Narcotics, or opioids (pronounced OH-pee-oydz), provide the main relief for this level of pain. There are both long-acting and short-acting opioid pain medicines:
Long-acting opioids include:
oxycodone (brand names: Roxicodone, OxyIR, OxyContin)
fentanyl (brand name: Duragesic)
morphine (brand names: MS Contin, Oramorph, Avinza, Kadian, Roxanol)
methadone (brand name: Dolophine)
Short-acting opioids include:
morphine (brand name: MSIR)
oxycodone (brand name: Percocet)
hydrocodone (brand names: Vicodin, Vicoprofen, Lortab, Lorcet, Hycodan, Zydone)
hydromorphone (brand name: Dilaudid)
fentanyl—rapid acting (brand name: Actiq)
meperidine (brand name: Demerol)
Dosage is adjusted to suppress your pain around-the-clock. Long-acting medication helps so that most of your day is pain free, and ideally you won't need to get up in the middle of the night to take another dose. Short-acting drugs are used to treat episodes of breakthrough pain.
There are many different opioids to try f...
One of the major risks of having spine surgery is the development of an infection. Discitis is an uncommon infection of the spinal disc that can occur after spinal surgery. Because of its rarity, discitis is often not on the minds of doctors. In this world of rushed, inattentive doctors, a person with an infection of the spine can be dismissed as a "common back pain" case when in fact discitis is the culprit.
A 58 year old woman who had years of lumbar pain came to me one and a half years following a complicated lumbar fusion; the surgery was complicated by the fact that the surgeon had to operate twice in order to get the hardware placed correctly. Unfortunately, the surgery did not cure her pain; and she came to me for pain management.
Two months into her treatment with me, she had a severe episode of low back pain after shoveling snow. She went to her primary doctor with not only complaints of worsening back pain, but she also had a fever and an upset stomach. That ...
Frequent urination is best described as having to urinate so often that your activities of daily life and sleep are adversely affected. This problem is not an illness itself but rather a symptom of a wide variety of conditions, some from diseases, and others from external factors. The urinary tract--the kidneys, bladder and drainage system--can be afflicted by infections at any site, which causea frequent urination as the urinary organs react to the infection. Bladder infections and those of the prostate are the most common urinary tract infections causing frequent urination, but infections of the kidneys may also result in this symptom. Treatment of the infections with appropriate antibiotics will usually cure the infection and stop the frequent voiding. Obstruction of the outflow of urine from the bladder is another cause of frequent urination. An enlarged prostate in men and scars in the urine tube draining the bladder impede the bladder’s ability...
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