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Suggest Medication For Severe Back Pain

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Posted on Fri, 20 Nov 2015
Question: I have back pain and am taking eliquis. Tylenol does nothing for me. It is muscle pain. What can I take for pain. My doctor ruled out Motrin.
doctor
Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
tricky

Detailed Answer:
there can be a LOT of causes of back pain

http://www.yyyyyyyyyyyyyyy.net/back%20pain.html

and... some of them like bleeding into the back are quite serious and need the eliquus stopped (it wouldn't be a subtle pain. It would usually have other consequences). Likewise a disk herniation in the back, or urinary tract/kidney problems would have other signs/symptoms.

Alternativley, a minor muscle/skeletal problem has many possible medications and other things like physical therapy, massage (not accupuncture!), local / topical medications like bengay. And muscle relaxers might be helpful too.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (14 hours later)
What muscle relaxer can be taken with eliquis?
doctor
Answered by Dr. Dr. Matt Wachsman (6 hours later)
Brief Answer:
really all of them.

Detailed Answer:
The only drugs that are bad with it are those that either increase risk of bleeding (aspirin like drugs and coumadin among others are bad) or those that mess up liver metabolism of drugs (there aren't that many of them and NONE of the muscle relaxers fall into this category). The FDA approved package insert says that unless a drug REALLY REALLY messes with liver metabolism not to worry about it. Flexeril, carisoprodol, robaxin, skelexin, tizanidine, baclofen are all ok.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (3 hours later)
Thanks for answer. Puzzling question for you. I have upper back pain that is worse if I move my neck. I also get chest pain at night when I walk. Doctor said its angina. Why does pain increase when I turn neck if it's angina?
doctor
Answered by Dr. Dr. Matt Wachsman (6 minutes later)
Brief Answer:
yes, quite right to question that.

Detailed Answer:
"pain triggered by movement" is a classic textbook determinant that it is NOT angina, can find loads of references on that. Also, I suspect you can push on particular PARTS of the neck to trigger some/most of it (and you won't be pushing on the heart!).

On the other hand, chest pain at night (colder) when walking (exertion) fits with heart pain. (but it might be neck).

A regular stress test is quite good for determining if the pain is due to heart or neck. A neck x-ray (the 100 dollar one; not the thousand dollar MRI one) is quite good to screen for neck problems (but the MRI one is good for determining if surgery is needed and how to do the surgery).
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest Medication For Severe Back Pain

Brief Answer: tricky Detailed Answer: there can be a LOT of causes of back pain http://www.yyyyyyyyyyyyyyy.net/back%20pain.html and... some of them like bleeding into the back are quite serious and need the eliquus stopped (it wouldn't be a subtle pain. It would usually have other consequences). Likewise a disk herniation in the back, or urinary tract/kidney problems would have other signs/symptoms. Alternativley, a minor muscle/skeletal problem has many possible medications and other things like physical therapy, massage (not accupuncture!), local / topical medications like bengay. And muscle relaxers might be helpful too.