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Persisting pain even after several orthopedic surgeries, get relief with narcotics. How can I convey this?

I am a 65 yr old male, have had 30+ surgeries, mostly orthopedic , bilateral hips, knees, and shoulders replaced, and two lower lumbar disc question is this, how do I approach any physician and tell them that the only pain relief that I can get still is from a narcotic? Thanking you, in advance, I am for your reply. Joe
Asked On : Wed, 31 Oct 2012
Answers:  1 Views:  91
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Internal Medicine Specialist 's  Response
Hi Mr. Joe,

Thanks for your query.

The treatment depends on the cause of pain. I wish you had described the exact nature of pain.

Pain due to orthopedic conditions can be as a result of either, permanent residual damage to the joints, osteoarthritis, osteoporosis with osteopenia (thinning of the bones due to calcium deficiency) or post-surgery. In that event, narcotic pain-killers are the only option. However, pain due to osteoporosis can be reduced significantly with calcium + Vitamin D3 supplements and a high protein diet. A Bone Densitometry test will diagnose these conditions.

On the other hand, nerve pains (called Neuralgias), due to 'pinching' of the nerves by the bones, anti-epileptic drugs are very effective in curbing such pains.

Consult your doctor, describe the nature of your pain to him in as much details as possible, to enable him to identify the cause of pain; order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
Answered: Fri, 10 Jan 2014
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