• Sandra Sandra
    June 23, 2011
    What relief is there for chronic pain caused by spinal stenosis?
    Sandra Sandra
    June 23, 2011
    My husband has severe spinal stenosis with a burning pain in his left hip that radiates all the way to his foot. He cannot have surgery because his lung function is less than 35% and he cannot be put to sleep. He has tried physical therapy, epidurals, narcotics, acupuncture, and electrical stimulation implant. Nothing worked, and he now spends most of his time in bed. READ MORE

FROM OUR EXPERTS

  • Christina Lasich, MD
    Health Pro
    June 26, 2011
    Christina Lasich, MD
    Health Pro
    June 26, 2011

    Burning pain is the cardinal sign of an unhappy nerve, probably the left L3+L4 nerve in your husband's case. Nerve pain is very difficult to treat as you have already discovered. Many special medications are used not necessarily "narcotics" which I assume you mean opioids medication like morphine and not other narcotics like Valium. What about other mediciations?

     

    Tricyclic antidepressants should really be called tricyclic anagesics because they work so well for nerve pain. Desiprimine is often a favorite because it has the least amount of side effects.

     

    Anti-convulants like gabapentin or Lyrica are also very, very useful for nerve pain.

     

    A newer opioid is called Nucynta and it too works well for nerve pain.

     

    I assume your husband is working with a pain specialist, but maybe a second opinion from another pain specialist would help provide a breakthrough for your difficult situation. Sometimes alternative solutions are found when looking from a different perspective.

     

    Dr. Christina Lasich, MD


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