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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31316
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I had an accident in 1989. A large plate of glass cut all

Customer Question

I had an accident in 1989. A large plate of glass cut all the muscles away from my spine on one side. I have occassional back pain from this. Lately the pain has become more of a dull ache all the time. I have been on heating pad and taking alieve or motrin around the clock. Is there anything else I can do to allevate the pain?
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.

This is likely to be myofascial pain syndrome. Trigger points may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. As the stress increases, the muscles become fatigued and more susceptible to activation of additional trigger points. The treatment is following;


1) passive stretching of the affected muscle after application of sprayed vapocoolant.

2) physical therapy; simple muscle stretch, augmented muscle stretch, post-isometric relaxation.

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation, high voltage galvanic stimulation, biofeedback. These are done at physical therapy center.

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun
Customer: replied 5 years ago.
Relist: Other.
I already knew the information he gave me
Expert:  Dr. Arun Phophalia replied 5 years ago.
What specific information are you seeking?

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