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Neck pain, root compresssion in right shoulder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2234 Questions
User :   Doctor,My physician gave me predmet 4mg od,pregaba 50mg hs,and acelophenoc od for managing my cervical c6 root compression caused pain in Rt shoulder.I am made to understand that predmet is something steroidal drug which may impair my body function-is it safe to contineu for long?
Doctor :   Hi
Doctor :   I am
User :   yes iam here doc
Doctor :   Predmet is steroid
Doctor :   It should not be used for long time.
Doctor :   It should be used only for 1 month maximum.
User :   what are the ill effects if I contineu for long
User :   will it be helpful in managing my pain
User :   hallo are you there
Doctor :   It is helpful for short term
Doctor :   But you can stay for long term
Doctor :   People with major problems like Rheamtoid arthritis need long term steroids
User :   what about other medicines
Doctor :   Side effects are
Doctor :   increased blood sugar for diabetics
Doctor :   weight gain
User :   i m not diatbatic yet
Doctor :   I am telling you the side efects are steroid medicines if used for long term
Doctor :   peptic ulcer
Doctor :   It will decrease immunity and u ay infections
User :   Is this treatment for radiculopathy is good or should i go for operation
Doctor :   it will weaknen the bones
Doctor :   pregaba 50mg is good
User :   what would you recommend for my prob
Doctor :   acelophenoc od is good
Doctor :   My recommendations: 1. Stay on pregaba 50mg and acelophenoc od as long as you can tolerate pain
Doctor :   When you are unable to tolerate pain and tired of pain, and pain is really effecting ur quality of life, then go for surgery
User :   docor prescribing is DM NEURO
Doctor :   People usuallt stay on medicines for 1 yr
Doctor :   Then think abt surgery
Doctor :   It is safe
Doctor :   and very effective
Doctor :   It relieves pain very much
Doctor :   I dont know
Doctor :   may be upto 4
Doctor :   This is my recommendation
User :   your final suggestion pl
User :   should I discontineu my medicines right now or wait
Doctor :   Instead of taking daily prednisone, according evidence based medicie,you can steroid shot every 3 months
Doctor :   2. continue medicnes
Doctor :   3. stop oral steroid after 1 month
Doctor :   4. do physical theraphy
User :   Will it not worsen my case
Doctor :   If it worsen go for surgery
User :   I am little fearful for this
User :   I am 60,inthis light pl
Doctor :   surgery does not harm life
User :   suggest some good physio ex
User :   or give some good web sites to visit
Doctor :   You need to consult Orthopedic and then Physiotheraphy for exercises
User :   orthpaedic need is it so?
Doctor :   It is not advisable to do physical therapy on your own
Doctor :   Yes
Doctor :   U can completely consult neuro and then Physio
User :   ok i will consult,but what are good physio ex for c6 prob
Doctor :   but doctor will advise physio to do specific exercises on u
User :   but they say consult physio persons
User :   would you tell me some more medicines to add
User :   waiting your version
Doctor :   No
User :   your final call pl
Doctor :   How many times you ask the same Q?
Doctor :   I gave my sincere advise
User :   ok, any thing more
Doctor :   I suggested what medicnes to take and what to stop
Doctor :   I told you when to go for surgery
User :   ok bye doc
Doctor :   I suggested consulted consult Physio
Doctor :   If nothing works go for surgery, which is safe
Doctor :   it looks You are getting scared
User :   thank you doctor
Doctor :   You need to cope up with the problem
Doctor :   otherwise you get frustarted more thqan the neck pain
User :   fine
Doctor :   Frustration/anxiety will decrease pain threshold
Doctor :   It makes the pain worse
User :   right
Doctor :   Hope you follow my advise
Doctor :   It is very starigh
User :   yes sure
Doctor :   Please read the chart carefully, u will Analise the facts
Doctor :   oK
User :   should we end now
Doctor :   Yes
Doctor :   Did I answer ur Q
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