How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35473
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

My mom is recovering from back surgery on 9/13 and while she

Customer Question

My mom is recovering from back surgery on 9/13 and while she is improving, 2-4 hours each night are very difficult due to nerve pain and spasms that don't occur in the daytime. We're on gabapentin and muscle relaxers but am looking for suggestions. Next doctor's apt is in six days.
JA: Have you had any recent injuries? What seems to make the pain better or worse?
Customer: Only the back surgery on 9/13 which was extensive (9+ hours and they added ten screws to the lower back to help alignment). Nighttime makes it worse.
JA: Anything else in your medical history you think the doctor should know?
Customer: Diabetic, this is her 4th back surgery in her life, and that she's 80 and otherwise is very good health.
Submitted: 10 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 10 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Customer: replied 10 months ago.
Also, we've tried oxycodon, xanax, Valium, and nucynta with minimal impact so trying to avoid the narcotics
Expert:  Dr. Arun Phophalia replied 10 months ago.

Following treatment is recommended;

1) Medications like Tegretol, Pregabalin, Gabapentin (which she is already taking)

2) Topical therapy with capsaicin or lidocaine patches

3) Acupuncture

4) Alpha-lipoic acid; it has antioxidant properties as well as relieve the nerve pain.

5) Trans cutaneous electrical stimulation; the device is available at health stores and pharmacies. This is one of the best treatment as it avoids the adverse effects of medications.

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.

Expert:  Dr. Arun Phophalia replied 10 months ago.

In the day time she should do following;

1) Do not exert too much.

2) Avoid prolonged sitting in a single stretch.

3) Drink plenty of fluids.

4) May drink Gatorade to replenish electrolytes.

5) Back brace.

6) Physical therapy.

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.

Expert:  Dr. Arun Phophalia replied 10 months ago.

The helpful herbs for chronic pain and spasms are;

1) Willow bark
Devil's Claw
St. John's wort
5) Valerian
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

Commonly used medications 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).

Best wishes,
It was my pleasure to help you.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable authentic answers!
This is the link to my profile:

Expert:  Dr. Arun Phophalia replied 10 months ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Expert:  Dr. Arun Phophalia replied 10 months ago.

My goal is to provide you with the best service possible. If you feel I have done so, then an "Excellent Service" rating is greatly appreciated! If not, please click "Reply" to let me know how I can better assist you with any additional information or clarification.

Thank you very much for the opportunity to be of help!