The relaxing effect may help someone fall asleep. Too bad it doesn't help them stay asleep. Alcohol also changes the sleep architecture (among other things it postpones the REM sleep) so I'm not a fan of alcohol as a remedy for bad sleep.
I meant it for muscle discomfort/relaxation. I have no pain while I'm walking around, but when I relax and lay down on bed I feel the pain in my lower back. So, a couple of Aleve pills, 3mg of Melotonin and a double shot of a good Bas Armagnac or Bacardi while I watch 15 min of TV does it for me... for six hours, or longer.
Also, I don't eat for four hours before going to bed. That seems to help my back muscle pains. I don't know why, but it does.
It's definitely something in the gene make up. My gene pool has been in its cups for at least 3000 years!
I meant it for muscle discomfort/relaxation. I have no pain while I'm walking around, but when I relax and lay down on bed I feel the pain in my lower back. So, a couple of Aleve pills, 3mg of Melotonin and a double shot of a good Bas Armagnac or Bacardi while I watch 15 min of TV does it for me... for six hours, or longer.
Also, I don't eat for four hours before going to bed. That seems to help my back muscle pains. I don't know why, but it does.
It's definitely something in the gene make up. My gene pool has been in its cups for at least 3000 years!
Depends on the stomach, quantity, diet. I'm extremely tolerant of ibuprofen and naproxen. Definitely YMMV. I found nothing to replace them and during two nasty bouts of sciatica and recovery from a hip resurfacing, they made a big difference to what I could do...All of NSAID's are stomach-killer
Can’t send you a PM. If you need assistance in Germany I can be of help.I really need surgery, and it seems the hotspot to get it is Germany. Now i just have to figure out how to afford it.
dave
I just had a biy of a discussion with my vascular surgeon about MRI or CT-Scan (exotic X-Ray) for diagnosing spinal conditions, they see different things and ideally you get both.
I have had both (CT-Scans are hard, i am allergictothe dye they usually use).
The surgeon used one of them to diagnoise my back issues to spinal stenosis. I am now using a 2-wheel walker again (had touse one when i relearned how to walk).
I really need surgery, and it seems the hotspot to get it is Germany. Now i just have to figure out how to afford it.
dave
Not especially germany only : You can equally go for excellence in those areas if you can't affoard Boston : France, Netherlands, Germany, Swiss Italy.
Germany is good for holystic approach as is France too.
Singapor and Japan, but here speaking barrier (Japan). Singapor is certainly as expensive than US, duno .
Avoid Chiro and ostheo here, imo. Idem for Chromnuts.
I read fastly Cymbalta mentionned : on the forbiden list here, dangerous.
H
Take care.
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Can’t send you a PM. If you need assistance in Germany I can be of help.
Thanx JP.
dave
I'm sorry to read of all the bodily affliction shared here by fellows of this forum. Next time I go off to complain about something, I think I'll hold my tongue.
I've had low back spasm after doing something stupid, as lifting or horsing something into place in frustration. Sometimes Ibuprofen helps, sometimes it doesnt. Going way, way, way out on a limb here, I've found that the "herbal supplement" called "kratom" is the only medicine that's ever reversed / relieved an oncoming "my back's out" situation. It's definitely a nerve agent and I assume - for me - it suppresses the "feedback loop" that locks my spine up and keeps it locked until its darn ready to let go again.
As I dont do much hefting of heavy / unwieldy objects these days - like getting a boat straight on a trailer, while others await to use the ramp - I fortunately only use it very intermittently. I dont know what would happen with use for a chronic condition. It may be better than ibuprofen overall, as it is at least a natural substance, i.e. a plant.
I've recently started a practice of qi-gong, which purports to move energy through the body, flushing stuck and stagnant energy, bringing in fresh. It's quite easy to perform - all standing postures, mostly lifting the arms. I've read it called a "magic pill" and can concur with that description, regarding how I feel afterward. Perhaps I'm damn lucky to pick it up and practice daily before some onset renders me incapable of even lifting my arms up overhead and bring them down slowly in front of me.
I hope you find some relief soon.
I've had low back spasm after doing something stupid, as lifting or horsing something into place in frustration. Sometimes Ibuprofen helps, sometimes it doesnt. Going way, way, way out on a limb here, I've found that the "herbal supplement" called "kratom" is the only medicine that's ever reversed / relieved an oncoming "my back's out" situation. It's definitely a nerve agent and I assume - for me - it suppresses the "feedback loop" that locks my spine up and keeps it locked until its darn ready to let go again.
As I dont do much hefting of heavy / unwieldy objects these days - like getting a boat straight on a trailer, while others await to use the ramp - I fortunately only use it very intermittently. I dont know what would happen with use for a chronic condition. It may be better than ibuprofen overall, as it is at least a natural substance, i.e. a plant.
I've recently started a practice of qi-gong, which purports to move energy through the body, flushing stuck and stagnant energy, bringing in fresh. It's quite easy to perform - all standing postures, mostly lifting the arms. I've read it called a "magic pill" and can concur with that description, regarding how I feel afterward. Perhaps I'm damn lucky to pick it up and practice daily before some onset renders me incapable of even lifting my arms up overhead and bring them down slowly in front of me.
I hope you find some relief soon.
https://www.webmd.com/vitamins/ai/ingredientmono-1513/kratomherbal supplement" called "kratom"
My first reaction was yikes...
Harsh.Anyone who risks using that stuff needs to have their intelligence tested!
Though it doesn't look like something I'd ever use.
For me the main issues with all of these types of remedies are firstly they've never been tested, second, that dosing is wildly variable depending on supplier, origin, and growing conditions.
Not harsh in my opinion due to an experience and injury caused by prescribed morphine based pain killers ( used to help with serious food poisoning a few years ago).
The main side effect was that I would simply fall vertically down in a heap. I was not warned to stop driving and just managed to avoid a crash. There was no loss of consciousness throughout these falls. What did it for me was the day after the car episode whilst standing with my back leaning against a granite-topped kitchen unit I
fell scraping the rear of my ribs against three stainless steel drawer pulls. Result? Ambulance - night in A&E - MORE of the same pain-killers and two weeks sleeping in a downstairs armchair with three cracked ribs!
If those prescribed steroids (which are said to be mild and carry very few of the risks described in StephenCrooks' link) could do this I simply don't want to know.
The main side effect was that I would simply fall vertically down in a heap. I was not warned to stop driving and just managed to avoid a crash. There was no loss of consciousness throughout these falls. What did it for me was the day after the car episode whilst standing with my back leaning against a granite-topped kitchen unit I
fell scraping the rear of my ribs against three stainless steel drawer pulls. Result? Ambulance - night in A&E - MORE of the same pain-killers and two weeks sleeping in a downstairs armchair with three cracked ribs!
If those prescribed steroids (which are said to be mild and carry very few of the risks described in StephenCrooks' link) could do this I simply don't want to know.
I've had at least 5 MRIs (I stopped counting at some point), and they all showed nothing except a spine that looked at lot younger than it was. A good old XRay and then a CT where much better at showing the issue related to the bones. I don't get why doctors have you do an MRI, which is good at showing soft tissue, when they want to see what's up with the bones...
@kp93300
Xrays are good at an overall view of the bones but not sensitive in detecting destruction of the bone. MRI is very sensitive in detecting early bone destruction from tumour or infection . That is why many ortho surgeons asked for Xrays and MRI at the same time.
We need to study how the changes in the degenerative bones affect the nerves and the spinal cord to formulate a treatment strategy.
Human body is an amazing structure , all our organs need to function and interact properly to make us healthy.
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Hello. another avenue for your condition is to see a pain specialist , doctor who specialise in pain management.A strange topic for this site…but I’ve seen similar. This is really the only place I “socialize” online and this is affecting every part of my life including my motivation and ability to participate in my DIYAudio hobby.
I’ve always been active and enjoyed biking, swimming and my various gym workouts. It helps me physically and mentally. That has virtually stopped all together as well.
My story:
I’ve had problems for many years with pain that first appeared in my shoulder.
Back in 2010 or so I sustained an injury working on a car that resulted in things getting much worse. I woke up and couldn’t lift my head off my pillow. Pain multiplied many times in my shoulder, arm and hand including numbness.
The cycle began with orthopedic doctors. Xrays, Ibuprophen in larger doses, muscle relaxers and referrals to physical therapy.
The therapy incuded heat wraps, light traction and stretching, electro-stimulation etc.
Eventually they had me getting an MRI with contrast of the shoulder (they hadn’t figured it was spine related) and they tried cortisone injection.
Things never really improved that much. The cycle continued to repeat with doctors and physical therapy. At some point someone did determined that I had two herniated discs in my neck.
I got frustrated with the physical therapy that didn’t seem to help. Eventually I was just trying to cope with ibuprophen on a daily basis and my activities started getting limited.
This went on for several years until I was referred to a different physical therapist that was recommended by someone I met that had similar issues.
After working with the new therapist for several months I got “back on my feet”. I was able to swim, bike and take various strength training classes (no more real heavy lifting) even got into trail running. I was still managing aches and pain with some ibuprofen, especially after more intense workouts, but for someone in their mid 50s I felt pretty damn good.
Fast forward to Spring of 2022. My wife and I encountered a new friend on a hike one weekend. A rescue dog named “Thib” that was being fostered.
We immediately fell in love with the playful little guy and for the first time in our adult lives we decided (after much deliberation) that we’d like to make him part of the family.
Thib had an untamable spirit…literally. I worked with him for months on end in classes and on my own to no avail. He was always fighting on the leash and eventually that resulted in me being injured all over again and us having to give him back up for adoption.
Since then, things have been worse. The pain expanded out through my shoulder blade and upper back. I went back to working with my therapist for a while, but made minimal improvements.
Therapy got interrupted this past year with a relocation to a new home. That just made matters worse.
I did get to the point where I could manage the pain with a couple of ibuprophen each day and started pushing myself to get active with some light swimming, hiking etc in the early summer. I almost immediately relapsed.
Since then I’ve been like a bird with a broken wing trying to get off the ground.
I’ve started trying all kinds of things…even CBD. Simple stretching, yoga or massage results in stabbing, nagging aching pain and numbness from the base of my neck out through my shoulder blade, arm and to my hand. I cannot lie on my back. I’m sleep deprived etc.
Back to the cycle.
I see a new orthopedic doctor. He takes an Xray and immediately tells me I have degenerative arthritis in my cervical spine (C4-5, C5-6, C6-7). He says the solution is to perform surgery to fuse these discs. I’ll maintain 80% motion of my head and neck. I’ll be a new man in 6 months. He says I can try Cortisone injections…some people find relief…albeit mostly temporary.
In my mind surgery should be an absolute last measure. I’m scheduled for another MRI on this coming Friday. Injections can’t start until after that anyway.
How can I not try injections? I’m hoping they might reduce inflammation and pain enough that I can achieve some real improvements again with my physical therapist.
Who has been through or is going through this?
I’m hoping I can find some light at the end of the tunnel.
I know that sometimes these drs use radiofrequency waves to burn selected nerve to cut down the pain and this is a minimal invasive surgery.
The main argument for surgical treatment is nerve compression. If the nerves are free, the conservative therapy are often better than invasive.
If the muscular stiffnes dominates (as protective mechanism), the local heat can cause improvement of symptoms immediately. My experience are very good with electric heating pad. But acute inflammation will be worse! If the first 3 minutes isn't better with pad, must wait a week or more.
The duloxetin and amitriptyline often are good, but the tricyclic antidepressants (amitriptyline) have anticholinerg side effects (at prostatic hypertrophy can dangerous).
The alpha lipoic acid (thioctic acid) is the secret weapon. It has good safety profile and has a lot of pleiotropic effect (for example, it can reduce the cardiovascular and cancer-mortality). Sometimes it's very good analgetic.
I have found short term use of low dose Amitriptyline to be very beneficial. Short term/low dose [10 mg]should be very safe with minimal side effects .I use it for a week at the most and can then go months without needing it again.Plus it is a drug with a long history of use with few problems.Much more so than NSAIDs like Mobic and Celebrex which cause digestive issues and are associated with cardio vascular problems and which for me do not seem to help much.Amitriptyline seems to be especially helpful in improving the effectiveness of other therapies like physio or massage as well as stretching and mobility exercises and pain associated with muscle tension.It can help to get you moving freely again which then seems to bring other benefits.
I guess that would be me. When I buy it here in Washington state, it comes in a bag of say, appx 30 capsules. I dont do the whole bag all at once, so there's still some intelligence within extant.Anyone who risks using that stuff needs to have their intelligence tested!
The main side effect was that I would simply fall vertically down in a heap.
So instead I take two of the pre-filled capsules to start, to see if there's a beneficial effect. For me, there is; no question. I'd do it again, without hesitation if / when in need. In my case, usage is so infrequent, they actually go bad sitting in a room temperature drawer before I can finish the package. I keep them in the freezer now, hoping to retain potency over longer times between episodes.
A fellow I worked with claimed to use it far, far more aggressively than I. He told me he'd take up to 10 capsules / day and claim still be able to function without issue in an industrial work environment as a PLC systems programmer. I'd never heard of it before meeting this fellow. Still, I'm glad I dont have to use it for any chronic condition and count my blessings in that regard.
The US DEA states (2024) "There is no legitimate medical use for kratom in the U.S.". They declare the same about "marijuana has no approved medical use for treatment in the U.S." Now I'm seeing "legitimate" and "approved" in quadrature, where something like naproxen sits squarely in the first quadrant. Perhaps they'd admit the legitimacy of infrequent marijuana use for some medical cases, but certainly would not approve it. Thanks God for the States and the particular one I happen to live in.
It's too political to go into a discussion of what constitutes a legitimate drug here in the US. I'm aware any alkaloids produced naturally within some plant as an evolutionary effort to, say, ward off pests do not fit the develop-test-manufacture-sell legitimate drug model. As such; sorry - cant do that here. But we have some nice fentanyl we can get you, approved and legitimate and yes, I do see the irony there.
IMHO, the US FDA, when assessing the safety and efficacy of a medicine, weights more importance on Pharma Industry Profits than efficacy for the patients.
The surgeon I talked about worked at a government owned teaching hospital, till about a year back. he was an Associate Professor there, now gone over to a private hospital.
The neurosurgery department there does about 2700 surgeries annually, with only 3 operating suites, DBS to trauma to meningeal bleeds, pretty nearly every nerve / spine/ brain surgery you can think of, a top rated facility in India.
Trans nasal pituitary tumor removal? One hour...
DBS? 2.5 to 4 hours for lead placement.
They have two sets of frames for DBS, a 3T Siemens MRI (in 2019), 6 to 8 faculty surgeons and 18 trainee neurosurgeons at any time.
Cost is a joke for people abroad, a spinal repair will be like $5,000, DBS is about $12,500 for Indians, basic non-rechargeable generator, the rechargeable ones are more expensive.
We see a lot of medical tourism to India, a knee replacement with DePuy / Zimmer / equally well known prosthesis is within $4,000 for a simple case (no correction) at most hospitals in India.
That is a lot cheaper and faster than the waiting periods elsewhere, I have heard years in Canada and Europe.
It is economically feasible to come to India, get both knees replaced, and travel back to EU / North America, the hospital stay is total about ten days, less than $10,000 at hospitals in smaller cities in India.
Travel is extra.
There is a bone manipulator here, pulls fingers and toes as needed to set spine, works for mild disk issues as well, charge is $2.50!
I can vouch for his skills, being an occasional patient if I lift something off center.
So, Dave, if you need help about spine or knee issues, please contact me. Other members are welcome as well.
As for competence, there are many Indian doctors in the EU and North America, who have done their basic medical training in India, their competence is well known.
I have no ties to any named business / entity named above.
There are combinations of Methcobalamin + Alpha Lipoic Acid + Folic Acid + Vitamin D3 for rebuilding bodies post surgery.
There is also a combination of Trypsin + Chymotrysin for pain and swelling control, enzymes, little drug interaction, can be taken long term without many side effects.
Your body will have individual responses, do not hold me responsible for any bad effects, the information is based on my personal experience.
The neurosurgery department there does about 2700 surgeries annually, with only 3 operating suites, DBS to trauma to meningeal bleeds, pretty nearly every nerve / spine/ brain surgery you can think of, a top rated facility in India.
Trans nasal pituitary tumor removal? One hour...
DBS? 2.5 to 4 hours for lead placement.
They have two sets of frames for DBS, a 3T Siemens MRI (in 2019), 6 to 8 faculty surgeons and 18 trainee neurosurgeons at any time.
Cost is a joke for people abroad, a spinal repair will be like $5,000, DBS is about $12,500 for Indians, basic non-rechargeable generator, the rechargeable ones are more expensive.
We see a lot of medical tourism to India, a knee replacement with DePuy / Zimmer / equally well known prosthesis is within $4,000 for a simple case (no correction) at most hospitals in India.
That is a lot cheaper and faster than the waiting periods elsewhere, I have heard years in Canada and Europe.
It is economically feasible to come to India, get both knees replaced, and travel back to EU / North America, the hospital stay is total about ten days, less than $10,000 at hospitals in smaller cities in India.
Travel is extra.
There is a bone manipulator here, pulls fingers and toes as needed to set spine, works for mild disk issues as well, charge is $2.50!
I can vouch for his skills, being an occasional patient if I lift something off center.
So, Dave, if you need help about spine or knee issues, please contact me. Other members are welcome as well.
As for competence, there are many Indian doctors in the EU and North America, who have done their basic medical training in India, their competence is well known.
I have no ties to any named business / entity named above.
There are combinations of Methcobalamin + Alpha Lipoic Acid + Folic Acid + Vitamin D3 for rebuilding bodies post surgery.
There is also a combination of Trypsin + Chymotrysin for pain and swelling control, enzymes, little drug interaction, can be taken long term without many side effects.
Your body will have individual responses, do not hold me responsible for any bad effects, the information is based on my personal experience.
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I agree, in my practice it was effective too. Sometimes the dosage was 25mg at bedtime. Well tolerated with combinated NSAID (synergistic effect). Similar combination was 15-20 yrs ago the bedtime 10-25mg clomipramine (Anafranil) + 1000mg nabumeton (Relifex). Nowadays the neurological guidelines recommend the gabapentin and pregabalin too, but they have moderate effect in my opinion.I have found short term use of low dose Amitriptyline to be very beneficial.
Tolperisone and Baclofenac are also used for nerve issues here in India, for spasms.
Eterocoxib / Aceclofenac are the highest level pain killers for less than 14 days' treatment, a doctor must be consulted for cases exceeding that.
As we grow older, statins, anti hypertensives, diabetes and other medications become part of our diet, and their interactions can be complex, a trained doctor is very essential, must be consulted.
Eterocoxib / Aceclofenac are the highest level pain killers for less than 14 days' treatment, a doctor must be consulted for cases exceeding that.
As we grow older, statins, anti hypertensives, diabetes and other medications become part of our diet, and their interactions can be complex, a trained doctor is very essential, must be consulted.
I like the tolperisone, but it's removed in EU (as only post -stroke spasticism's treatment can write neurologist only). The official argument is: the tolperisone causes often allergic reaction or anaphylaxia. I have a few 150mg retard tablets pack for own usage (more than 10 yrs old, expired, but OK for me)...Tolperisone
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