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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Depressed, Pain In Neck And Back. Treatment?

Yes, thank you. I am on Methadone 10 mg tablets, Methocarbamol 750mg tablets, Trazadone for sleep and two anti depressants. I've been hit 3 times in car accidents and recently tripped and fell onto my chin and face. I've been in severe pain for about 10 years and am so tired of being on medications. I am depressed - lost my younger brother, my uncle, 7 friends and my husband within a year, lost my job, am considered disabled, and so on. Is there any hope that my neck and back might someday be in less pain? I've tried 37 different treatments, chiropractic, accupuncture, sacrial cranial work, pain management and more. Sorry, I am unable to pay the $15 for a reply...I do not have extra $ to spend.
Wed, 16 Oct 2013
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General & Family Physician 's  Response
Thank you for asking on HCM.

If I was your treating physician i will do the following for your pain:
1. Start tab duloxetine ( this is a strong antidepressant having a special feature to relieve body pains).
2. Start tab pregabalin. It is useful in relieving neuropathic pains in the body.
3. Investigate for other causes of neck and back pain by doing an X-ray of the neck spine and back.
4. Self CBT or professional talk therapy for depression.
I can understand the pain that you are going through and the stressful times you have been through. You can also join social support groups online and start simple muscle relaxation exercises.

I hope you find this helpful.
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Depressed, Pain In Neck And Back. Treatment?

Thank you for asking on HCM. If I was your treating physician i will do the following for your pain: 1. Start tab duloxetine ( this is a strong antidepressant having a special feature to relieve body pains). 2. Start tab pregabalin. It is useful in relieving neuropathic pains in the body. 3. Investigate for other causes of neck and back pain by doing an X-ray of the neck spine and back. 4. Self CBT or professional talk therapy for depression. I can understand the pain that you are going through and the stressful times you have been through. You can also join social support groups online and start simple muscle relaxation exercises. I hope you find this helpful.