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Welcome to Justanswer.com. I am an Emergency physician with over 25 years multi-disciplinary experience. I am going to be your expert in this question.There is a current revision on the management of chronic back pain by the American Pain Association, the Neurosurgeons and Orthopedic surgeons. Though you have never abused your medications, there is now extreme caution in prescribing these medications for chronic pain, especially if when the underlying condition is inflammatory.
The recommendation currently allows for individualization of these treatment as deemed necesary by your physician after full assessment of your diagnosis and risk: benefit of physiological and psychological dependence on these drugs.
There are fairly good alternatives, both in potency and side effects.
NSAIDs when combined with skeletal muscle relaxants are effective in managing flare ups
Discuss with your PCP to consider these alternatives
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