How long can you take pain meds before it becomes dangerous

///How long can you take pain meds before it becomes dangerous
How long can you take pain meds before it becomes dangerous
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  • AvatarShankz
    Participant
    Post count: 3

    I have currently been referred to a nuero surgeon after my orthopedic surgeon reviewed the MRI.

    Findings:
    C5-6 the disc is mildly narrowed. There is ventral and dorsal endplate spurring with broad bulging of the disc and bilateral uncovertebral joint hyperteophy. There is mild spinal stenosis. There is mild bony stenosis of the bilateral C6 foramina, though no apparent impingement
    C6-7. The disc is narrowed and degenerating. There is broad bulging of the disc with posterior midline annular tear and shallow disc protrusion. There is mild central spinal stenosis. Bilateral uncovertebral joint hypertrophic is worse on the left, with an associated left subarticulardisc protrusion. There appears to be bony and disc encroachment upon the left C7 root. The right C7 foramen and root appear normal.

    Everything else is normal according to the scans. Although I am experiencing numbness in my left arm and hand, frequent ocular migraines, and periodic tingling throughout entire body.

    My appointment with the neurosurgeon is not until 2 weeks. I currently can only tolerate the pain with taking pain killers, how long can I do this safely and will therapy fix this issue or is it going to take surgery?

    AvatarShankz
    Participant
    Post count: 3

    I have currently been referred to a nuero surgeon after my orthopedic surgeon reviewed the MRI.

    Findings:
    C5-6 the disc is mildly narrowed. There is ventral and dorsal endplate spurring with broad bulging of the disc and bilateral uncovertebral joint hyperteophy. There is mild spinal stenosis. There is mild bony stenosis of the bilateral C6 foramina, though no apparent impingement
    C6-7. The disc is narrowed and degenerating. There is broad bulging of the disc with posterior midline annular tear and shallow disc protrusion. There is mild central spinal stenosis. Bilateral uncovertebral joint hypertrophic is worse on the left, with an associated left subarticulardisc protrusion. There appears to be bony and disc encroachment upon the left C7 root. The right C7 foramen and root appear normal.

    Everything else is normal according to the scans. Although I am experiencing numbness in my left arm and hand, frequent ocular migraines, and periodic tingling throughout entire body.

    My appointment with the neurosurgeon is not until 2 weeks. I currently can only tolerate the pain with taking pain killers, how long can I do this safely and will therapy fix this issue or is it going to take surgery?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7138

    Your MRI notes; “There appears to be bony and disc encroachment upon the left C7 root” but you don’t note what your symptoms are or what medications you are taking.Please elaborate.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    AvatarShankz
    Participant
    Post count: 3

    I am currently on Tramadol and cyclobenzaprine. The orthopedic surgeon has now referred me to a neurosurgeon, but I am not schedule to see him until 12/11. I have tried to not take the pills and I start to feel it intense pain in my neck and down my arm (the Physical therapist said I present as someone with tennis elbow). Is it ok for me to take these medications for over a month? And as far as next steps I started therapy Friday but I do not know what the neurosurgeon is going to recommend.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7138

    Tramadol and cyclobenzaprine are two of the least problematic narcotic and muscle relaxer based medicines. That does not mean you cannot become habituated but it would be less likely. I have some patients in my practice who can take these on a regular but limited basis and do OK. However, other patients cannot take these long term as they become “adjusted” to the medications and they don’t get good relief with continued small doses (a process called tachyphylaxis).

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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