Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Suggest Treatment For Severe Muscle Spasms Due To Degenerative Disc Disease
I have herniated disc, bulging disc, degenerative disc disease. I suffer from severe pain and muscle spasms. The only medication I found to help is Soma. Do you prescribe Soma 350 mg and can I obtain a prescription? I hope you re the solution to my problems. Thank you and I look forward to hearing from you. Sincerely.
Fri, 26 Sep 2014
Orthopaedic Surgeon, Joint Replacement, Dr. Saurabh Gupta's Response
Hello, Thanks for your query.
There are many different modalities that can help the pain from degenerative disc disease( DDD).
You should keep your BMI under 25.
Core strength is important. I know you said that your cannot work out but you can do body weight exercises that will help strengthen you back. One example is performing a simple plank. Pilates is a very good exercise regimen for patients with back pain as it focus's on core strength. There are some dedicated plans for patients with back pain.
Physiotherapy and modalities such as ultrasound and TEN's machine can help. Massage can definitely afford some symptomatic relief as muscles do spasm in response to the pain.
Medication - use a stepwise approach. Try to avoid opiate and benzodiazepine containing medication or use only for acute flares in pain. Start with tylenol and advil. Other different possibly more effective antiinflammatories such as naproxen and diclofenac can be substituted. If there is a neuralgic component to your pain then gabapentin or pregabalin can help. Amytryptiline at night can be of benefit.
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 Muscle Spasms Due To Degenerative Disc Disease
Hello, Thanks for your query. There are many different modalities that can help the pain from degenerative disc disease( DDD). You should keep your BMI under 25. Core strength is important. I know you said that your cannot work out but you can do body weight exercises that will help strengthen you back. One example is performing a simple plank. Pilates is a very good exercise regimen for patients with back pain as it focus s on core strength. There are some dedicated plans for patients with back pain. Physiotherapy and modalities such as ultrasound and TEN s machine can help. Massage can definitely afford some symptomatic relief as muscles do spasm in response to the pain. Medication - use a stepwise approach. Try to avoid opiate and benzodiazepine containing medication or use only for acute flares in pain. Start with tylenol and advil. Other different possibly more effective antiinflammatories such as naproxen and diclofenac can be substituted. If there is a neuralgic component to your pain then gabapentin or pregabalin can help. Amytryptiline at night can be of benefit. I do hope that you have found something helpful and I will be glad to answer any further query. Take care