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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Back Pain

I jut got back from going to a clinic with severe back pain. The doctor at the clinic prescribed Tylenol 2 and an anti-inflammatory. I had bariatric by pass surgery one year ago and I remember them telling me something about not being able to take anti-inflammatory meds ever again. I have not gone to get the prescriptions filled yet, instead I came home because I was going to wait until tomorrow to call my family doctor to see if it s okay to take the medications that the clinic doctor prescribed. He also told me to go see a chiropractor and or get a massage, he said my back is out of line. He also gave me a prescription to go for physio-therapy. He also recommended that I get a bone density test to see if I have developed osteo-arthritis. My back is very sensitive to touch and my husband tried to rub an ointment on it last night and I was in too much pain so he had to stop. Any suggestions? I don t know what I can take for the pain since I had the gastric bypass surgery. Would appreciate any knowledge that you might have on this subject. Thanks so much. Sincerely, Karen
Mon, 30 Jun 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.

It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.
The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.
You can get the appropriate drugs prescribed from your Orthopedician after examination.
Meanwhile you can follow these measures:
- If the pain is severe, you need bed rest till the pain resolves.
- Get some analgesics prescribed and apply analgesic spray or ointments.
- While resting, keep a pillow under your knees if it doesn't bother you.
- Avoid lifting heavy objects.
- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.
- Avoid exercises in times of pain.
- Improvise your posture while sitting.
- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Also, maintain a proper posture while working, sitting and standing. Keep your back straight.
Physiotherapy plays a major role in treating such conditions.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Treatment For Severe Back Pain

Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate drugs prescribed from your Orthopedician after examination. Meanwhile you can follow these measures: - If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments. - While resting, keep a pillow under your knees if it doesn t bother you. - Avoid lifting heavy objects. - Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. - Avoid exercises in times of pain. - Improvise your posture while sitting. - Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions. I do hope that you have found something helpful and I will be glad to answer any further query. Take care