Hi doctor, I have fibromyalgia and chronic pain in the lower back. I also have pain in legs. The pain is so severe that I cannot do anything. I can move only inside my house. I step out by using my wheelchair. I have been prescribed with several kinds of analgesics over the years. But nothing has helped me. Is there anything else? I have even tried seeing physiotherapists too. I had a relief from pain when I was given a large dose of Morphine. Currently, I am taking Apixaban, the blood thinner.
Hi. You have spinal cord compression due to untreated vertebral fracture which causes severe back pain and difficulty in moving your lower limbs. In such cases, MRI (magnetic resonance imaging) is the most diagnostic one, and a neurosurgical consultation is required. Surgery can be done to decompress the spinal cord. It can improve the pain and movement. In case, if the operation is not possible, stronger pain medication can be taken to control the pain. I recommend taking Tramadol 50 mg for every six hours along with Paracetamol. Also, take vitamin B complex tablets to improve your nerve conduction and pain. In pain management, we follow a ladder to achieve pain control. Please send me your X-ray for reviewing it. Please provide your reason for taking a blood thinner.