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artwolf artwolf rating
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31-May-10, 11:37 AM (PST)
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"Lower back dilemma."
 
   I've had bad lower back pain for several days. Usually it doesn't last this long, but I can't stop my social whirl and being out late every night has kept it raging. I'm an idiot.
So here's the question: is there any pain killer that doesn't also tend toward making one impotent? because that's my dilemma. I "need" to see a provider, but with this pain that's crazy--every move hurts. And in the past all the pain killers I've tried have made it difficult to finish. And I don't like drugs in general.
If there is no answer, consider this a rant and thanks for reading.
Only rest will work, I know. must... make... self... slow... down....

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Lefeu Lefeu rating
Member since 27-Nov-08
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31-May-10, 11:55 AM (PST)
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1. "RE: Lower back dilemma."
In response to message #0
 
   >I've had bad lower back pain for several days...is there any pain killer...I don't like drugs in general.

I've had lower back problems ever since I remember. Like you, I don't like drugs but I had to take them, mostly muscle relaxants and pain killers. After many years of relying on drugs, someone suggested to me that I check out an exercise class for lower back problems, at the time given by the local YMCA.

I did and although I am not disciplined enough to stick to the 5 min daily routine, it has helped me a great deal. I have not had to take drugs, for over 15 years. Even when my lower back acts up now and then, the pain is not severe enough for me to take drugs for it. It is also a reminder for me to do a better job at my daily exercises.

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
120 posts, 1 feedbacks, 2 points
03-Jun-10, 00:43 AM (PST)
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5. "RE: Lower back dilemma."
In response to message #1
 
   How many years have you had the pain ? Where does it originate ? Where does it radiate ? What makes it better ? What makes it worse ? What is your height and weight ? Any muscle weakness in your legs ? Any altered sensations in your skin, such as tingling, numbness ? Have you ever tried a week of near complete bed rest, such as lying on your back with a small pillow behind your knees ?

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oralio oralio rating
Member since 1-Dec-03
38502 posts, 135 feedbacks, 227 points
31-May-10, 01:02 PM (PST)
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2. "RE: Lower back dilemma."
In response to message #0
 
Ibuprofen doesn't work for you? Even if you take prescription strength? (3-4)

I've never noticed any ED effects from ibuprofen.

Be the change
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smile_doc smile_doc rating
Member since 2-Oct-03
2248 posts, 48 feedbacks, 60 points
31-May-10, 08:31 PM (PST)
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3. "RE: Lower back dilemma."
In response to message #2
 
   you "need" to see a provider with your back pain? how about skipping few session, get your back well... or you might really hurt yourself. Trust me, she ain't going nowhere.

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Professor_Maxxx Professor_Maxxx rating
Member since 5-Sep-09
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02-Jun-10, 11:30 PM (PST)
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4. "RE: Lower back dilemma."
In response to message #0
 
Try Neproxane, a prescription strength version of Aleeve. It works for me with absolutely no side effect that I have experienced. I trust your back pain related to disk issue. If that is the case, I highly recommend spinal decompression using inversion e.g teeter.

Professor Maxxx


Life is Simple; Ask Me How!

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oralio oralio rating
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03-Jun-10, 07:46 PM (PST)
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6. "RE: Lower back dilemma."
In response to message #4
 
Question -- is neproxane to aleve, as prescription strength motrin is to OTC motrin?

As in, neproxane is just like taking 4 OTC aleve?


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Professor_Maxxx Professor_Maxxx rating
Member since 5-Sep-09
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03-Jun-10, 08:49 PM (PST)
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7. "RE: Lower back dilemma."
In response to message #6
 
Question -- is neproxane to aleve, as prescription strength motrin is to OTC motrin?

As in, neproxane is just like taking 4 OTC aleve?

Answer: That is correct.

Question -- As in, neproxane is just like taking 4 OTC aleve?

Answer - Depends of the dosage. I take two 550 MG of Neproxane a day. I am not sure what is a typical dosage for a single Aleeve.

Hope this helps.

Professor Maxxx


Life is Simple; Ask Me How!

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oralio oralio rating
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03-Jun-10, 09:33 PM (PST)
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8. "RE: Lower back dilemma."
In response to message #7
 
Sure does, thanks.


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Rockout Rockout rating
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05-Jun-10, 01:12 PM (PST)
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9. "RE: Lower back dilemma."
In response to message #7
 
Doesn't that stuff fry your liver like ibuprofen?

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Rocco32
Member since 19-Oct-09
121 posts, Rate Rocco32
07-Jun-10, 10:37 AM (PST)
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10. "RE: Lower back dilemma."
In response to message #9
 
Over prolonged period of use I wouldn't trust any prescription drugs on my liver. Most of the adult population has some type of disc degeneration. I was having recurring low back issues and was attempting to stay physically active, lifting and running. Ended up getting an MRI and revealed a few bulging discs. Made it hard to do anything, sit, walk or sleep. I was a tired and grouchy. I started doing a lot of core, stretching and changed my workouts. It made a huge difference. If I get off track I start to feel it. All of the muscles that support your spine should work in complement with each other to stabilize the spine. It takes awhile to get it going but this and stretching will be your best chance to avoid drugs.

Other things that help, foam roller, tens unit, ice, massage....
inversion table and gravity boots only offer temporary relief.

and stop doing those hula-hoop contests!!!

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
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07-Jun-10, 12:18 PM (PST)
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11. "RE: Lower back dilemma."
In response to message #10
 
   The mere presence of "bulging disks" on any imaging study does not necessarily mean that those bulges are the cause of any symptom. Clinical correlation is required.

There are enumerable abnormal (to normal variant) findings on radiographs and scans which present no symptoms or problems.

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Professor_Maxxx Professor_Maxxx rating
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08-Jun-10, 02:06 AM (PST)
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13. "RE: Lower back dilemma."
In response to message #11
 
DR. Welby is right on the target. My Orthopedic/neurosurgeon surgeon who is very competent and experienced performs 300 pond dead-lift even though he has two herniated disks in his back based on MRI. Well as Dr. Welby rightly mentioned these herniated disks are not causing any discomfort for him yet.

It is vital that the source of the back pain is correctly diagnosed so an intelligent treatment plan can be devised. I highly recommend consultation with Neurosurgeon before draw any conclusion.

Professor Maxxx

Life is Simple; Ask Me How!

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Farrah88 Farrah88 rating
Member since 28-Apr-08
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10-Jun-10, 11:53 AM (PST)
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19. "RE: Lower back dilemma."
In response to message #13
 
Your Icon is more scarier then even HappyJacks Icon who thought of that one?

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Rocco32
Member since 19-Oct-09
121 posts
08-Jun-10, 08:02 PM (PST)
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14. "RE: Lower back dilemma."
In response to message #11
 
Although there is not a 100% correlation between any one symptom and damaged discs there are some symptoms that point toward very probable culprits. The reality is disc degeneration is a natural process of ageing and is compounded with certain genetic dispositions that can result in very uncomfortable or intolerable conditions. If sneezing or coughing causes pain in the lower back or legs the probable cause is an issue with L1-5.

There are surely some very qualified opinions on this site that may have some input on this,

Issues at

L1 symptoms in the lower trunk or abdomen
L2 Hip and upper thigh
L3 Upper inner thigh
L4 outer thigh, across the knee and inner shin
L5 Outer lower shin and 1st-4th toe though most likely in the 1st and 2nd toe.

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Farrah88 Farrah88 rating
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10-Jun-10, 11:51 AM (PST)
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18. "RE: Lower back dilemma."
In response to message #10
 
Right on target

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Professor_Maxxx Professor_Maxxx rating
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08-Jun-10, 01:53 AM (PST)
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12. "RE: Lower back dilemma."
In response to message #9
 
1. Any medication whether is OTC or prescribed by a physician carries side effects. End of the story.

2. You should always consult your physician or pain management specialist on the best approaches to manage your pain. He or she is the best authority. I never to claimed to be one. I just stated what I am taking based on the recommendation of my Orthopedics Surgeon and Pain management specialist. Yes even in this case YMMV!

Professor Maxxx


Life is Simple; Me How!

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artwolf artwolf rating
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09-Jun-10, 10:52 AM (PST)
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15. "RE: Lower back dilemma."
In response to message #0
 
   Thanks for all the above replies. I will be rereading carefully.
Finally saw doc yesterday, she thinks it is not spinal but still only muscles. I had stopped taking painkillers period and resting more, and that was helping. Her interesting suggestion, besides lots of rest and starting exercises, was to take 10 mg. valium before bedtime so I don't wake up stiff, and the whoosy effects are mainly while I sleep. And of course, to get off the valium when I no longer need it. Seems to work.
So I then went for a hh TAMP treatment with 5 mg of valium and 25 mg viagra in my system, and it went pretty well. Told the woman the problem and gave her lots of instructions, she went along and it was a good finish.
That's my update, Thanks again, everyone.

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Elfen Elfen rating
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09-Jun-10, 12:25 PM (PST)
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16. "RE: Lower back dilemma."
In response to message #15
 
Artwolf,

Correctly diagnosing the cause of back pain is one of the most difficult things for a physician to do. I've seen a lot of cases where a doctor diagnosed condition X and perhaps performed surgery, only to have the symptoms remain unchanged. The lumbar spine is one of the more complex and troublesome areas of the human body. Our primate ancestors did not walk upright; thus, we were not meant to do so. We pay for our 2 legged stance with a lot of lumbosacral problems.

The man who told you to get your muscles in shape was right. For the long term, the best thing that you can do for your back is to have proper conditioning of the abdominal and back muscles. Not carrying a beer belly or excess weight also helps. (You've probably seen extremely obese people who hyperextend their backs by leaning back to offset the weight they carry in their guts.)

For the short term, muscle relaxants and non-steroidal anti-inflammatory medications (eg. Motrin, Naproxen) are most effective. Cold applied to muscle spasm within the first 48 - 72 hours of the onset of low back pain can also help. After that, some people like to use heat only, while others alternate heat and cold applications. The bottom line is to do what works best for you.

Glad that your symptoms have improved.

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Safire1
Member since 9-Apr-08
22-Jun-10, 05:40 AM (PST)
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23. "RE: Lower back dilemma."
In response to message #16
 
   I agree, Elfen.

Having had back issues forever (mild scoliosis), chronic pain, in my 20's feeling absolutely addicted to my chiropractor with just temporary relief.

Finally, medical doctor referred me to Physical Therapist, and the biggest improvement was made when when the core muscles were strengthened.

Now, when flare-ups happen, the Nsaids mentioned along with my favorite topical treatments, these do not have the menthol or that old-people Ben-gay scent: Arnica Gel/ointment and or Blue Emu (specifically-there are other blue gels on the market).

This past year I began seeing Chiropractor on a regular basis and found that a little exercise, massage, chiro care, meds, and of course Rest,(time to heal a flare-up)with topical treatments, all work very well for my conditions.

I believe you have to get medical attention x-rays, etc, get a diagnosis, then hit the problem from different angles.

I have never cared for the heat/ice thing, although it is very effective for some.

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Farrah88 Farrah88 rating
Member since 28-Apr-08
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10-Jun-10, 11:51 AM (PST)
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17. "RE: Lower back dilemma."
In response to message #0
 
This is one of the few times I'm really serious on the boards, go to your doctor. I had the same problem took three MRI's and I have two eroding discs and there is some tear between my thigh muscle and leg.. They were going to give me an upper lumbar block, which is medicine you can get three times a year. I have a bleeding disorder and it could cause peralisis so I can't get that done..

I would get MRI's and try not to get stressed. When I get overly stressed the pain gets worse. Try not to carry too much when bringing groceries in..

One thing don't let anyone put you on narcotics.

Each night soak in a warm bath, and sounds like L4 and L5... I wish you a lot of luck as I know what back pain feels like....

Take one day at a time, and buy a heating pad for your back..

Let us know if you see the Doctor and you end up getting MRI's if you have insurance I would do it..

Hope you feel well soon.

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Bubba Bubba rating
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11-Jun-10, 10:48 AM (PST)
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20. "RE: Lower back dilemma."
In response to message #0
 
   Great post with good info. I've been suffering from neck and back pain for a quite a while. I'm now at a point where my Spine Specialist is recommending I counsult with a surgeon for my back issues (L2, L3, L4). Assuming I go through surgery, can anyone tell me how long I should expect to stay in the hospital and how long I might be looking at post recovery?

Looks like I'll be searching for providers that do house calls and specialize in RC and RCG. I promise no bed pans

TIA

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Farrah88 Farrah88 rating
Member since 28-Apr-08
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11-Jun-10, 03:16 PM (PST)
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21. "RE: Lower back dilemma."
In response to message #20
 
Bubba I would put off surgery as long as possible, but thats up to you. Did you ask your Doctor about the Lumbar Block, the pain medicine they can put in your back.

Also, remember for each pound one looses takes four pounds of pressure off our knees for each pound.

I don't know what your health is like other then your back, but just a heads up on that one..

I wish you well, and hope you feel better...

Back pain is the worse and no one can understand how debilitating it can be.

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Twinklebro Twinklebro rating
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22-Jun-10, 00:18 AM (PST)
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22. "RE: Lower back dilemma."
In response to message #21
 
Stengthening your other back muscles, buying a new bed and personal development will help lots, especially if the back pain is tied to emotional pain.

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Rocco32
Member since 19-Oct-09
121 posts
22-Jun-10, 10:29 AM (PST)
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24. "RE: Lower back dilemma."
In response to message #20
 
Probably not much time in the hospital. Depends on insurance. They should at least keep you over night. Always ask for your own room and always truly to get the earliest surgery appointment possible. You will have to fast and this can get a little uncomfortable if you have a noon surgery. While recovering you will be very happy not to share a room. Kaiser can make you share a room with up to 3 other patients. Not good when they all have visitors and you want to sleep.

Recovery might be quoted at 6-8 weeks but be prepared for it to take a lot longer till you are fully recovered. Most PTs will tell you it takes up to a year to be fully recovered and the term fully recovered doesn't necessarily mean you will be functioning at pre issue levels.

Hope this helps

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