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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Pain With History Of Vertebral Subluxations

I have had 3 vertebral subluxations from an accident in 2001. I am wondering if the pain I have experiencing more and more is considered chronic or not. I have not had any help with it for years and it seems it s getting worse. I don t want to take pain pills for it either
Thu, 19 Feb 2015
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Neurologist,  's  Response
Hello !
I understand your concern!
If I were your doctor I would recommend a new column MRI to find out if the subluxations are at the same point or have evoluted.
Holding a brace would be very helpful. Postural education, physiotherapy, avoiding sitting positions for a long time, or holding heavy things would also be helpful.
I would also recommend Amytriptiline, an antidepressant drug for some months . You must be careful if starting this therapy to have a cardiologic consultation as it has heart side effects.
Another choice of therapy would be Gabapentine or Pregabaline, two antiepilepsy drugs, for some months, very efficacious in back chronic pain.
Hope to have been helpful.
Thank you for using HCM!
Dr.Abaz
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Suggest Treatment For Chronic Pain With History Of Vertebral Subluxations

Hello ! I understand your concern! If I were your doctor I would recommend a new column MRI to find out if the subluxations are at the same point or have evoluted. Holding a brace would be very helpful. Postural education, physiotherapy, avoiding sitting positions for a long time, or holding heavy things would also be helpful. I would also recommend Amytriptiline, an antidepressant drug for some months . You must be careful if starting this therapy to have a cardiologic consultation as it has heart side effects. Another choice of therapy would be Gabapentine or Pregabaline, two antiepilepsy drugs, for some months, very efficacious in back chronic pain. Hope to have been helpful. Thank you for using HCM! Dr.Abaz