 from 125 over 85 ,excessive Bleedingtaken to hospital NSAIDS Asprin Stopped ,tylenol 2tried . xrays mri showed extreme DDD lower back ,herniation , bone disfigurement,Anxiety severe 2 weeks in private clinic re Back Pain+Anxiety,Depression surgery not possible low dose of narcotic for pain zoloft +xnax back pain still hit 7 Anxiety OK Physio stopped help ,increase of pain ,given a Spine injection nothing ,Pain Clinic 1 year little help (1st yr.of clinic) 2 yrs Anxiety Depress Cinic , fed ssri`s made both anxiety Dep, much worse they would not listen SOB`s they stopped Xnax showed relax methods ,to anxious to work (POLICY)put me on Oyycontin 8 80mg a day . I could I began to drink ,I seldom did before .after 16 months went to new DR.Put me back on Xnax(stopped drinking immedietely) anxiety&depression controlled,pain still an issue began Oxycontin moved it up(stopped beer right easily) I could live and function as a Horticultural Designer My trade and passion within 6 wks . I was moved back to the P>ain Cinic to dispersemeds they cut out xnax on Anxiety Dis. say and lowered oxy after a rage I was put back up to 2 yrs ago ,then came the Press ,the Government , the >Ont. Med Assc. I exist on oxyneo ,a 40 ft walk with a cane I sit in a 10 by 12 room seething in anger .do not call i will not answer , i bother with the kid who does my shopping . I am not one of the 70% more like % 50% who do not react to celebrex or other naisids i am certain you know the fatalities from them nor do I react as others do to antidepressants all i need to know is what would you do i keep forgetting you are from the USA . I am literally haging on by my nails I have yet to get a Rational answer tylenol ruinns the liver in time naisids have killed 2 of my friends I have spent a fortune in homeopathic, acupuncture, massage, hypnosis , I can pick up 12 cartoons of camels the same of Scotch , take as many tylenol or advil as i want what would you do ,and Why

Answered by Dr. Vaibhav Gandhi (2 hours later)

Brief Answer: Explained below Detailed Answer: Hello, I have studied your case and reports with diligence. At age of 62 there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, VIT B12.so supplements of these nutrients can relieve pain. Osteoporosis may be associated leading to diffuse pain in back. Periodic flare up of arthritic pain can be due to seasonal changes, due to excess activity, lack of exercises, excessive travelling. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, And also check your vit B12 and vit D3 level. You can reduce pain by doing regular exercises and medication. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. As you don’t want NSAIDS and Tylenol ,I will advise for plant extract herpagoside[phagadol] for pain relief consulting your doctor. Along with the pain you have depressive symptoms as well and that needs to be taken care of. Cognitive behavioural therapy is a good option. Many of my patients get relief from fatigue by yoga pranayama and XXXXXXX XXXXXXX so you can also due that. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar