What causes severe lumbar pain and chronic fatigue post an injury?
Hello, and thanks for your question.
A potentially overlooked unifying factor that can intensify all types of pain and also accounts for your psychological symptoms is anxiety and depression. Typically these are treated with antidepressants, but you are already on two of these (amytriptyline and Cymbalta). I think many of your symptoms could be related to polypharmacy, as you are on many medications which are interacting with each other (causing GERD, tongue movements, dry mouth, and fatigue). I recommend avoiding additional medications and instead pursuing an equally effective therapy for anxiety, depression, and pain: cognitive behavioral psychotherapy. I would seek out a CBT therapist in your area. I also offer online text-based therapy on this website via my private link below.
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