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Having pain in the neck. Taking dillaudine. MRI showed buldging disc. Meaning? Treatment?

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Orthopaedic Surgeon
Practicing since : 1994
Answered : 3847 Questions
Ok so i see my regular doc for ecsama he is treating it wit prednazone and cymbalta i take cymbalta because he thinks that maybe the condition is brought on by stress so on april 28 i was in a serious car accident a car came head on at me spun me sideways and my large suv rolled over twice that i know of i was nocked out and ended up in an ambulance that brought me to er i had a huge knot on the back of my head bad pain in my neck and lower back they gave me two shots of morphine and they did nt touch the pain in the neck so they gave me another shot of dalaudine that worked they did cat scans and x rays they later released me that day with a scrip of 5 mgs percaset well the next morning i woke up in terrible pain went to see my reg doc he put me on dillaudine 2 mgs take two every 4 hours they made me natious so he tryed 10 mgs percoset along with skelaxon and etodalax also 4 times a day the percaset still was nt working he gave 15 mg roxicodone to take as needed as well and also got me in next day with a pain mng specialist in the spin so wene i went to him i had to sign a cotract and take a urine test well i have been smoking pot sense a teenager and i also like to have a beer or two wene i het home from a 10 to 12 hour work day thats all never did any other drug ever not even prescibed narcotics so the new doc put me on 30 mgs of morphine twice daily and 15 mgs of morphene as needed twice daily along with voltaren and skelaxon so on my way i went well i gave it 5 days and the pain in my neck and muscle spasms are just as bad wene i seen him so i called and obviously he seen the weed and alchole in my system and was nt happy about it but he said that all happened before i signed the contract and from this point forward i dont wana see any of that and i havent sense i see his point and understand what his concerns are i honestly just want to get better and start working again and get back to doing the sports that i love too do so that day i explained on the phone i still had bad neck pain and the spasms and he changed my muscle relaxer to tizanidine well the cramps and pain got worse i want to call him about it because my next appointment is in ten days and dont want to live in this pain till then i want him to change my break thru to something that work but am frightened to death i will be deamed a drug addict or a dealer i serously have never used any other drugs other than what i mentioned before i am proud of that i mite add too i am happily married and my wife is six months prego how do i ask him for help without him throwing up the red flag or should i just live with the pain i have till my next app.. Also my mri came back and i have some buldging disc he said but he said we will discus that at my next app please help i do not no what to do honestly that is the hole truth and nothing but thanks in advance for the help
Posted Sun, 9 Jun 2013 in Bones, Muscles and Joints
Answered by Dr. Praveen Tayal 5 hours later
Thanks for posting your query.
It seems that the pain that you are having in the neck and back is due to the muscle spasms due to the injury.
You need a hot shower or use a heating pad under the painful areas for relief. This will help in relieving the muscle spasm. In addition to the pain medications that you are already taking, you need a good muscle relaxant like Thiocolchicoside ( prescription medicine) . You can also have XXXXXXX (carisoprodol) or Flexeril - muscle relaxants available over the counter for relief.
Have a partner gently massage the sore or painful areas.
Try sleeping on a firm mattress without a pillow or with a special neck pillow.
Use a soft neck collar for a short period of time to relieve discomfort.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.
Above answer was peer-reviewed by
Follow-up: Having pain in the neck. Taking dillaudine. MRI showed buldging disc. Meaning? Treatment? 1 hour later
Ok doc i will try to sleep without the pillow and i do have a firm pillow as far as the heat goes i take a 2hour verry hot bath every morning and everynite i also have heating pads set ip in my bed for my neck and for my lower back i usually move them to were i am sitting also. He also has me on a muscle relaxer started with skelaxon and then changed totizanidine the pain is bad and is causing verry bad head aches and makes it verry hard to sleep and wene i get the head aches durring the day i have to pit sheets up over the window cause the light splits my head in half also what do i do about the pain should i just live with or should i ask as i mentioned i am terrified to ask please help the pain is terrible
Answered by Dr. Praveen Tayal 24 minutes later
Thanks for writing again.
Tizanidine has a better efficacy than Skelaxin.

You can also take tablet Tylenol 400mg twice a day for 4 days along with the medicines you are taking already. Avoid temperature extremes. Drink plenty of fluids and consume plenty of fruits and vegetables.

If the symptoms do not improve or you have worsening of headache, review with your doctor for careful examination and to obtain more specific prescription medication.

Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Above answer was peer-reviewed by
Follow-up: Having pain in the neck. Taking dillaudine. MRI showed buldging disc. Meaning? Treatment? 20 minutes later
Well being that i signed a pain contract im not alowed to take any other pain meds other than what i was prescribed and i dont want any trouble like i was saying so how or should i go about asking him with out getting in Any trouble just asking you re oppinion. Also if i were ur patient would i have lost ur trust just be honest i can handle it,im just asking ur advise as a profetional. I would app and verry sory about my terrible spelling.
Answered by Dr. Praveen Tayal 2 hours later
If your pain is not getting relieved, then there is no harm in asking for alternatives or a combination of pain killers.
Persistent pain causes desperation and asking for a revised prescription should not make your orthopedician upset.
Please do not worry and get a second opinion after a re examination.
Above answer was peer-reviewed by
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