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Recurrence of Spinal Stenosis. Suggested to have interferential therapy. Medical cure?

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Orthopaedic Surgeon
Practicing since : 1998
Answered : 4917 Questions
Hi, I wrote in about my back problems on 10/3 and received an answer I didn't have a chance to get back to the doctor about as my "mouse" stopped working! I got a suggestion from Dr. XXXXXXX XXXXXXX (orthopaedic surgeon,) regarding my probable recurrance of Spinal Stenosis and the fact that after I had surgery for it in 2007 and sa no improvement, the neurosurgeon found through a second MRI using the XXXXXXX that in his words "There is nothing more I can do for you, your entire spine is "Riddled" with arthritis." Spinal decompression and mutilevel laminectomy is a good option. I read about that, and it appears that it is to give relief for those who have nerve problems and it doesn't usually address the actual "bone" pain. He also said I could visit a tertiary spine centre, I checked with "The Laser Spine Institute" as it sounded very promising, but I am on Social Security Disability, only have Medicare QMB, (I am 62 and was (laughably, now!) put on Total Federal Social Security Disability for Severe Depression, recurrent years ago.) He also mentioned neorotropic medication, and I'm not XXXXXXX what that is. I take Tylenol as I am allergic to NSAIDS. I live alone, am very small, and can not afford help with housework. I try not to hurt myself, but this seems like a downward spiral where I just can't win. Also, the Physical Therapy I went to for a time in 2008 was useless, they didn't seem to now what to do with me. I am wondering about the physio Therapy he suggested like Ultrasound, and how that works, and also "interferential therapy." I want to go to my PCP with things in hand to give her so she can refer me to the correct medical proffessionals. Thanks very much!
Posted Mon, 4 Nov 2013 in Back Pain
Answered by Dr. Vaibhav Gandhi 1 hour later
Brief Answer:
Neurotropic include gabapentin,methylcobalamine

Detailed Answer:
Hello again,

I have studied your case.

Neurotropic medication includes those help in reducing nerve edema and increase neurotransmission.
They include gabapentin,methylcobalamine.

Physiotherapist can help you to reduce pain by using various machines like, ultrasound [it emits ultrasonic waves and gives tissue relaxation], interferential therapy [low voltage electrical current cross each other to produce pain free state]

Continue your medications for depression.
You can consult psychiatrist also.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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