Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

I am currently on NORCO and went cold turkey of Fentinal 75

Customer Question
in June trying to get...
I am currently on NORCO and went cold turkey of Fentinal 75 in June trying to get of opiates.Have been self medicating with marijuana [had my own strain with high CBD,was tested in Cal.]since then. Now i'n not allowed. I have cronic back pain, all documented with MRIs.I've tryed everthing[ linadem,tens machine,physical therypy,ect. I am not a canidate for surgery[to risky] Dr will put me on almost any narcotic but shutters when I ask about MARINAL. Our health care in a small area is backward and not up to date if you know what i mean? Live in rural area. I need someone more open to new methods and willing to keep an open mind. MARINAL is a synergist and would help me take less and maybe get of opiates and us something much more safe and not addicting.marijuana] I have the MRIs and Dr readout' Since I had to quit self medicating [1wk] my pain level when for 5/6 to where im in unbearable pain to where I vomit yellow from pain, showering or anything easy is ubearable. I'm having NO qualit
Submitted: 2 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 7 minutes by:
11/17/2015
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,136
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Verified

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

Following should be integrated in your management;

1) Physical therapy and occupational therapy, plays an important role in functional restoration. The goal is to increase strength and flexibility gradually.

2) Recreational therapy; take part in pleasurable activities that help to decrease pain.

3) Vocational therapy; provide work capacities and targeted work hardening, and one may return to gainful employment.

4) Sympathetic blocks

5) Bier block (intravenous regional block)

6) Continuous epidural infusion

7) Spinal cord stimulator

8) Baclofen pump; Intrathecal infusion (Intrathecal bupivacaine infusion or Morphine pump are the other alternatives)

9) Sympathectomy; Surgical sympathectomy (Endoscopic cervicothoracic sympathectomy) or Chemical sympathectomy or Radiofrequency or cryoprobe lesioning should be considered.

10) Acupuncture

11) Relaxation techniques; associated with the above treatment.

12) Biofeedback training

You need to consult following specialists;

a) Pain management physician

b) MD in physical medicine and rehabilitation

The helpful herbs for chronic pain are;

1) Willow bark
2)
Devil's Claw
3)
Feverfew
4)
St. John's wort
5) Valerian
6)
Boswellia
7)
Curcumin
8) Ginger extract

You can take Rhus Tox 30, 2 globules, three times a day as an homeopathy treatment.

Supplements and alternative integrative therapy protocols for pain relief are;

1) Evening primrose oil

2) Acetyl-l-carnitine

3) Alpha-lipoic acid

4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analogue

5) Vitamin E

6) Acupuncture

7) Yoga

8) Prolotherapy

Commonly used medications for chronic pain are;

1) amitriptyline (Elavil, Endep),

2) nortriptyline (Aventyl, Pamelor)

3) desipramine (Norpramin)

4) pregabalin (Lyrica)

5) phenytoin (Dilantin)

6) carbamazepine (Tegretol)

7) venlafaxine (Effexor)

8) duloxetine (Cymbalta)

Please feel free for your follow up questions.

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

Thanks for using Just Answer.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

Following measures would be helpful for your back issue;

1) Back care in the activities of daily living, which is an integral component of the treatment of back problems. Back education is one of the most important thing which teaches the basic body mechanics, like correct posture for standing, standing at a desk or drawing board, sitting, brushing teeth, washing the face, pushing and pulling a weight, lifting a weight, getting in and out of bed, sleeping, getting into and sitting in a car. The training for these routine activity helps in preventing the spasm of the muscles. One needs to consult an occupational therapist or physical therapist which can educate about the proper and improper behaviors when back is painful in case they have to sit, bend forward, lie down, walk, cough, or sneeze. Following more need to be done:

a) Avoid activities which increases the pain.

b) Rest intermittently

c) Avoid bending at 90 degrees

d) Pushing and pulling should be avoided till pain subsides

f) Avoid prolonged sitting and standing

g) Avoid sitting or sleeping on floor

2) Anti-inflammatory analgesics like ibuprofen, other analgesics and muscle relaxants

3) Local analgesic gels or sprays / ointment

4) Hot fomentation

5) Electrotherapy like trans cutaneous electrical nerve stimulation: done by physical therapist. Other thing are ice packs, heating pads, electrical stimulation, phonophoresis, iontophoresis, relaxation, and biofeedback.

6) Good supervised physiotherapy: The exercises consist of abdominal bracing, modified sit-ups, double-knee-to-chest or low back stretches, seat lifts, mountain and sag exercises, knee-to-elbow exercises, hamstring stretches, extension exercises, and extension flexibility exercises. Swimming exercises (pool exercises) are best for back pain. Initial stretching and later strengthening exercises are taught.

7) Lumbosacral corset or support or brace

8) If obese or over weight, reduce weight for long term benefit.

9) Epidural steroid shots

10) Surgery is usually last resort, when the above conservative measures fail. You can start the following exercises;

1) Straight leg raising: Lie on the bed with your back and remain in a relaxed position. Slowly raise one of your legs upward and keep it as straight as possible. Count up to ten, and slowly bring down the leg. Do the same with the other leg. Repeat this exercise ten times.

2) Curl ups; lie on the back with knees bent, fold arms across the chest, tilt the pelvis to flatten the back, and curl-up lifting the head and shoulders from the bed / couch. Hold for ten seconds, then slowly lower to starting position. As strength builds, aim to complete one sets of ten curls. The exercise should be done twice a day (both the sets).

This is a slide show for the exercises (you can pick up your own set, which suits you);

http://www.mayoclinic.com/health/back-pain/LB00001_D

You can consult following specialists (apart from your GP);

a) Orthopedist

b) Neurologist

c) MD in Physical medicine and rehabilitation.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

Thank you.

Wishing you all the very best in life.

Ask Your Own Health Question
Customer reply replied 2 years ago
I have had therapy, epidurals,tens machine, mofhine, norco, fentenal. Im at my wits end. Drs would rather I have more narcotics than try MARINAL which is a Synergist which would increase the effect of to Norco and I could take less narcotics and evetually be rid of them for pain. I have ate and smoked maajiana with the norco and results we great. I have quit fentinal in June. Stopped "self medicatating 8days now and my pain level is 1-10 it's 20. Please help me find a open minded Dr how understands pain manigment. This injury is from2.1.07 / servere back issues I live south of Buffalo 80mi the closest decent health care
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

I am very sorry about your pain. I can understand this can be excruciating and disabling pain as this is nerve pain. Majority of the pain management physicians nowadays have to go by the strict guidelines issued, as there had been abuse reported. But these guidelines have unnecessary harassed all the people in pain, who need it genuinely. You may consider contacting following doctors;

Anthony Leone MD

934 Cleveland DrBuffalo, NY 14225

(###) ###-####/p>

Spine & General Orthopedic Surgery.

Hens Pain Center

*****Ste 102Buffalo, NY 14221(###) ###-####/p>

Koritz, Hans R, MD

2949 Elmwood AveBuffalo, NY 14217

(###) ###-####/p>
Ask Your Own Health Question
Customer reply replied 2 years ago
Your answer was gernaric and basicly worthless as I have done most of our remedys. And you try to scam me to talk in person fo 45dollars more. Be real and answer me.
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

I will opt out. This will open up the question for the other experts to answer. Hopefully some other expert on the site will provide you exactly what you want.

Wishing you all the very best in life.

Ask Your Own Health Question
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,136
36,136 Satisfied Customers
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,083 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

36,136 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

13,902 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I'm having severe leg pain in both legs and in my hips and
I'm having severe leg pain in both legs and in my hips and inguinal area too. I don't do much of anything due to chronic back pain from 14 back surgeries the last one was in 2012. Anyways the pain is … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
I discontinued the 40mg of methadone I had been taking for
I discontinued the 40mg of methadone I had been taking for pain in mid August. I am still having diareah sometimes the toilet is filled with flakes of feces.When it is not liquid I am forming very sma… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
I am prescribed Zantac due to reflux and stomach ulcers. I
I am prescribed Zantac due to reflux and stomach ulcers. I have been having hip and back pain which I have been prescribed meloxicam (Mobic) and Celebrex. I also have diffused esophageal spasm and pil… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
I took a urine test, I average 100 mg a day how would this
I took a urine test, I average 100 mg a day how long would this stay in my system if I didn't take it… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
Will Escitalopram (prescibed) show up on a urine drug test?
Will Escitalopram (prescibed) show up on a urine drug test? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
I take oxycodone and took a drug test. It came back as
Hi. I take oxycodone and took a drug test. It came back as opiate for 616.0 P. I had taken one the day before and its a known prescription of mine. Is that from the pill? Im guessing. … read more
Spencer Chun
Spencer Chun
Board Certified Family Medicine MD
MD
7 satisfied customers
I get a script of 20 vicodin and 20 Xanax a month and I have
I get a script of 20 vicodin and 20 Xanax a month and I have had 2 test that show no opiates in my system and show positive for alcohol. I don't drink … read more
Dr. Scott
Dr. Scott
Doctor
885 satisfied customers
If I have to take a ua for oxycodone with the measurement
If I have to take a ua for oxycodone with the measurement being 2000 ng/ml threshold for detection of opiates how many 10 mg oxycodone pills does it typically take to get to that level? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
Kerry,, My husband had a TKR 5 weeks ago. he is doing fine
Hi Kerry,, My husband had a TKR 5 weeks ago. he is doing fine with his knee with regards ***** ***** and PT However, he continues to have persistent nausea and occasionally leads to chills. NO fever a… read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,302 satisfied customers
I go to pain management for my back, recently two urine drug
I go to pain management for my back, recently two urine drug screens and confirmatory tests showed that I had hydromorphone in my system these were several months apart , I don't take anything but my … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
743 satisfied customers
I have not received a answer to my second question. what
I have not received a answer to my second question. what other meds diminish the effects of oxycodone.… read more
Andy PhD DABT
Andy PhD DABT
Board Certified Toxicologist
Doctoral Degree
64 satisfied customers
I took 10mg of oxy at 10pm Thursday night. I just got drug
Hello, I took 10mg of oxy at 10pm Thursday night. I just got drug tested today... Sunday at 9am. Thursday and Friday night I drank a lot of beers. I do not have any history of taking this in the past.… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
13,902 satisfied customers
I have a neurofibroma on my S2 nerve root picked-up
I have a neurofibroma on my S2 nerve root picked-up incidently on an MRI of the LS spine 3 years ago. I now have symptoms down my leg. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
Is it to smoke while taking Oxicodone and hydrocodone for
Is it to smoke weed while taking Oxicodone and hydrocodone for pain after surgery … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,816 satisfied customers
Got tested for alcohol (35109n)sap5-50w/nit. Had drinks the
Got tested for alcohol (35109n)sap5-50w/nit. Had drinks the night before was a little hung over but had no alcohol at work what does this test, test for ; not the night before right. I don't do drugs.… read more
Schuyler
Schuyler
1,944 satisfied customers
I am being put on the sweat patch for a court issue. I take
I am being put on the sweat patch for a court issue. I take a multitude of vitamins as well as lamictal, will this affect my results? I'm not on any illegal drugs but am worried. I have a lot dependin… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,136 satisfied customers
Can Valium show up as an opiate or benzo, Valium 5mg flomax
Valium 5mg flomax 4 grains synthroid 100 mg Tylenol extra strength … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,136 satisfied customers
I have metastatic breast cancer that has spread to the dura.
I have metastatic breast cancer that has spread to the dura. While systemic therapies (Ibrance, now Xeloda0 have ben remarkably effective on my spinal bone mets, the treatment is not effective on the … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x