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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chronic Pain In Back And Legs . Diagnosed With MS. Unable To Sleep. Advice?

Hi my name is IDA, my daughter in law s name is Debbie.She has MS.She has chornic pain in her back and legs.She was diagnosed when she was 30 yrs old ,now shes 42.She suffers so bad with pain.No one will help her with the pain. she never sleeps .It s so hard for my son to watch her and not to be able to help her. Please could you help her or give me a number to call a dr that can.thankyou Ida Pickup
Tue, 3 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Muscle pains and spasms can be improved with physiotherapy involving stretching and strengthening exercises.

If the pains/spasms are very severe enough to limit the activities of daily living, then muscle relaxants like Baclofen or Tizanidine may be of help.

If the pain is of neuropathic origin (sharp and stabbing pain), either Pregabalin or Gabapentin or Amitriptyline usage will resolve the symptoms.

Hope this information is helpful. Good day
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Orthopaedic Surgeon Dr. Vaibhav Gandhi's  Response
Hello,

I have studied your case with diligence.

For controlling pain MS you need a combined holistic approach to reduce pain.
opiod medication will give her pain free state , but these medication need to be taken regularly .

I will advise you to do regular physiotherapy and exercises as she may get relief by these therapies.
Meditation and accupuncture will help as supporting therapy.
Some biologic injections have proven to halt progression of MS so consult your treating doctor to start those.


Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Have Chronic Pain In Back And Legs . Diagnosed With MS. Unable To Sleep. Advice?

Hi, thanks for writing to HCM. Muscle pains and spasms can be improved with physiotherapy involving stretching and strengthening exercises. If the pains/spasms are very severe enough to limit the activities of daily living, then muscle relaxants like Baclofen or Tizanidine may be of help. If the pain is of neuropathic origin (sharp and stabbing pain), either Pregabalin or Gabapentin or Amitriptyline usage will resolve the symptoms. Hope this information is helpful. Good day