Question: I am a 56 y/o female OR RN who has had two L4-L5 procedures, and a nucleoplasty at L5-S1 and about 3 months ago had a severe change in my lower back as I had a severe increase in my lower back and to the foot posteriorly in my right leg. At present I am seeing a Board Certified Anesthesiologist who has completed a Fellowship in Pain Management. That having been said, my progress has reached a point where all he can advise is the implantation of a nerve stimulator in the control of my pain. I am currently using a Fentanyl 50mcg patch, Norco 10/325 q 6 hours, Lyrica 150mg q 8 hours, Cymbalta 60mg OD, Zanaflex 4mg q 8hrs, Amitriptyline 25mg q HS, Levothyroxin 0.175mg OD, ASA 325mg q AM, Ibuprofen 800mg BID and Vitamins.
My problem is that in the last week I have been developing ever increasing spasms and cramps in my low back and right leg. A week and a half ago my pain physician increased my Lyrica dose from 300mg q 12 hours to 450mg g 8 hours. My question is whether the increased Lyrica dosage might be responsible for these spasms and cramps. At present, I take my Zanaflex and lay down with the heating pad until the worst of it passes. Any ideas?