I developed a headache after taking Lyrica for cervical stenosis.Please suggest an alternative,

Hi,

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What is your job profile, and how much physical activity you have in your daily routine? MSM (methylsulfonylmethane) and bone broth are said to benefit in cases of generalized weakness in bones and ligaments. They are multi-vitamins and will not help your neck pain. It is always good to eat less sugar in your diet and keep your weight in control. You should always have a balanced diet. As far as serum uric acid is concerned, one high value is not significant in the absence of any symptoms. Three consecutive values in three straight months are considered significant if all of them have a high value. This neck pain is very, very rare in increased uric acid. So, this should not be the primary reason.

Hi,

Welcome back to icliniq.com.

1. I do not think uric acid is the culprit. It is easy to treat reports than to treat a person.

2. Neck exercises are good, apart from that, the best is regular walking for 45 minutes at a stretch.

3. Please make Lyrica (Pregabalin) 75 mg at night since 50 mg is too low.

1. The uric acid cause arthritis but it's very rare that it affects joints of cervical spine. it normally affect joints of foot and knee. 2. I think you don't need to take sleeping pills if you are already taking pregabalin. you can avoid that because pregabalin itself produces some sleep. 3. as I have discussed with you earlier, your problem is lifestyle problem. it's a very common problem especially in those with sedentary lifestyle and sitting job on laptop. You need to participate in the treatment equally then only it's going to get better. I recommend you to have video consultation with me and let's see how much you have improved or worsened. 4. Nerve blocks are given when there is radicular pain in upper limbs. it doesn't work for neck pain. for your neck pain, facet blocks can be given but all these measures are short lived and only to break pain cycle

Well I think there is 3.5 hours of difference in our time. your is ahead than India. we can plan it for tomorrow or monday at around 12- 1 PM as per your time. or we can plan in the evening on Monday. tell me your comfortable timings and message me your email address and phone number. I will send you the link from icliniq for video consultation

ok. so it's fine. I will send you link for Thursday. let's meet on Thursday. Thanks

Hello Nice to hear from you after long time. I hope you were doing good in between. Well if you have above mentioned symptoms recently, then I would suggest you to avoid physiotherapy as if now. you can use collar for not more than 5 days. Are you taking any medication for your neck pain and tingling?

I feel you should continue pregabalin since you are taking it for long and it could not be responsible for your vertigo. along with that, add one anti-inflammatory like Aceclofenac for 5 days to reduce your neck pain. use cervical collar as much as you can ideally 18 hours in a day. most of the time vertigo are originated from ear but i am assuming that you have recent development of neck pain, increased tingling and vertigo, so they might be connected and originating from neck.

Yes, Voltren is same group of drug, so you can take that too. I don't think there is any need to start antibiotics. Keep patience. Start this treatment which I am suggesting you and then let's take a call after 3 days.

There is no point in using the collar while you are lying down but if it's give you relief then there is no harm in using it.

No spinal manipulation. These things are not going to help. Even after 36 hours, don't go for it. These things don't help. And muscle relaxant will definitely help. take it for 3-5 days along with anti-inflammatory

No problem. you can take it. but dont take muscle relaxant and pain killers for long

I can see your neck. there is no external abnormality. another pic which you have sent is xrays of knee. I am sorry, but you never told about your knee complaints. if you can brief a little, then I can correlate it.

in your reports, I could not find anything significant. I don't think there is need for brainstem MRI separately. Being a spine surgeon, I can ensure you with whatever information I have, that your vertigo is not due to cervical spine. you need to see a ENT doctor. get that ruled out and later on go to neurologist. but let me ensure you, most of the patients with vertigo end up with lot of investigations with no obvious cause found in them.

As far as I remember, I have emailed you an image of the pamphlet which I normally give to my patients. I don't prescribe any extensive neck exercises other than that. my concept is the patient has to be regular instead of doing very heavy exercises for short period. if you say, I can again forward you the same of you can provide me with your email address. Thanks

ok. I am sending you

Yes. it may be. but continue the same treatment. don't get apprehensive. any ailment takes time to get better

I have seen the video. whatever he has told is not taught to us and we spine surgeons don't practice and not practiced by any spine surgeons in the world. so I will not be able to guide you for that

you start tab vertin 8mg twice a day if still you are having vertigo, make it thrice a day

you are always welcome

Ok. Just for your information, heel spur has nothing to do with plantar fascitis. things you can do for this is 1. Hot and cold fomentation 2. plantar fascia stretching exercises 3. calf stretching exercises 4. use good shoes. 5. ultrasonic therapy at nearby physio

The xrays in plantar fascitis is useless. the initial treatment will remain same everywhere in the world whether you get an xrays Or not

soft running shoes will be better. even after saying herl spur, the doctor is going to give you same treatment which I have

I believe the treatment of simple problems should be kept simple. Thanks for appreciation

well it's good to know that you are improving and thanks for trusting me. You need to have patience. Reaching 5-10 kms from 350m is going to take time. what you can do is increase the frequency of walking. instead of 2 times, make it 3 times, then after a while make it 4 times. so this is how you will be able to reach to your previous level early, but doing too much can worsen the pain. so be careful and gentle with your body

Yes, 3 times a day is enough. 1. you can get another shot of steroids if there is no relief. there is no harm in this. 2. deep tissue massage, I don't think is anything superior. The exercises which I have told is enough 3. ultrasonic therapy will definitely help Combination of hot and cold will be better. you can check out contrast foot bath on internet

check with the name of contrast foot bath

I feel walking a lot right now may increase your pain. so you need to take frequent breaks during your walking distance and keep anti inflammatory medicine with you incase your pain increases

oh you can walk but with more frequent breaks. obviously if it's related to work, you can't take long rest.

actually plantar fascitis is the problem of heel and usually splints are used for joints. so you can use silicon heel cushion in your shoes while walking but there is no night splint

I need to see his blood reports and kindly tell me the names of all the medications which he is taking? Also tell me what he has eaten before this bleeding started?

I understand what you are trying to say. please forward me the reports and provide me with the information which I have asked

Thanks. it would be better if he you can open a new query. our conversation related to your problem will get mixed with other query

That's nice to hear that your pain is less. Don't look at spur. You can see it whenever you get an xray. But focus on the improvement of pain. we are not going to have xray in future for this problem. Yes you can climb as many as flight of stairs. use good quality shoes and you can also use silicon heel inside. The pain may get better someday and may be increased other day. but don't worry, with constant exercise and other things which I have told you, it's going to improve.

if it is getting better, then why you want to go for steroid injection?

Howz your pain right now? It's been many days?

Well happy to hear that your pain has improved. generally it's combined effect of multiple things like physiotherapy or exercises and your heat pad. anyways, the point is you are doing good and your pain is gone

First of all in your case, since you use computers for long, you need to take care of your posture. besides that you need to walk for at least 4kms at a stretch daily. these 2 instructions from my side. rest exercises and instructions will be advised by a physiotherapist. so stay in regular follow up with him

As I told you before, too much use of cervical collar is not advised. you should make your natural collar strong which are your muscles. otherwise there is no problem in walking with cervical collar too. You are always welcome to send your MRI or ask any questions. I will be happy to help you anytime

Yes. This I have felt personally too. Sleeping for too long create muscle spasms and pain in neck which takes 2-3 days to normalize

I think only hot bath is enough. If it's troubling you very much, then go for muscle relaxant. For MRI, I feel there is no point in repeating it if you are improving. The changes seen in earlier MRI will definitely be there. If you have not become worse then there is indication of fresh MRI. Otherwise it's waste of money

please send the full file to my email