My Father Aged 78 Years Is Having Periodic Pain In

Posted on Sun, 24 Nov 2019

Question: My father aged 78 years is having periodic pain in lower back of left shoulder at backside from last few weeks. The medications to minimize the pain which we have used so far are:
• Etova-P 400mg
• Volini spray/cream
- Pregaba M SR 75

Kindly note that he had suffered Stroke (Left basal ganglia bleed with right sided hemiparesis) in year 2017.

His previous medical history and medications is given below:

1.Had Coronary Artery Bypass Surgery (CABG) in year 2002.

2.Often he suffers from constipation and gastric problems.

3. Had Posterior spinal decompression and stabilization L4-L5 TLIF L4-L5 with spinal cage and bone graft in year 2010.

4. Medications he uses daily:
• Atorva 10 mg,(once daily)
• Repace 50 mg(twice daily)
• Cardivas 3.125mg(once daily)
• Ecosprin 150mg(once daily)
• Amlo 5mg (once daily)
• Pan 40( once daily)
• Cremaffin ( as per requirement)
• Nistami Inhaler ( once daily since last 7 months)

Kindly advise?

Answered by Dr. Sudhir Kumar (16 hours later)

Brief Answer:
Symptoms could be related to pinched nerve.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your father's clinical details. Based on this, the most likely cause of pain could be a pinched nerve in the back region. Are there any MRI cervical spine reports?

For nerve-related pain, pregabalin is the best. The usual effective dose is 75 mg twice daily. Based on the response, the dose may be increased to 150 mg twice daily in most patients. Physiotherapy for pain relief- IFT/ultrasound- would also help.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sudhir Kumar (23 hours later)

Hi Sir,

Thanks for the reply.

He is taking Pregaba M SR 75 MG daily once before sleeping since last week. As suggested, we will increase the dosage to 2 per day.

Kindly advice till when shall he keep taking the medicine.

Answered by Dr. Sudhir Kumar (5 hours later)

Brief Answer:
Continue the medicines for one month.

Detailed Answer:
Thank you for getting back.

Continue pregabalin for one month, and review after one month.

Best wishes,

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar