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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Lower Back Pain

I had my shoulder replaced May 15th and have taken 1hydrocodon-acetaminoph 7.5-325 at bedtime up to 2 days ago. I have severe chronic lower back pain. I also take 1-2 tramadol every day. Several weeks ago I started having twitches in my jaw, expecially lower jaw. I grimace noticably. Sometimes I have trouble talking.
Thu, 6 Jun 2019
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General Surgeon 's  Response
Hi,

Noted your history about shoulder replacement surgery, taking hydrocodone with acetaminophen and tramadol and another problems of severe chronic low-back pain and twitching of the lower jaw making troubled talking and grimacing.
Obviously all the three things are not correlated hence let us discuss one by one.
The twitches in the lower jaw are called facial tics and is due to stress, anxiety in most of the cases wherein there is uncontrolled discharge of nerve impulses in facial nerve.
A proper clinical evaluation, MRI study of the facial nerve, nerve conduction studies and treatment with medications like Amitriptyline will control the problems.
About the severe low backache: need a clinical evaluation, examination and MRI of the lower back to get the cause and get treated accordingly.
Try to reduce the dosages of painkillers and shift to NSAIDS or so as per requirement.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, ENT & General Surgeon
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Suggest Treatment For Chronic Lower Back Pain

Hi, Noted your history about shoulder replacement surgery, taking hydrocodone with acetaminophen and tramadol and another problems of severe chronic low-back pain and twitching of the lower jaw making troubled talking and grimacing. Obviously all the three things are not correlated hence let us discuss one by one. The twitches in the lower jaw are called facial tics and is due to stress, anxiety in most of the cases wherein there is uncontrolled discharge of nerve impulses in facial nerve. A proper clinical evaluation, MRI study of the facial nerve, nerve conduction studies and treatment with medications like Amitriptyline will control the problems. About the severe low backache: need a clinical evaluation, examination and MRI of the lower back to get the cause and get treated accordingly. Try to reduce the dosages of painkillers and shift to NSAIDS or so as per requirement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon