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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Chronic Back Pain Radiating From Left Leg

I have chronic back pain and left hip / flank pain that often radiates down my left leg. I also have joint pain often. I have had trouble getting a family doctor to prescribe medications that will help. I m actually an old ER nurse myself and I do not have a tendency to abuse RX meds, so I think I would benefit from some muscle relaxers and maybe some sort of narcotic that I could take when this pain occurs. Neurontin has also helped me in the past. Where do I need to go to get a doctor to take me seriously? I have FEDERAL blue cross BLUE shield insurance. I just need a doctor who will prescribe me what will WORK.
Mon, 7 Jul 2014
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Psychiatrist,  's  Response
HI THANKS FOR POSTING YOUR QUERY.

YOUR SYMPTOMS SEEM TO RESEMBLE A NERVE COMPRESSION DISORDER CALLED "SCIATICA"..
THIS IS DUE TO INVOLVEMENT OF SCIATIC NERVE AT THE BACK OF THIGH PASSING DEEP THROUGH GLUTEALS.
THIS CAN RESULT IN SYMPTOMS LIKE BACK ACHE,THIGH PAIN,FOOTPAIN,TINGLING,NUMBNESS OF ONE OR BOTH FEET.

I STRONGLY RECOMMEND YOU TO GET AN XRAY OR PREFERABLY AN MRI SCAN TO ACCURATELY DIAGNOSE THIS DISORDER.

MEASURES LIKE AVOIDING PROLONGED SITTING,ALTERNATE FEW PACED WALKING,ANALGESICS LIKE BRUFEN,PARACETAMOL,HOT WATER PADS USED INERMITTENTLY.SEVERE PAIN CAN BE CONTROLLED WITH OPIOIDS LIKE TRAMADOL.

IN CASE IF THESE MEASURES DO NOT RESOLVE YOUR PAIN,SURGICAL TREATMENT IS THE NEXT AND DEFINITIVE LINE OF MANAGEMENT.
SURGERY LIKE "OPEN LUMBAR LAMINECTOMY"IS DONE WITH EXCELLENT RESULT OUTCOMES.

CONCLUSIVE OPINION:
SURGERY IS THE TREATMENT OF CHOICE IN YOUR CASE
THANK YOU.
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Suggest Medication For Chronic Back Pain Radiating From Left Leg

HI THANKS FOR POSTING YOUR QUERY. YOUR SYMPTOMS SEEM TO RESEMBLE A NERVE COMPRESSION DISORDER CALLED SCIATICA .. THIS IS DUE TO INVOLVEMENT OF SCIATIC NERVE AT THE BACK OF THIGH PASSING DEEP THROUGH GLUTEALS. THIS CAN RESULT IN SYMPTOMS LIKE BACK ACHE,THIGH PAIN,FOOTPAIN,TINGLING,NUMBNESS OF ONE OR BOTH FEET. I STRONGLY RECOMMEND YOU TO GET AN XRAY OR PREFERABLY AN MRI SCAN TO ACCURATELY DIAGNOSE THIS DISORDER. MEASURES LIKE AVOIDING PROLONGED SITTING,ALTERNATE FEW PACED WALKING,ANALGESICS LIKE BRUFEN,PARACETAMOL,HOT WATER PADS USED INERMITTENTLY.SEVERE PAIN CAN BE CONTROLLED WITH OPIOIDS LIKE TRAMADOL. IN CASE IF THESE MEASURES DO NOT RESOLVE YOUR PAIN,SURGICAL TREATMENT IS THE NEXT AND DEFINITIVE LINE OF MANAGEMENT. SURGERY LIKE OPEN LUMBAR LAMINECTOMY IS DONE WITH EXCELLENT RESULT OUTCOMES. CONCLUSIVE OPINION: SURGERY IS THE TREATMENT OF CHOICE IN YOUR CASE THANK YOU.