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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Fibromyalgia And Arthritis Of The Spine Be Treated?

Okay, thank you. I have been on Percocet and other moderate to severe painkillers for years due to fibromyalgia, arthritis of the spine, and just general arthritis. I was on the Fentanyl patch but it s now priced out of my ability to pay. I ve been disabled since 2009. What do I do? I also discovered in November that I also have congestive heart failure. What can my doctor prescribe me to deal with the pain?
Mon, 26 Mar 2018
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Internal Medicine Specialist,  's  Response
Hello,

Long-term outcome for the majority of patients with fibromyalgia is sufficiently disappointing so that most patients can be considered to have "resistant" disease. Among published treatments, education, active exercise, and nighttime antidepressant medications perform best.

If you are suffering from heart failure means you need to use a fewer dose of NSAIDS depending upon your condition. Psychological or exercise or physical therapy is useful. Drugs like antidepressants with yoga meditation are useful. If symptoms not improved, please consult your rheumatologist he will examine and treat you accordingly.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu
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How Can Severe Fibromyalgia And Arthritis Of The Spine Be Treated?

Hello, Long-term outcome for the majority of patients with fibromyalgia is sufficiently disappointing so that most patients can be considered to have resistant disease. Among published treatments, education, active exercise, and nighttime antidepressant medications perform best. If you are suffering from heart failure means you need to use a fewer dose of NSAIDS depending upon your condition. Psychological or exercise or physical therapy is useful. Drugs like antidepressants with yoga meditation are useful. If symptoms not improved, please consult your rheumatologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu