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What Causes Severe Back Pain When Diagnosed With Multiple Sclerosis?

Posted on Wed, 3 May 2017

Question: Sr ihave MS and i have recently recovered from an
attack i m on pregabalin300 mg tegral nitrazapam,dulan30 mg.i have severe pain in my back specially L5 ,L6.no pain killer is effecting ki dly snswer me

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
Other options are available.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your clinical details. Based on this, the pain is of neuropathic type, which is not responding to the usual medications.

Other options are available, which include baclofen, tramadol, venlafaxine and opioids (morphine, oxycodone, buprenorphine, fentanyl and hydromorphone). One or more of these medications can be tried to relieve your neuropathic pain due to MS.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sudhir Kumar (3 hours later)

Thanx but i have tried most of them ,now what to do????i think sucide is better hahaha??????

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:
You can opt for spinal cord stimulation.

Detailed Answer:
Thank you for getting back.

If oral medicines have not worked, you can opt for spinal cord stimulator and pain pumps. You can get more information about them from a neurosurgeon or a pain specialist.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sudhir Kumar (7 hours later)

Sr namasty ,hop ur fine.sr my bro has parkinson he is 55 years old .his left hand and neck is effected ,he is having sinamit .any other way to controll it.thanks

Answered by Dr. Sudhir Kumar (31 minutes later)

Brief Answer:
Query for a new patient should be sent separately.

Detailed Answer:
Thank you for getting back.

The query for a new patient (your brother) should be sent separately. If we mix up two patients queries into one, our opinion can get confusing and may harm the patient.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Sudhir Kumar (24 hours later)

Sr me M.S patient my nerve is depressed in L5,is operation of my spine is possible,????what do u mean by opt and pain stimulator?????

Answered by Dr. Sudhir Kumar (7 minutes later)

Brief Answer:
Please attach the MRI scan report.

Detailed Answer:
Thank you for getting back.

So, you have MS as well as depressed nerve in L5. Please attach your MRI report, so that I can give you the advice whether surgery is needed or not?

Spinal cord stimulator is a device implanted by operation, which helps in relieving severe nerve-related pain.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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