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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Stiffness And Pain In The Neck While On Gabapentin?

I ve had radical ne neck dissection I have also had a operation to remove 42 lymphnods. I had cancer of the salivary gland and the removal of the nodes was to see if they were clear. I m five years pass the operation and I have had back surgery s also particularly balloon khyphplastry, twice. Same Time span, five years or so. Along with this cancer so I had radiation came there radiation on prostate cancer as well my question is why am I getting such bad back spasms five years after the fact And my back and neck are stiff constantly and stiffing further as I walk to the point where I can t move my neck. I am on gabapentin and I also take ad Advill to releave this painful condition
posted on Sun, 7 Aug 2016
Twitter Sat, 31 Aug 2019 Answered on
Twitter Wed, 4 Sep 2019 Last reviewed on
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General & Family Physician,  's  Response
Hi,

Based on the history you have shared, you may need a repeat MRI of spine to rule out any structural pathology and may need neurosurgeon review after the MRI.

Blood workup for calcium levels, as well as alkaline phosphatase and LDH to rule out any bony involvement, as well as malignant remnants, need to be ruled out.

Meanwhile, OTC analgesics like acetaminophen or Ibuprofen can be helpful for symptomatic relief. Gabapentin may be continued. If pain is severe, more potent analgesic like tramadol etc can be used.

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

Take care

Regards,
Dr. Saddiq Ulabidin, General & Family Physician
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What Causes Severe Stiffness And Pain In The Neck While On Gabapentin?

Hi, Based on the history you have shared, you may need a repeat MRI of spine to rule out any structural pathology and may need neurosurgeon review after the MRI. Blood workup for calcium levels, as well as alkaline phosphatase and LDH to rule out any bony involvement, as well as malignant remnants, need to be ruled out. Meanwhile, OTC analgesics like acetaminophen or Ibuprofen can be helpful for symptomatic relief. Gabapentin may be continued. If pain is severe, more potent analgesic like tramadol etc can be used. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Saddiq Ulabidin, General & Family Physician