In making the decision to treat chronic low back pain, patient and physician must discuss the possibilities and predispositions for side effects, drug interactions, and drug costs. After discussing with the chronic pain sufferer the severity and length of time of pain, then the decision can be made as to the best.
Thanks to a recent review by the American Pain Society and the American College of Physicians, published in the October 02, 2008 edition of Annals of Internal Medicine, there is a little more statistical certainty behind the decision to treat with a particular medication. A challenge to many health care providers involves the choosing of the safest and most effective medication for a given patient. A more disturbing thought involves the possibility that many of the medications physicians prescribe may have little benefit.
Lower back pain is common problem these days.Instead of drugs and medicine chiropractic treatment is prefered nowdays.Rehabilitation is also one of the choice for backpain treatment.For more information regarding back pain and its treatment visit: http://www.rygginstitutet.se/
If back pain is ailing you, a new review of existing research might be of interest to you.
I used to take tramadol, 50mg then 75mg tramacet ( combined with paracetamol ) - there is a theory that paracetamol can ''open the gate'' for other pain killers to work more effectively. I did get to the point over a number of years where the tramadol stopped working, but this was over yearsnot months.
I feel it's time for me to request another Rx because I'm having a terrible spell that is depriving me of sleep. After my last nerve root block injection a year ago I was doing better so my MD discontinued my RX. By the end of the day my back is nothing but spams. It's been an adjustment for me because I took it at night and it would help me rest better. Yes I have used Zanaflex and had good results. It's not unusual for me to not fall asleep until 5-7am and once I fall asleep I only sleep 3 hours due to the pain waking me.
Percocet can cse lower back pain.
Lower back pain is a common problem affecting millions of Australians each year, and will affect most of us at some point in our lives. The misery of back pain goes beyond just the pain itself – the disability it causes means we can't go about our everyday lives, and it's often associated with depression.
However, these conclusions were based on limited trials, and additional research is needed to determine their safety for long-term use. Use of two herbal medicines, devil's claw and white willow bark, have been found to be as effective in the short term as COX-2 inhibitors in reducing back pain.
The issue of medical imaging – X-rays, magnetic resonance imaging (MRI) and computerised tomography (CT) scan – for back pain is controversial. A survey of GPs found that about one-quarter of patients with lower back pain were sent off for imaging, yet these sorts of tests are rarely useful for diagnosing the source of back pain or suggesting the best treatment.
Once commonly advised for people with acute back pain, bed rest has come under closer scrutiny more recently.
You can use back pain medications to reduce back pain by damping down the inflammation at local level where the pain is being caused, or you can work on the perceptions of pain in the brain.
"The tissue damage at local level leads to bleeding and swelling. They then travel up to the spinal cord to the brain where they are registered as pain. Various protective mechanisms such as ‘protective muscle spasm’ come into play, which may also need to be controlled by back pain medication. Messages about the tissue damage and inflammation are conducted along the nerve pathways to the spinal cord. That swelling stimulates pain nerve fibre endings.
. It has rather a bad reputation, with names such as ‘mother’s little helper’ or ‘the little yellow pill’.
Your health care professional may talk with you about your history of low back pain and may do a physical exam. Both can The tables also list what researchers have found about how well the treatments work to reduce pain. For some. Tramadol helps to reduce pain in the short term (up to 4 months).
There are many treatment options for acute, subacute, and chronic low back pain.
This information is right for you if :
You may feel stiff, and it may be hard to stand up straight or move your lower back. Low back pain can make it hard to do your daily activities.
* Your health care professional may include your primary care doctor, nurse practitioner, physician assistant, bone specialist (orthopedist), nerve specialist (neurologist), a physical medicine and rehabilitation specialist (physiatrist), physical therapist, or other therapist.
Your health care professional may talk with you about your history of low back pain and may do a physical exam.