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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Back Pain And Muscle Spasms

Hello. I m 37 years old and I have chronical back pain, neuropathic pain and muscles spasm. I take 20 mg Oxycodon and 50 mg Baclofen each day for many years. My dream is to become pregnant. I could replace the opiates with Buprenorphin but have no idea what to do with the spasm. Can you please help me? Tina from Germany
Mon, 24 Nov 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
Low backache looks like a positional anomaly. The low back ache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation).
Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time.
You need to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well.
Remember that medicines usually don't play a role in long term treatment, what does is exercises. Few exercises that the therapist will teach you must be done for life time.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Treatment For Chronic Back Pain And Muscle Spasms

Hello, Thanks for your query. Low backache looks like a positional anomaly. The low back ache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don t sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. You need to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well. Remember that medicines usually don t play a role in long term treatment, what does is exercises. Few exercises that the therapist will teach you must be done for life time. I do hope that you have found something helpful and I will be glad to answer any further query. Take care