My mother suffering from severe leg &arm pain.doctors say it as lumbarspondu!


Question:

My mother suffering from severe leg &arm pain.doctors say it as lumbarspondulosis.any treatment .?

she is under medication and has shown no good response.drs say a type of arthiritis also.she is taking pain killers,weight reducing tablets and medicines prescribed by neuro surgeon also.tried out ayurvedic treatment also.no good effect.


Answers:

Sorry to hear. Anyway, some other options are:

1) epidural steroid injections--usually a series of three steroid injections to the spine to decrease inflammation in the spine, which is where the pain originates; or epidural nerve block or epidural narcotic injections

2) surgical intervention such as a lumbar laminectomy, done by a neurosurgeon or an orthopedist

3) different medications--you've not said what medications she's taking, but some are more effective than others, though in all honesty, there are no *great* medications for her type of pain, which is basically caused by actual physical irritation of the spine

4) or a combination of some or all of the above

5) visit a chiropractor if you believe in alternative medicine

Obviously, surgical intervention is the most surefire way to cure the problem, however, surgery has its risks, and your mom may not be a good surgical candidate.

Medications that can help with her pain (and have demonstrated effects though not necessarily FDA labeled for such):

Neuropathic pain medications: Cymbalta (duloxetine), Lyrica (pregabalin)

Tricyclic antidepressants: Elavil (amitriptyline), Pamelor (nortriptyline), Norpramin (desipramine), Effexor (venlafaxine), Tofranil (imipramine),

Anti-seizure medications: Tegretol (carbamazepine), Neurontin (gabapentin), Lamictal (lamotrigine), Dilantin (phenytoin)

Nerve numbing/blocking agents: Zostrix (capsaicin), Lidoderm (lidocaine patch)

SSRI's: Paxil (paroxetine), Celexa (citalopram)

Opioid narcotics: morphine, Dilaudid (hydromorphone), Oxycontin (oxycodone), Duragesic (fentanyl), Ultram (tramadol)

NSAIDS: ibuprofen, naproxen, Toradol (ketorolac)

Acetaminophen

Muscle spasm agents: Flexeril (cyclobenzaprine), Lioresal ( baclofen)

Anyway that's just a partial list. All agents have side effects, and they may not necessarily work, so you need a good balance of effectiveness AND tolerability. Just because one agent in a class does not work, doesn't mean the entire class will not work.

Wish you the best!




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