Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Have Lower Back Pain. Have Bulging Disc. Advised Medrol. Not Helping. Can I Another Pain Med That Would Work To Help Reduce Inflammation?
I've been having lower back pain(due to buldging disc which is pinching my nerve) and sciatia pain down right leg for the past 2 weeks. My doctor gave me prescription for Medrol 4mg pak. 6 day pack. I'm currently on the 4th day of taking this med. Not sure if its helping as I am still in pain. My doctor said if Medrol does not work, next would be to get an Epidural Injection. Does this sound like a game plan? In addition to taking Medrol can I take another pain med that would work to help reduce inflamation? Can you please send me your suggestions, comments. Thank you
Hi, thanks for writing to HCM. The description suggests that you have "Lumbar disc disease with radiculopathy". Medrol is a steroid which is said to reduce the swelling of the nerve root thereby decreasing the pain. Please allow some time for the drug to act and cause some therapeutic effect (Remember Medrol is not a magic wand to get rid of all your symptoms in no time). You can also use opioid analgesic (Tramadol), if you have severe pain along with Pregabalin and methylcobalamine to reduce the neuritic pain.
* avoid bending forwards and lifting weights * use a lumbosacral support * intermittant pelvic traction * maintain optimum body weight Hope this helps
Hi, It seems that you might be having osteoartheritis of spinal vertebrae giving pressure and irritation of nerves. Go for physiotherapy regularly and daily. This will give good relief. Do back extension exercise. Do not take any other pain killer along with Medrol. Take calcium, Vitamin A, D supplements. Epidural injection will give good relief. Ok and take care.
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Orthopaedic Surgeon, Joint Replacement, Dr. Saurabh Gupta's Response
Hi, Thanks for posting your query.
Medrol is steroid which work in this condition by reducing the inflammation around nerves. In epidural injection steroid given directly around nerve roots to decrease he associated inflammaion and edema. You can take opioid analgesic like tramadol with medrol to control the pain. Taking methylcobalamin and pregabalin will be helpful. Hope this will helps you. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards Dr Saurabh Gupta
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Have Lower Back Pain. Have Bulging Disc. Advised Medrol. Not Helping. Can I Another Pain Med That Would Work To Help Reduce Inflammation?
Hi, thanks for writing to HCM. The description suggests that you have Lumbar disc disease with radiculopathy . Medrol is a steroid which is said to reduce the swelling of the nerve root thereby decreasing the pain. Please allow some time for the drug to act and cause some therapeutic effect (Remember Medrol is not a magic wand to get rid of all your symptoms in no time). You can also use opioid analgesic (Tramadol), if you have severe pain along with Pregabalin and methylcobalamine to reduce the neuritic pain. * avoid bending forwards and lifting weights * use a lumbosacral support * intermittant pelvic traction * maintain optimum body weight Hope this helps