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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Have L5, S1, Protrusion, Advised MRI, Taken Vicodin, Tramadol, Lyrica. Pain Killer?

Aloha from Hawaii:

I just heard back from my doctor who ordered an MRI the other night. His diagnosis is L5, S1 disc protrusion. I am wondering if there is a medicine of choice for this pain until I can get more physical therapy, etc. I tried vicodin, tramadol and now he put me on Lyrica. Someone also spoke of Cymbalta (sp?)
Tue, 28 May 2013
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Neurologist,  's  Response
Hi,
You are diagnosed to have L5 S1 disc prolapse and you have severe neuralgic pain because of it.

Lyrica dose to be increased for relief from neuralgia.

Cymbalta contains duloxetine which is a selective serotonin and norepinephrine reuptake inhibitor which when used reduces neuralgic pain, dose range from 20 mg to maximum 60 mg daily.

If symptoms still persists you should consult neurosurgeon ,for epidural steroids.
Hope this will help you

Regards

Dr Sandhya Manorenj
Neurologist
Hi Tech city Hyderabad
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Have L5, S1, Protrusion, Advised MRI, Taken Vicodin, Tramadol, Lyrica. Pain Killer?

Hi, You are diagnosed to have L5 S1 disc prolapse and you have severe neuralgic pain because of it. Lyrica dose to be increased for relief from neuralgia. Cymbalta contains duloxetine which is a selective serotonin and norepinephrine reuptake inhibitor which when used reduces neuralgic pain, dose range from 20 mg to maximum 60 mg daily. If symptoms still persists you should consult neurosurgeon ,for epidural steroids. Hope this will help you Regards Dr Sandhya Manorenj Neurologist Hi Tech city Hyderabad