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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Cervical Stenosis, Painful Body. Antidepressants, Celebrex, Epidural Steroid Injections. Surgery?

I'm a patient diagnosed with cervical stenosis of the C4 C5 C6 C7. I have pain from my neck down to my right hand and fingers. I've been taking anti depressant drugs , Celebrex and strong pain medications. Surgery was advised after all conservative treatments failed like therapy and epidural steroid injections. After the second MRI there was thickening of the T1 T2 T3. Is this alarming? The neurosurgeon told me the surgery will be complicated and maybe I will need another surgery after the first one. I'm worried coz the pain is getting worse now and I have no schedule for my surgery yet.
Wed, 15 May 2013
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Psychiatrist,  's  Response
Hi there ~

I understand your concerns. I also believe that you are not on an adequate trial of antidepressants. This would mean optimizing the dose, adding adjunctive medications as well as using it for a adequate time period to get the maximum benefit from the medications. I also believe that you will find it effective to take yourself to a psychiatrist who can get you to the right doctor and also for the medications for pain. I hope this helps. Take care and have a lovely day!
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Diagnosed With Cervical Stenosis, Painful Body. Antidepressants, Celebrex, Epidural Steroid Injections. Surgery?

Hi there ~ I understand your concerns. I also believe that you are not on an adequate trial of antidepressants. This would mean optimizing the dose, adding adjunctive medications as well as using it for a adequate time period to get the maximum benefit from the medications. I also believe that you will find it effective to take yourself to a psychiatrist who can get you to the right doctor and also for the medications for pain. I hope this helps. Take care and have a lovely day!