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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Lower Back Pain

I m 27 and was involved in a severe rta a year ago. This caused severe chronic lower back pain (mri show no cause for this) and crps in right leg. Morphine does not work so doctors are now weaning me off it with no intention of replacing it with something else. I feel this is inhumane - do you?
posted on Thu, 27 Nov 2014
Twitter Thu, 29 Jan 2015 Answered on
Twitter Thu, 29 Jan 2015 Last reviewed on
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.

Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.
Now lift both hand and leg simultaneously, 6 inch off the ground and stay
Position for around 10 breathes. Core stabilizing spine exercises will help.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

Some life style modifications to prevent pain– Take break every 40 min from computer and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly.
I will advise to check your vit B12 and vit D3 level.

Yes you should wean morphine to avoid dependance

Hope this helps. Wish you a speedy recovery.

Take care.
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Suggest Treatment For Chronic Lower Back Pain

Hello, I have studied your case. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inch off the ground and stay Position for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Some life style modifications to prevent pain– Take break every 40 min from computer and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly. I will advise to check your vit B12 and vit D3 level. Yes you should wean morphine to avoid dependance Hope this helps. Wish you a speedy recovery. Take care.