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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Chronic Lower Back Pain

My wife has had chronic lower back problems since 1991. She has been on strong pain meds from then until now. She is currently on 30mg of OXYCODONE MCL (1) tablet every (4) hours as needed for pain. Her pain specialist wants to try her on LEVORPHAROL. He has tried her on other meds in the past with little or no results. The OXYCODONE is no longer working as it used to in the beginning. What is your opinion of the new med compared to the OXYCODONE???
Mon, 25 Apr 2016
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General & Family Physician 's  Response
HI,
Thanks for asking . I understand your concern.
Your wife has severe back pain & is taking lot of medicines for that In my view, the cause of the pain needs to be evaluated carefully with investigations & expert consultation & the specific treatment of cause would relieve her.. The probable causes can be
- Calcum / vitamin defeciency & osteo porosis .
- Pelvic inflammation,
- arthritis of sachro ileac joints,
- Nerve root compression at spinal level due to inflammation degeneration of vertebrae/ inter vertebral disc can lead to such pain.
* You need consultation of orthopedic surgeon / gynecologist . MRI of the part would pin point the cause .. this will follow specific treatment.
Till then you can try.. taking rest/ applying muscle relaxants locally( no massage please )/ pain medicines over the counter/ avoiding bending or weight lifting while you can get appointment of a doctor
Thanks.
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Orthopaedic Surgeon Dr. Himanshu Prasad's  Response
A CHRONIC PAIN NEEDS TO BE EVALUATED BY A SPINE SURGEON. i WOULD STRONGLY SUGGEST YOU TO VISIT ONE. PROLONGED TABLETS ARE NOT THE ANSWER FOR ANY PAIN.
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General & Family Physician Dr. Vasudha's  Response
Hi,
Thanks for query. I understand your concern
I feel instead of suppressing pain with habit forming drugs.. it would be better to get a full orthopedic check up & investigations, spot the cause & t get a specific treatment which can range from arthritis treatment to repair of spinal problem with medicines, physiotherapy or surgery.
Thanks.
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Suggest Treatment For Persistent Chronic Lower Back Pain

HI, Thanks for asking . I understand your concern. Your wife has severe back pain & is taking lot of medicines for that In my view, the cause of the pain needs to be evaluated carefully with investigations & expert consultation & the specific treatment of cause would relieve her.. The probable causes can be - Calcum / vitamin defeciency & osteo porosis . - Pelvic inflammation, - arthritis of sachro ileac joints, - Nerve root compression at spinal level due to inflammation degeneration of vertebrae/ inter vertebral disc can lead to such pain. * You need consultation of orthopedic surgeon / gynecologist . MRI of the part would pin point the cause .. this will follow specific treatment. Till then you can try.. taking rest/ applying muscle relaxants locally( no massage please )/ pain medicines over the counter/ avoiding bending or weight lifting while you can get appointment of a doctor Thanks.