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Suggest Treatment For Chronic Back Pain And Diminishing Motor Skills
I am a 65 year old male suffering from a back injury for the past 15 years I was first prescribed Tylenol 3 then other stronger meds finaly 12 years ago my doctor put me on oxyneo they worked well at first but as time went on the prescription strength increased to where I now take 8 80 mg perday. Now I must have built up a tolerance to them because the pain is back with a vengeance. I have tried to cut myself back but now it is the extreme withdrawl symptoms.Now to top it all off I am getting extremely depressed.My fine motor skills are compromised my walking is is getting worse and overall thought process is also causing more depression.My hands shake constantly when doing every day chores and it is next to imposible to do any task that takes any fine dexterity.I have tried to talk to my family doctor about these problems but he seems to avoid me when I ask him what steps to take to find out if the problems are madicinaly induced or mentaly induced.I am at the end of my rope as what to do.
Mon, 18 Apr 2016
hi,
thank you for providing the brief history of you.
A thorough neuro-muscular assessment is advised further.
Since you have been taking alot of medicines, it is unsure if the symptoms faced by you are directly or indirectly related to it. Also, stopping the medicine completely will help understand this better.
Also, you are having a chronic back pain, an MRI of the lumbar spine is recommended which can help understand the soft tissue injury in the region and help assistance to plan a rehabilitation process.
Undergoing physical therapy - therapeutic ultrasound therapy, TENS therapy will help reduce the pain. Also, post this, exercises will be made planned to strengthen the core muscles, spinal muscles, pelvic floor muscles and lower limb muscles. Usually in chronic pain patients undergo physical therapy and this has helped them better in my personal practice. Post physical therapy completion the exercises needs to be performed at home on regular basis to avoid recurrence of the back pain.
In my personal experience i have seen 99% success in such cases with rest, posture correction, physical therapy and medication.
Regards
Jay Indravadan Patel
thank you for providing the brief history of you.
A thorough neuro-muscular assessment is advised further.
Since you have been taking alot of medicines, it is unsure if the symptoms faced by you are directly or indirectly related to it. Also, stopping the medicine completely will help understand this better.
Also, you are having a chronic back pain, an MRI of the lumbar spine is recommended which can help understand the soft tissue injury in the region and help assistance to plan a rehabilitation process.
Undergoing physical therapy - therapeutic ultrasound therapy, TENS therapy will help reduce the pain. Also, post this, exercises will be made planned to strengthen the core muscles, spinal muscles, pelvic floor muscles and lower limb muscles. Usually in chronic pain patients undergo physical therapy and this has helped them better in my personal practice. Post physical therapy completion the exercises needs to be performed at home on regular basis to avoid recurrence of the back pain.
In my personal experience i have seen 99% success in such cases with rest, posture correction, physical therapy and medication.
Regards
Jay Indravadan Patel
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