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Pain management techniques for chronic lower back ,leg and knee pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Dear User, You have started the test chat with our doctor. The duration of the test chat is 5 minutes. After the trial period, you will be redirected to the Payment page
Doctor :   Hi
Doctor :   How can I help you?
User :   i have been suffering chronic lower back and leg and knee pain since april this year,due to have mri in january what pain relief can i take in meantime .
Doctor :   What is your age
Doctor :   and how did the pain start?
Doctor :   What are the medicines that you are taking now?

Doctor :   Hi
Doctor :   are you back?
Doctor :   are you there
User :   phenalzine lorazapine zopiclone,ibuprofen paracetamol
Doctor :   Ok
Doctor :   Does the pain come back with these pain reducing medicines?
User :   these medcines for pain do no good at all what can i take to give me some relieve from pain which is bad and constant?
Doctor :   These are the medicines that are prescribed by the doctor?
User :   i was given cocodamol all they done was give me constipation,stopped taking them.
Doctor :   Did you try anything else to keep the pain low
Doctor :   apart from medicines
User :   yes ice packs hot water bottles,and tens pain reliever,no good.
Doctor :   What is the cause of the pain that you have now
User :   do not know have had back pain for tears but never like this in back legs knees and feet,uused to go away but not now.
Doctor :   The medicines and the conservative methods that you have used now are specific
Doctor :   till now
Doctor :   If you still have not been relieved the pain , you may need higher pain relief medicines
Doctor :   like narcotics
Doctor :   Narcotics are drugs that relieve pain and cause drowsiness or sleep.
Doctor :   but these again cause the constipation
Doctor :   though
Doctor :   But constipation can be handled
Doctor :   with foods rich in fibre, water plentiful, hot drink, drinking liquid etc
Doctor :   Hello are you a slow typer
Doctor :   What is your age?
User :   as i said waiting for mri scan jan2nd.dont know if i can take them.anything to get some relieve.what are narcotics? and would they be prescibed by my dr?ps already drink plenty of water no alchohol and take lactolose when have to excuse my slow typing new to computers.
Doctor :   No problem
Doctor :   When did you try the hot water bags
Doctor :   you have to choose these pain relief measures
Doctor :   one after the other
Doctor :   One loses its effect then start another, then it too loses, then start third one, it too loses, start fourth one, then again first one, second one then
Doctor :   so on
User :   have done so.
Doctor :   Narcotics are the medicines that your doctor gives in prescription depending on the efficacy of the other pain relievers
Doctor :   They are higher end pain relieving medicines
Doctor :   I did not get answer for you age, the cause of the pain yet
User :   58 it is believed to be wear and tear degeneration of tissue between bottom 2 discs wont know 4 sure until results of scan.
Doctor :   Ok
Doctor :   a degenerative spine disease
Doctor :   are you over wt?
User :   no that has been confirmed.
Doctor :   Did you try the Capsaicin cream
Doctor :   applying it and then hot fomentation or hot shower bath
User :   no can i get that fromchemist or only of dr?,is it any good?.
Doctor :   You can get it from the chemist
Doctor :   no doctor prescription
Doctor :   apply the cream to the painful areas
Doctor :   Were you not referred to the physiotherapist? for the pain relief exercises
User :   yes went 4 three months again no relieve,but will try that cream if i can get it.
Doctor :   yes
Doctor :   One more thing
Doctor :   which take some time but very effective
Doctor :   is relaxation techniques
Doctor :   Relaxation relieves pain or keeps it from getting worse by reducing tension in the muscles. It can help you fall asleep, give you more energy, make you less tired, reduce your anxiety, and make other pain relief methods work better.
Doctor :   your ability to relax may vary from time to time and that relaxation cannot be forced
Doctor :   Did you take the help of hospice anytime?
User :   ok but spend lot of time lying down to try and get releive. thanks for your suggestions,will try anything to relieve this pain. what do you mean help of hospice?.
Doctor :   Hospice is a group which teach you the ways to get pain relief
Doctor :   Ask your doctor or nurse to recommend commercially available relaxation tapes.
Doctor :   These tape recordings provide step-by-step instructions in relaxation techniques.
User :   that may occur i have been told after scan,or will have to see a consultant.
Doctor :   You can do what ever it takes to relieve from pain
Doctor :   which is more important at this age
Doctor :   massage is also good
Doctor :   try it out
Doctor :   using slow, steady, circular motions. You can massage over or near the area of pain with just your bare hand or with any substance that feels good such as talcum powder, warm oil, or hand lotion.
Doctor :   Ok please contact me after these few things that I have told you
Doctor :   i sincerely stress on relaxation techniques
Doctor :   which adds the to the relief you get with other methods
Doctor :   Ok
Doctor :   Please fill the feedback form say done when done
User :   will try all you you have suggested but dont have a lot of time being a full time carer to my wife for the last 12yrs she had major stroke. will fill in form done now thanks very very much .
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
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