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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Pain In The Neck And Back Be Treated?

yes, I am very curious as to how to find a good doctor for pain. I have been on Soma for many years and it seems to be losing effects. I have four discs in my neck whom i saw a surgeon and he did mri s and ct scans. The doctor began doing facet injections on each disc (C-4,5,6 AND 7) every other week. horrible pain. horrible pain. One last time that i was there i was given an MMB and i thought i would DIE on the spot with the pain. So surgery is not gonna be done as I survived a car accident (head on during a seizure and/or anxiety attack). I had a rollover about 14-15 months and i have had a breast reduction hoping that my back would feel better, and it is still in the healing in process but my neck does feel better, My question is this: having been in a rollover as a very young girl (age 8) and then the two other car accidents, how do I find a good pain doctor who won t automatically ASSUME that I am out just finding drugs. I don t drink or do any medications that aren t mine and I don t know how to talk to my new PCP regarding my medications as well so my doctors are all on the same page. That isn t all that simple to get a doctor that will accept you as a patient if you are already on drugs like Soma and also Clonazapam - both that aren t really working, but I feel like the doctor is going right, we will just dispense anything because she want s drugs). I use only one pharmacy here in our town in Perryville, AR and I don t drive for safety of others. How do I approach either my doctor or a pain management doctor about possibly changing medications? I had a doctor for MANY years in Lonoke Arkansas but I divorced and moved to Perryville. If I hadn t totaled two cars out, I would drive myself to the doctors. I was on Medicaid previously, but had to go to the health marketplace for insurance since my disability just began the end of February this year and it is 84.00 a month. So how do I discuss this with a doctor and should I ask my doctor for a referral and possibly removed from the medication I take now? I also have a hematologist and I have to have iron transfusions and vitamins and minerals done monthly because my body won t absorb them. Today, I am two pints low on my blood. I have seen my hematologist/oncologist for about 15-19 years. How do I approach this going forward? A nurse that I know said that pain doctors will not accept me as a patient and I have a situation with the doctor saying to take ibuprofen and I cannot take that due to the fact that it is a blood thinner for me. Sleep? that is a joke. I haven t slept a solid and normal night in so many years I cannot recall. Sometimes I do get lucky and fall asleep, BUT I will wake within a couple of hours. I had been told I need a sleep study, but again, I don t drive and the hours that someone would have to drop me off for the test is usually in bed by 7pm because he is up at 3am for HIS job. My son just graduated high school and works full time. We have one gas station and one place to really eat so options are limited so I have time to arrange my appointments around other s schedules. Advice is definitely in need. I have Ambetter insurance. My email will be on this but I have things to do before I can lay down, In my recliner, as always. Thanks in advance for any help you doctors who can help me: I take Keppra for prevention of seizures, clonozapam for anxiety, Soma for back pain and spasms which are continuous (again my brother, at age 22 was a passenger in a wreck and paralyzed him until he passed away from sepsis at the age of 34), and the accident that I was involved as a little girl, my dad and I rolled the windows in our big Brady Bunch car from California to Arkansas and blessedly, since we both had our windows open, I got out by being thrown out of the car and alone down the revene, to be found when they took 9 hours to get him from the car and was paralyzed from 1975 and ultimately had to have his legs removed in 1977 from gangrene, so surgery is something I won t consider because I am the worrier in the family. I have two grandsons that I would l play with and trying to keeping eyes on both is almost impossible, considering they are 1 and 2. Again, any response to my email would be gratefully appreciated. Sincerely, Lisa Goodman
Wed, 29 Nov 2017
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Ayurveda Specialist 's  Response
hi sir/madam,
Let me advice you for your problem.

its easily treated with the help of ayurveda.

Line of treatment as per Ayurveda:-

The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.

1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.

2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.

3. Mridu Samshodhana -mild purgation.

4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.

Formulations indicated in Low back ache as per Ayurveda:-
1. Dashamoola kwatha.
2.Maharasnadi kashaya.
3. Rasnaerandadi kashaya.
4. Sahacharadi kashaya.
5. Gandharvahastadi kashaya.
6. Trayodashanga guggulu.

And for local application these oils will help:-
1. Ksheerabala tail.
2. Mahanarayana tail.
3. Dhanwantaram tail.
4. Maha narayan tail.

Avoid these for better results:-

1.Bitter, astringent and pungent food
2.Cold water
3.Fear
4.Exhaustion
5.Standing
6.Driving
7.Cold food and beverages etc.

Hope i was helpful.
Have a healthy day.
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How Can Severe Pain In The Neck And Back Be Treated?

hi sir/madam, Let me advice you for your problem. its easily treated with the help of ayurveda. Line of treatment as per Ayurveda:- The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints. 1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc. 2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc. 3. Mridu Samshodhana -mild purgation. 4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc. Formulations indicated in Low back ache as per Ayurveda:- 1. Dashamoola kwatha. 2.Maharasnadi kashaya. 3. Rasnaerandadi kashaya. 4. Sahacharadi kashaya. 5. Gandharvahastadi kashaya. 6. Trayodashanga guggulu. And for local application these oils will help:- 1. Ksheerabala tail. 2. Mahanarayana tail. 3. Dhanwantaram tail. 4. Maha narayan tail. Avoid these for better results:- 1.Bitter, astringent and pungent food 2.Cold water 3.Fear 4.Exhaustion 5.Standing 6.Driving 7.Cold food and beverages etc. Hope i was helpful. Have a healthy day.