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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Severe Pain In The Spine Due To Osteo Arthritis Be Treated?

I have severe spinal pain because of osteo arthritis. Had had many many things go bad with my spine...many surgeries, etc..pain has now gone into my lower spinal tail bone area...I have DDD....I have been rx d MOBIC because it is the only med that will not hurt to a great degree, my stomach. Is this a bad medication to take? I have scar tissue very bad. I have a BOSTON SCIENTIFIC implant for pain, plus I am taking double dose of Tramadol.
Sat, 8 Sep 2018
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General & Family Physician 's  Response
Hi,

You are having spinal osteoarthritis. In most cases, treatment of spinal osteoarthritis is geared toward relieving the symptoms of pain and increasing a person's ability to function. The goal is to have a healthy lifestyle.

Initial treatment may include losing weight if needed and then, for everyone, maintaining a healthy weight. It may also include exercise. Besides helping with weight management, exercise can also help:

1. increase flexibility
2. improve attitude and mood
3. strengthen the heart
4. improve blood flow
5. make it easier to do daily tasks

Some of the exercises associated with osteoarthritis treatment include swimming, walking, and water aerobics. Exercise may be broken down into the following categories:

1. Strengthening exercises. These exercises seek to make muscles that support the joints stronger. They work through resistance with the use of weights or rubber bands.
2. Aerobic exercises. These are exercises that make the heart and circulatory system stronger.
3. Range-of-motion exercises. These exercises increase the body’s flexibility.

Including rest periods in the overall treatment plan is necessary. But bed rest, splints, bracing, or traction for long periods of time is not recommended.

There are non-drug treatments available for osteoarthritis, including:

1. massage
2. acupuncture
3. heat or cold compresses, which refers to placing ice or heated compresses onto the affected joint (check with your doctor about which option, or which combination of heat and cold options, is best for you).
4. transcutaneous electrical nerve stimulation (TENS) using a small device that emits electrical pulses onto the affected area
5. nutritional supplements

Pain medications may also be used to treat osteoarthritis. Over-the-counter products include acetaminophen (Tylenol).

Nonsteroidal anti-inflammatory drugs (NSAIDs) are also available over-the-counter in certain strengths. Examples include aspirin, naproxen sodium (Aleve), and ibuprofen (Motrin or Advil). NSAIDs may have serious side effects. Those include heart attack, stroke, stomach irritation and bleeding, and less frequently, kidney damage.

Hope I have answered your query. Let me know if I can assist you further.
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How Severe Pain In The Spine Due To Osteo Arthritis Be Treated?

Hi, You are having spinal osteoarthritis. In most cases, treatment of spinal osteoarthritis is geared toward relieving the symptoms of pain and increasing a person s ability to function. The goal is to have a healthy lifestyle. Initial treatment may include losing weight if needed and then, for everyone, maintaining a healthy weight. It may also include exercise. Besides helping with weight management, exercise can also help: 1. increase flexibility 2. improve attitude and mood 3. strengthen the heart 4. improve blood flow 5. make it easier to do daily tasks Some of the exercises associated with osteoarthritis treatment include swimming, walking, and water aerobics. Exercise may be broken down into the following categories: 1. Strengthening exercises. These exercises seek to make muscles that support the joints stronger. They work through resistance with the use of weights or rubber bands. 2. Aerobic exercises. These are exercises that make the heart and circulatory system stronger. 3. Range-of-motion exercises. These exercises increase the body’s flexibility. Including rest periods in the overall treatment plan is necessary. But bed rest, splints, bracing, or traction for long periods of time is not recommended. There are non-drug treatments available for osteoarthritis, including: 1. massage 2. acupuncture 3. heat or cold compresses, which refers to placing ice or heated compresses onto the affected joint (check with your doctor about which option, or which combination of heat and cold options, is best for you). 4. transcutaneous electrical nerve stimulation (TENS) using a small device that emits electrical pulses onto the affected area 5. nutritional supplements Pain medications may also be used to treat osteoarthritis. Over-the-counter products include acetaminophen (Tylenol). Nonsteroidal anti-inflammatory drugs (NSAIDs) are also available over-the-counter in certain strengths. Examples include aspirin, naproxen sodium (Aleve), and ibuprofen (Motrin or Advil). NSAIDs may have serious side effects. Those include heart attack, stroke, stomach irritation and bleeding, and less frequently, kidney damage. Hope I have answered your query. Let me know if I can assist you further.