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Suggest Treatment For Tinnitus And Uncontrollable Anger When Diagnosed With Stenosis

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Posted on Fri, 23 Sep 2016
Question: Husband has stenosis (surgery did not solve), tinnitus, cirrohsis, and angry does not believe his dr will help but should I overide him and make an appointment with his gp. Opiods (narco) and diazapam helped but has not taken for a year+. help.
doctor
Answered by Dr. Dr. Matt Wachsman (4 hours later)
Brief Answer:
Well....probably something

Detailed Answer:
there are a lot of options first seeing if the stenosis was changrd with mri and nerve conductions. if there is no longer a blockage but still pain or paralysis then evaluation for therapy is one option. anti depressants nerve damping medicines spinal stimulators nerve block. there might be an option for more surgery but mostly that is not a good option.

there are a lot of options

perhaps input from a spine specialist or university based clinic?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (1 hour later)
thanks. have tried all suggested and so far no help anywhere. oh well
doctor
Answered by Dr. Dr. Matt Wachsman (15 hours later)
Brief Answer:
Really?

Detailed Answer:
Ok, I wouldn't be surprised if you've seen the surgeon for follow up. The repeat MRI is likely a good idea and probably has been done but:

University center neurosurgeon?
Pain management?
Local Injections?
certainly physical therapy probably has been tried and perhaps Tens unit? but different physical therapy places do things differently.
Then amitryptiline?
Robaxin and other muscle spasm medicines?
gabapentin and other anti-epileptics?
capcaicin?
Lidocaine patches?
nerve growth factor?

There are several key phrases here that stick out:
" so far no help anywhere. oh well"
"and angry does not believe his dr will help"
These imply other issues besides just the back pain (frustration).
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest Treatment For Tinnitus And Uncontrollable Anger When Diagnosed With Stenosis

Brief Answer: Well....probably something Detailed Answer: there are a lot of options first seeing if the stenosis was changrd with mri and nerve conductions. if there is no longer a blockage but still pain or paralysis then evaluation for therapy is one option. anti depressants nerve damping medicines spinal stimulators nerve block. there might be an option for more surgery but mostly that is not a good option. there are a lot of options perhaps input from a spine specialist or university based clinic?