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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should A Pain Pump Be Considered For Severe Pain In The Back?

I have had 4 back surgeries and still in a lot of pain I was on all kinds of meds the last one was diladid and it helped but didn t last long. I have DDD and mygrains real bad also. I would like to know if a pain pump would be something I need to consider many Dr. have mentioned it but I want more opinions?
Mon, 23 May 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank you for providing the brief history of you.

As you have already undergone back surgery and not the pain has not come down I feel this is called as failed back syndrome. As the surgery couldn't do much to help you.

There is a criteria for the surgery of the spine.
1. unbearable severe pain
2. disc flowing into the canal compression the spinal cord
3. disc compression on the nerve root - unilateral or bilateral with severe neurological symptoms

If this was not taken into consideration as per my clinical practice most surgeries fail.

i will advice you to understand that drug therapy has a limitation of only symptomatic relief. Also on a longer run the pain killers may damage the kidney and I fear you will not be prescribed any more pain killers.

What I can advice you with my clinical practice is to try out physical therapy as by only strengthening the muscular system the pain and aches can be controlled and we have 99% of success rate with failed back syndrome with physical therapy.

for any in-depth understanding and physical therapy procedures about spine rehabilitation you can ask questions if you have any.

Thank-you

Jay Indravadan Patel
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Should A Pain Pump Be Considered For Severe Pain In The Back?

hi, thank you for providing the brief history of you. As you have already undergone back surgery and not the pain has not come down I feel this is called as failed back syndrome. As the surgery couldn t do much to help you. There is a criteria for the surgery of the spine. 1. unbearable severe pain 2. disc flowing into the canal compression the spinal cord 3. disc compression on the nerve root - unilateral or bilateral with severe neurological symptoms If this was not taken into consideration as per my clinical practice most surgeries fail. i will advice you to understand that drug therapy has a limitation of only symptomatic relief. Also on a longer run the pain killers may damage the kidney and I fear you will not be prescribed any more pain killers. What I can advice you with my clinical practice is to try out physical therapy as by only strengthening the muscular system the pain and aches can be controlled and we have 99% of success rate with failed back syndrome with physical therapy. for any in-depth understanding and physical therapy procedures about spine rehabilitation you can ask questions if you have any. Thank-you Jay Indravadan Patel