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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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77 Years Old, Has Back Pain And Cant Walk Much. Had Lung Cancer. Taking Tramadol. Suggestions?

mum is 77, in constant backpain cant walk much due to so much pain, spine as been investigated, and nothing can be done,could u recomend a effective pain tablet, she ad lung cancer 5yrs ago is now clear still as pain in lung area as disease also. as took tramadol 4hourly does not help took did take morfine tablet only helped a little but ad side effects,she does suffer with tummy probs from some tabs.what do u sugest doctor gave her duloxetine 60mg is that for pain, i thought they r antidepressants.
Mon, 6 May 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The back pain which is not being relieved by opoids (tramadol, morphine) requires some other means to control the pain.
First of all the cause of pain needs to be found out.
Since, your mother had a history of lung cancer, the probability of metastasis to the spine is likely.
A bone scan is needed.
Bone scan will detect the focus of metastasis in spine, if any.
The metastatic focus can be treated by radiotherapy.

Duloxetine is an antidepressant.
Probably there are features of depression in your mother due to back pain and tummy problems.

Thanks and take care.
Dr Shailja P Wahal

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77 Years Old, Has Back Pain And Cant Walk Much. Had Lung Cancer. Taking Tramadol. Suggestions?

Hello and welcome to HCM, The back pain which is not being relieved by opoids (tramadol, morphine) requires some other means to control the pain. First of all the cause of pain needs to be found out. Since, your mother had a history of lung cancer, the probability of metastasis to the spine is likely. A bone scan is needed. Bone scan will detect the focus of metastasis in spine, if any. The metastatic focus can be treated by radiotherapy. Duloxetine is an antidepressant. Probably there are features of depression in your mother due to back pain and tummy problems. Thanks and take care. Dr Shailja P Wahal