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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Backache Be Treated?

My back was hurting, went to orthopedist, took therapy and it has worsened since. It is the small of my back. I have bone on bone and osteoarthritis. I now have difficulty getting in and out of bad, uncomfortable wherever I sit, the pain is worsening and quick moves send sharp pains out. I take one Tylenol extra strength for pain. I also have neuropathy In my feet and ankles and take Gabapentin for that. I am 85 years old, small and do not require large doses of any medicine but I am just miserable. Help me, Please. Thank you
Tue, 22 May 2018
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Orthopaedic Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

At your age of 85 degenerative spine disease is common which leads to osteoarthritis of facet joints of back with instability and pain. If there is pain in local area it means few facet joints are pain generator. This can be diagnosed by nerve block and facet injections. Confirmation can be done by first injecting local anesthetic into facet joint. If there is pain relief it certainly is pain generator. You need to consult pain care specialist which is expert in such areas instead of taking medications.

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


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How Can Chronic Backache Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. At your age of 85 degenerative spine disease is common which leads to osteoarthritis of facet joints of back with instability and pain. If there is pain in local area it means few facet joints are pain generator. This can be diagnosed by nerve block and facet injections. Confirmation can be done by first injecting local anesthetic into facet joint. If there is pain relief it certainly is pain generator. You need to consult pain care specialist which is expert in such areas instead of taking medications. Hope I have answered your query. Let me know if I can assist you further.