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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Medicines For Pain Due To Spine Fracture

after fracturing my spine (discs) L3 L4 L5, and breaking 3 ribs in 2 areas (in front,below rt breast) and the same 3 in the back, on rt side, below shoulder blade.....result of a 4whlr accident 3 years ago in june 2014, i have built a tolrance with my pain meds (percoset.) I was wondering if there could be either a more effective medication? Also, i am worried that i have become an addict. I have ran out of my meds before refill was refill - able. This caused me to feel even worse than i already did. And this lasted several days. Im guessing that is the DT s ? Either way, im wanting to find something (med) that eease pain but may help me with detoxing. Any suggestions/ideas please?
Mon, 30 Apr 2018
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Addiction Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment.

Type of pain

Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. AND there are a lot of particular drugs for nerve pain like anti-epileptics.

Location of pain

There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility.

Sick nerves are multiple areas and tend to be the TIPS of the nerve not the whole nerve. But with a particular nerve pinch localized treatment onto the nerve is often helpful this can include local injections and surgery.

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

Regards,
Dr. Matt Wachsman
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Need Medicines For Pain Due To Spine Fracture

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. AND there are a lot of particular drugs for nerve pain like anti-epileptics. Location of pain There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it hit a nerve would be a possibility. Sick nerves are multiple areas and tend to be the TIPS of the nerve not the whole nerve. But with a particular nerve pinch localized treatment onto the nerve is often helpful this can include local injections and surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman