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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Fibromyalgia, Pain In Neck, Back, Shoulders, Arms And Intermittently In Hands, On Hydrocodone. Solution ?

I have been suffering with fibromyalgia for several years (medically diagnosed in 1999), and on some of my worst days I have pain in my neck , back, shoulders, arms and intermittently in my hands. I have been on hydrocodone 7.5/500 for about four years. It does not completely relieve the pain, but usually makes it where I can get above the pain, and as long as I am busy (have my mind busy and focusing on something), I can usually survive each day. I am 65 and continue to work in an office environment, and hope to be able to continue until I am 70 since I am the only means of support. With all of the new regulations that I am beginning to notice in newspaper articles, etc., how difficult will it be for someone with real pain to be prescribed medications . My internist of 15 years, and who is familiar with my health, including the cervical deterioration in my neck (C-3 and C-4) and my lower back L-4 and L-5) has been prescribing my pain medication. Will I need to become a patient at a Pain Clinic? What option do I have? I am very concerned since there are some days where it is all I can do to put on a happy face and make it through the day before I return home and collapse in bed. Thanks for any information you can share.
Tue, 26 Nov 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
All the symptoms in your description typically suggests cervical and Lumbar disc disease with radiculopathy.

I suggest you to have MRI scan of cervical and lumbar spine to know the exact pathology. The management protocol depends on the severity of nerve compression.

Temporary pain relief can be obtained by using an appropriate analgesic or muscle relaxant ,Pregabalin & methylcobalamine supplements.

Consult an orthopedic surgeon for further workup and management.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suffering With Fibromyalgia, Pain In Neck, Back, Shoulders, Arms And Intermittently In Hands, On Hydrocodone. Solution ?

Hello, Thanks for your query. All the symptoms in your description typically suggests cervical and Lumbar disc disease with radiculopathy. I suggest you to have MRI scan of cervical and lumbar spine to know the exact pathology. The management protocol depends on the severity of nerve compression. Temporary pain relief can be obtained by using an appropriate analgesic or muscle relaxant ,Pregabalin & methylcobalamine supplements. Consult an orthopedic surgeon for further workup and management. I do hope that you have found something helpful and I will be glad to answer any further query. Take care