Brief Answer:
I would explain as follows :

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would like to explain that in order to relieve your dad's back pain, besides using Baclofen (that is beneficial at diminishing muscle spasticity), it is necessary to use any anti-inflammatory drugs (like Ibuprofen, Naproxen, etc.).

Also some light gradual physical exercises (like yoga, aerobics, etc.) would help furtherin relieving muscle spasticity. Warm aplications would be beneficial in this regard.

But, you should also know that using concomitantly anti-inflammatory drugs may interfere with the level of anticougulation (may increase INR level). That's why it is important to frequently check INR level and adjust Warfarin daily dose apropriately.

Hope you will find this answer helpful!

In case of any further uncertainties, feel free to ask me again.

Kind regatds,

Dr. Iliri

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Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

You should know that sweating and heating are symptoms related to the activation of the autonomic nervous system from the pain with high intensity.

They do not indicate anything else, except for a high intensity of the pain.

Is the pain triggered by body movements or respiration? This would be another argument in favor of musculo-skeletal pain.

If the pain persists, even after taking ibuprofen or any other anti-inflammatory drugs, I would recommend performing further tests to investigate for the possible cause of the pain:

- a shoulder X ray study (if the pain is located only in one shoulder)
- a cervical spine X ray study to exclude a possible intervetebral disk disorder related to this symptoms
- inflammation tests (complete blood count, PCR, sedimentation rate).

You should discuss with his doctor on the above issues.

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri

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