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Medications for Lower Back Pain
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Chris_WebMD_Staff posted:
I wanted to post some helpful tips for you.

Medications for Lower Back Pain

When your lower back is achy and sore, everything you do -- from reaching into a kitchen cabinet to bending over to pet the dog -- can trigger an excruciating jolt of pain. At that time, it may feel as if nothing is more important than finding relief. Medications, like the ones listed in this guide, may help. But they should be used along with exercise and physical therapy for effective pain relief.
If you are considering medications to relieve your pain -- especially chronic back pain -- it's also important to consider their risks and side effects. Certain drugs for low back pain may also interact with other medications you are taking. So carefully weigh your options with your doctor when choosing medication.

For the rest of the information, please click on the link provided.
Chrissy~ WebMD Staff

Confucius Say;
Our greatest glory is not in never falling, but in rising every time we fall.

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cweinbl responded:

Just one medication added 9 wonderful years to a rewarding career in higher education. That was Fentanyl Transdermal (Duragesic). Of course, we are all subject to tolerance over time. Now, about 18 years later, I've discovered that my best result is with a combination of long and short-acting pain medications, off-label drugs (anti-depressant & anti-convulsant), plus mind-body pain management techniques (systematic relaxation, meditation, Yoga, biofeedback). I can reduce my pain by about 20% with biofeedback alone. Add the medication combinations and it goes up to about 35-40%. Add to this, one of the very best techniques... distraction. Whatever holds your interest, try it. I can watch a movie in my preferred genres, or an exciting sporting event. That adds another 10%.

Of course, as soon as I sit or stand, the pain ratchets up to 9, on the 0-10 scale. But when I'm horizontal and I use these techniques and medications, life turns from a living horror to something more tolerable.

Those of us with chronic pain will likely never be pain free. But we can learn to manage our pain using a variety of sources, including medications, distraction and mind-body techniques.
 
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trs1960 replied to cweinbl's response:
I've heard of people getting relief from Fennal, but it nearly killed me and a friend of mine lost his wife while she was using it.

I understad there was/is class action lawsuites due to the increased suicidal rate in Fentynal users. Have you heard of these?

Tim
 
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Anon_160307 replied to cweinbl's response:
Thanks Charles,

When I was finally offered the Fentanyl Transdermal System this month by my primary care physician, I thought about the great success that you have had with this medication.

I am on my 6th patch and the pain relief is more consistent than anything I have tried. And the BEST thing about this medication is it has alleviated my constipation!! The constipation from extended release pills became so bad that the only way I could get relief was by doing 1-2 saline enemas per week and even after those, I still felt backed up! I can now go on my own. I only take a stool softner (Colace) every other day now. The constipation was causing chest pains, difficulty breathing, bloating, gas, and increased blood pressure and pulse. It was horrific! My stomach was 4 times its normal size by the 5th day without a BM.

My breakthrough pain meds now work faster and last twice as long (5-6 hours). I am on the 50 mcg/hr patch and I change it every 48 hours.
 
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suesaner replied to cweinbl's response:
this is exactly what i do! unfortunately, it is not a viable technique if one is employed. i have not been employed for 4 years, which is 5 years after i had my L3-5 laminectomy surgery to relieve the stabbing pain i had been experiencing. now, post surgery, i am back in that pain 'saddle' again, with nerve root issues at L3-2 and possible surgery in my future....i cannot stand OR sit longer than 25 minutes before my pain is intolerable. a walk thru a store is likely to bring on such pain that it makes me feel nauseated. if i take the lyrica i cannot function at all! the v.a. medical folks will NOT rx any pain meds whatsoever lest i may become a screaming narc addict!! mind you, i used percocet prn with my regular doctors when i had "real" medical coverage prior to getting v.a. medical coverage and never became a narc junkie....but i digress. now i must be happy with bigger jars of motrin and a heating pad. i have filed for ssi so i dont lose my home. my job was lucrative but also was a sitting job so.....no sit, no work. cant lay down on the job, when i can be pain 'free'....what a life and i am only 56. i have degerative spine disease idiopathic. no trauma. i can add depression now. i love when the psychologist asks 'why are you depressed?'....gee, why do you think??? is it me?
i am so glad to find that i am not alone. my family seems to think i am just wanting to sit and watch a movie b/c i am lazy. they dont understand how frustrating it is to hurt so bad and its impossible to do anything about but try to 'zone it out'..... which is called PAIN MANAGEMENT.
 
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lindak627 replied to suesaner's response:
Geesh, part of your story sounds just like mine. I work part time, but it is something I can pretty much pick and choose my hours. But my husband is always throwing it in my face about if I had a job then I would understand and that I could do more than I give myself credit for. A guy he works with lost a limb a few years ago and he works so what is wrong with me. I have had 4 back surgeries and 2 shoulder surgeries (3 of them within the last 5 years and my back surgery was major-tumor removal and remove and replace spinal hardware and fuse another level. I am doing pretty good. But I am sorry there is no way I could live on Lyrica alone. I have percocet and lortab here. I rarely take them but I know they are there for the days I can't take it. Just having them makes it easier to function. I also live at my physical therapy office.

The one thing and only thing I have found that totally helps me is being in water. Had a hot tub, but it is broke and the company went out of business and joing a place that has a pool is out since I don't have the money. My bathtub is deep but not deep enough but if I can sit in water up to my neck (have major neck and thoracic spine problems now, I am a happy camper living in no pain. But I detest the no family support.

My fusions are L4-5 and L3-4. The only way I could get through a store before my last surgery was to lean on cart with very little weight on feet and now that is usually how I do it too. Good luck with the ssi and you mention the VA-are you retired military? If so Tricare has been the only thing that has kept me alive.
 
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Pandorica replied to suesaner's response:
I'm 38 and in a similar situation. I can't stand for more then 20 min. I'm an only parent of a 6 year old and run my own sewing-design business from home. Thank god so I can can lay on the floor and ice my neck. Ice and advil bring down the swelling- this cycle goes on all day everyday.I was thinking I may need surgery but have yet to find someone that the surgery helped instead of causing more horrible pain. So far I've had one steroid injection that worked for about 3 weeks. The best 3 weeks I've had in over 2 years. I also have fibromyalgia. Lauren
 
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bj1208 replied to Pandorica's response:
hi and welcome to the support group -

what doc's have you seen? what all treatments have you had done? what did the doc diagnose you with? did the surgeon say surgery would need to be done.

Seeing either a Orthopedic Spine Specialist or Neurosurgeon Spine Specialist are the best to see regarding spine issues as they are the only ones that can examine, diagnose and treat spine problems.

when seeing a pain management clinic I have found that a PHYSIATRIST Pain Clinic tends to be the best at treating the underlying problem and not just the pain - here's site regarding what they do:

http://www.spineuniverse.com/treatments/what-physiatrist

Surgery should always be the last resort after all other treatments have been done and failed. there is no guarantee on any type of surgery but for the most part spine surgery will correct disc(s) problems but can only be hopeful to reduce pains.

you can click on my name or pic and read my story - please keep us posted.

take care - Joy
 
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justgetalong responded:
You are SO RIGHT about the mental part of the pain and the medicines you referred.
 
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MamaTammi replied to Pandorica's response:
If you had good relief from the steroid injections, you might benefit long term from a nuero-stimulator. I had mine put in back in November, 2000 and don't regret it for a moment!
 
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mainebestlife replied to cweinbl's response:
Thank you for your post. You are one of the first I've seen on this site that advocates both traditional and alternative medicine. Kudos to you! I too use alternative mind-body techniques to help manage back pain. I would like to add medical hypnosis to your list- if hypnosis works in natural child birthing for pain control it can be used to help manage any pain. Don't let the word "hypnosis" scare you away- most major hospitals have mind body specialist in their behavioral science depts. that are trained in hypnosis. Its worth seeking info on.
 
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mainebestlife replied to suesaner's response:
You brought a smile to my face when I read about the therapist saying why are you depressed? Mine did the same thing. I would like them to live a week with the pain and then have them ask that question.


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