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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain In The Lower Back Be Treated?

hx of lower back pain, degenerative disc disease. 53 year old. Pulled it really bad yesterday, no numbness, went to emerg. Rx 1000mg acetaminophen and 600 ibuprophen every 6 hours. unsure now if that should be taken together or alteratively. Also I purchased ibuprophen 400/methocabamol 500 combination tablets. If I take these, should I top it up with an extra 200 mg to make it 600mg? again, should i take acetaminophen 1000mg and ibuprophen/methocabamol together or alternatively?
posted on Wed, 13 Sep 2017
Twitter Fri, 3 Nov 2017 Answered on
Twitter Fri, 3 Nov 2017 Last reviewed on
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Orthopaedic Surgeon,  's  Response
dear patient
degenerative disc disease is age related process and certain precautions needs to be taken. avoid weight lifting and forward bending. Dose of acetaminophen is 500 mg thrice a day upto maximum of 2 gm per day and avoided in patients with liver disease. dose of ibuprofen is 400 to 800 mg thrice a day. both should be taken with antacid to avoid gastritis. don't mix all drugs. all have action for pain relief in similar way. start with acetaminophen and if not relieved change to ibuprofen.
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General & Family Physician,  Dr. Nishad BN's  Response
Hi
Thank you for asking HCM
I have gone through your query. You can take ibuprofen and methacarbamol combination for 5 to 7 days and start physiotherapy after a short resting period. Paracetamol can be added 500mg twice daily along with this if pain is severe. If paracetamol is taken alone then you can take1000 mg twice daily.
Thanks.
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How Can Pain In The Lower Back Be Treated?

dear patient degenerative disc disease is age related process and certain precautions needs to be taken. avoid weight lifting and forward bending. Dose of acetaminophen is 500 mg thrice a day upto maximum of 2 gm per day and avoided in patients with liver disease. dose of ibuprofen is 400 to 800 mg thrice a day. both should be taken with antacid to avoid gastritis. don t mix all drugs. all have action for pain relief in similar way. start with acetaminophen and if not relieved change to ibuprofen.