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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Back Pain

Hi my name is Angie and I am 44 years old-I am currently waiting to be seen by the back clinic- I have been in chronic back pain-mainly symptoms of sciatic pain…I haven t slept more than 3-4 hours a night because of pain…. I was told by my husbands doctor to start naproxen instead of ibuprofen - I am taking 2 tablets of 220 mg 3x s a day-is this to much? I also take tylenol back and muscle 500mg 3x/day and gabapentin
Fri, 27 Mar 2015
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Orthopaedic Surgeon 's  Response
hello
naproxen to start with should be taken 250mg twice a day and if well tolerated may be gradually increased to 375mg in a weeks time and then after another week 500mg twice a day.since you take gabapentin and tylenol also, I would say 375mg twice daily would be adequate.You may add prilosec 20mg once a day on empty stomach in morning to prevent acidity for stomach irritation.
I support a lumbar traction for 10 days if sciatic pain and radiation to limb is there, as distraction on nerve impingement may have a releasing effect, apart from this a lumbo-sacral brace wearing during daytime only to avoid bending and twists to spine.Although brace protects spine but paraspinal muscles should be taken care of by back muscle strengthening exercises by a physical therapist atleast 15 minutes two times a day after removing brace inbetween during daytime.Brace may be removed at bed time and overnight traction be used for removing nerve pressure by distraction of bone surfaces entrapping nerve roots .
Best wishes,
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Suggest Treatment For Chronic Back Pain

hello naproxen to start with should be taken 250mg twice a day and if well tolerated may be gradually increased to 375mg in a weeks time and then after another week 500mg twice a day.since you take gabapentin and tylenol also, I would say 375mg twice daily would be adequate.You may add prilosec 20mg once a day on empty stomach in morning to prevent acidity for stomach irritation. I support a lumbar traction for 10 days if sciatic pain and radiation to limb is there, as distraction on nerve impingement may have a releasing effect, apart from this a lumbo-sacral brace wearing during daytime only to avoid bending and twists to spine.Although brace protects spine but paraspinal muscles should be taken care of by back muscle strengthening exercises by a physical therapist atleast 15 minutes two times a day after removing brace inbetween during daytime.Brace may be removed at bed time and overnight traction be used for removing nerve pressure by distraction of bone surfaces entrapping nerve roots . Best wishes,