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horrible back pain need help


NCC1701A

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I just asked my buddy who has very severe lower back problems.

 

His answer, try 'Naprosen', it's sold over the counter in Thailand under several names, It's very strong, not expensive.

 

He also takes 'Norgesic' (muscle relaxant), at the same time.

 

He says this combination gives him excellent relief and the Naprosen tabs are slow release over many hours. 

 

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28 minutes ago, nausea said:

The guy's in great pain  and waiting for a ride to the hospital where, presumably, he'll be diagnosed and given whatever medication is appropriate. He needs an otc medication which will work now. If Tramadol doesn't do it I really don't know what to suggest, apart from a bottle of whisky. I've suffered from acute back pain myself, but I was always able to relieve it to some extent by adjusting my body position; like I've never suffered back pain that was constant no matter how I positioned myself, sounds like a nightmare.

 

Maybe I misread it but I did not get the impression he was seeking OTC med but rather to know (or be reassured) what options would be available in the hospital.

 

He had already called an ambulance when he posted, hardly time left to send out for an OTC med.

 

I think by now he is in the hospital and we'll get an update in a while.

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Problem is using a chiropractor is pot luck and is based on trial and error, click and hope

 

Rubbish - a trained and experienced chiro doesn't just 'pull and click' and hope for a positive result.  There is science behind it ????

 

Although I haven't needed a chiro in 20 years, the chiros that I used previously (in the UK and Thailand) provided immediate pain relief to my back problems.  (No more back problems in 20 years now).

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2 hours ago, KarlS said:

Any "doctor" recommending medication for what is described by the OP as "horrible back pain" would, in the absence of a diagnosis be both unprofessional and irresponsible.

No - if it is meant to help the OP to go the hospital. He said he was waitnig for a ride. 

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3 hours ago, KhunFred said:

Tramadol works for my back pain. Just standard lumbago but it's the kind of thing that can ruin your day. Tramadol is kind of a controlled substance, so some pharmacies will not sell it.  Lots of influence by Americans into Thailand's drug policy. Like everything else here, it is a fluid situation, so YMMV.

tramadol, an opiate, is heavily abused worldwide, thats why its controlled.

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1 hour ago, sweatalot said:

I think that if doctors are posting here they know very well what they can recommend and what not - and this would be neither unprofessional nor dangerous. Recommendations from nonprofessionals might be different.

See my post number 25 .    Anyway... the OP is asking what medicines would "possibly be available" .

Well, my posts are not recommendations per se.   They are however based on my not inconsiderable amount of visits to these "professionals" you and others call doctors.  Yes, they have a degree on their wall. If you and others believe that makes them experts then of course follow what they say without making any judgements.    My experiences have shown me that even though I tried to find recommended doctors, the

procedures were much the same and the answers to relieving the pain were not very helpful.  I do not think I am alone in viewing the medical field in a less than godlike manner.   I have been helped at times...and at others have just felt like I was wasting my time and money.  And being given the usual asst of pills.

So for my condition,  I believe it was little old me who figured out what works and what doesn't..for me !!

I just shared my experience as such.   

NOTE :  It is essential to know what and where the pain is located and when/how does it hurt.  That info was not given, as i think the OP was in too much pain to respond.  Hope he gets something to ease the really bad pain.  When i went to the big hospital...they failed to do that for me.  I did have to pay the bill, nonetheless  ????

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3 hours ago, NCC1701A said:

no. bkk hua hin

 

You have been fortunate to receive a lot of well-intentioned advice. You have my sympathy as well as my concern. However I'm also worried about your numerous female fans and as to whether you have advised them of your condition. You may be out of action for a while.:thumbsup:

As far as treatment is concerned, your best bet is this facility, HS 4-2, where I hope you have a speedy recovery. Level BLUE is just for you.

.Hospital ship 42

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Problem is using a chiropractor is pot luck and is based on trial and error, click and hope

 

 

 

Rubbish - a trained and experienced chiro doesn't just 'pull and click' and hope for a positive result.  There is science behind it [emoji846]

 

Although I haven't needed a chiro in 20 years, the chiros that I used previously (in the UK and Thailand) provided immediate pain relief to my back problems.  (No more back problems in 20 years now).

 

 

 

Luck. I had 7 sessions, waste of time. Osteopath was much better. From memory its not generally available on the NHS.

 

Can you learn to use the "quote" properly. Its screwing up my tapatalk

 

 

 

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4 hours ago, Sheryl said:

 

For back pain from orthopedic cause a short course of prednisilone (steroid) is sometimes given. While not an analgedic as such it reduces swelling such as can occur around a herniated disc and thus can give relief. This too can only be gotten from hospital. Alternatively epidural steroid injection sometimes given for pain and often helps but temporary of course.

 

 

 

 

 

 

 

 

 

Prednisolone is the most dangerous medication I've experienced. Memory loss, massive confusion. I would never take it again knowingly. OK, everyone's physiology is different.

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1 minute ago, Lacessit said:

Prednisolone is the most dangerous medication I've experienced. Memory loss, massive confusion. I would never take it again knowingly. OK, everyone's physiology is different.

As long as you can still identify your mattress from a toilet seat then everything is fine. Its a super powerful anti inflammatory and saved me days of being bedridden when I used to get chronic gout. You got to expect some minor side effects for that level of trade off

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When the old ticker clogged up in January, they gave me Morphine (which is indicated not just for pain)

 

For Kidney stones a few years back it was Oxys and a shot of Tramadol (which worked intstanly).

 

For Shingles last year, Oxys and Gabepentin.

 

I dodnt know that Tramadol was OTC here. Better get some.

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thanks everyone for your help. sorry if i was grumpy earlier. too tired to get into it now, full debriefing in the morning.

 

still in pain but 30% better. as i feared i was not given very strong pain killers to take home. I did ask.

 

In the States you get something like Hydrocodone and you are good.

 

back to the hospital tomorrow.

 

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I suffered from sciatic pain for a few weeks in Pattaya and paid out quite a bit to see some falang people who specialise in back pain but to no avail.

 

Eventually a Thai woman I knew summoned an elderly Thai lady she was pals with and who was about 70 years old but very experienced to come to my room to give me a massage. 

 

It was quite a rough treatment with her elbows being ground into my back and so on for about half an hour but it did the trick and I noticed a definite improvement after day one. The pain was gone in three days and has never returned.

 

She spoke very little English but did not need to. She'd seen it all before and knew exactly what to do and her decades of experience paid off and proved their worth.

 

She only wanted 200 baht but I was so relieved to have made some progress I gave her a 1000 B. I know it's a bit stupid over paying these women but in this instance it was worth every penny.

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I suffered from sciatic pain for a few weeks in Pattaya and paid out quite a bit to see some falang people who specialise in back pain but to no avail.

 

Eventually a Thai woman I knew summoned an elderly Thai lady she was pals with and who was about 70 years old but very experienced to come to my room to give me a massage. 

 

It was quite a rough treatment with her elbows being ground into my back and so on for about half an hour but it did the trick and I noticed a definite improvement after day one. The pain was gone in three days and has never returned.

 

She spoke very little English but did not need to. She'd seen it all before and knew exactly what to do and her decades of experience paid off and proved their worth.

 

She only wanted 200 baht but I was so relieved to have made some progress I gave her a 1000 B. I know it's a bit stupid over paying these women but in this instance it was worth every penny.

yes worth the money, on the other hand i had a massage from my regular good thai massage lady, against my better judgement i mentioned my lower back. She targeted it for 30 mins, felt great and free for 20 minutes after then my back went, took a week to recover.

 

To be fair they aren't an MRI so can't see what the issue is, so lucky if they fix it

 

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32 minutes ago, NCC1701A said:

thanks everyone for your help. sorry if i was grumpy earlier. too tired to get into it now, full debriefing in the morning.

Get well soon Dog, you are the only interesting thing in Hua Hin, which aint saying much.

 

Great expat fight going on over at

 

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7 hours ago, scorecard said:

I just asked my buddy who has very severe lower back problems.

 

His answer, try 'Naprosen', it's sold over the counter in Thailand under several names, It's very strong, not expensive.

 

He also takes 'Norgesic' (muscle relaxant), at the same time.

 

He says this combination gives him excellent relief and the Naprosen tabs are slow release over many hours. 

 

Correct spelling is Naproxen

It is an anti-inflammatory drug like ibuprofen but probably safer if you take it over longer periods of time

 

It is very common to add Norgesic to a painkiller for backpain

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doesn't sound like kidney stones. Ibuprofen max dose per day 2400 mg, start with  600 mg TD Diclofenac max 150 mg, Arcoxia 90 and 120 mg (not longer than 1 week)  are the strongest otc pain  killers in LOS. you can combine with paracetamol max 4000 mg per day, for diclo and ibu I recommend combine with omeprazole 20-40 mg to prevent stomach trouble - and hurry to see a doctor, you can also try tramadol but it has a lot of unpleasant side effects

Don't take any over long time without consulting a doctor (which seems to be your plan anyway)

 

THIS ^^^

 

But first you need to indicate ALL medication you are currently prescribed. Statins? Etc.

 

Ibuprofen 2400-mg combined Paracetamol (Tylenol) 4000-mg over 24-hr period.

 

You need an anti-inflammatory and not just a painkiller.

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Thai massage may help. Along with hamstring stretching exercises.

 

Thai massage destroyed my good back.

 

The first lady twisted my upper body left and lower body right and then quickly snapped my back. Pain started within minutes.

 

Went back next day to Healthland and asked for different lady. Told her my back hurt and so she spent all effort at location which compounded the problem 10X.

 

With an acute back issue in much pain then I would say avoid massage except maybe application of topical analgesic (VOLTAREN) lightly massaged into skin at site of pain combined with oral meds above.

Massage and stretching are better after the acute symptoms have subsided and muscle spasm is not present. Maybe after a week.

 

No disrespect.

 

 

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I suffered from sciatic pain for a few weeks in Pattaya and paid out quite a bit to see some falang people who specialise in back pain but to no avail.
 
Eventually a Thai woman I knew summoned an elderly Thai lady she was pals with and who was about 70 years old but very experienced to come to my room to give me a massage. 
 
It was quite a rough treatment with her elbows being ground into my back and so on for about half an hour but it did the trick and I noticed a definite improvement after day one. The pain was gone in three days and has never returned.
 
She spoke very little English but did not need to. She'd seen it all before and knew exactly what to do and her decades of experience paid off and proved their worth.
 
She only wanted 200 baht but I was so relieved to have made some progress I gave her a 1000 B. I know it's a bit stupid over paying these women but in this instance it was worth every penny.


No disrespect but massage after a few weeks is very different than recommending deep tissue massage when in acute phase of backpain.

If the OP has a bulging or herniated disc then what you are describing can result in long lasting damage.

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Hope you're feeling better.  ( 30% sounds like not a whole lot) .  And sure enough you were not given anything to really deal with the pain.  That was my experience as well.   It was always take these tylenol and come back to get some more tests.  If you haven't had back problems in the past, google will keep you busy for days if not months.  15 Commonly Misdiagnosed Causes of Back Pain (Plus Treatment Options)

Try putting that in for a start.   SOOOO many causes of back pain, and that magic diagnosis that the average person believes a doctor is capable of has not been my experience.  Massage, chiropractors, needles, chinese medicines, anti-inflamatories, stretching, mri's,  disc degeneration, oh, the list goes on and on.

Sure, listen to what the doctors say,  read up on causes on your own..... but don't just blindly follow what a doctor says.  Back pain is not a sore throat which is correctly dealt with most of the time.  Good luck

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18 hours ago, KhunFred said:

Tramadol works for my back pain. Just standard lumbago but it's the kind of thing that can ruin your day. Tramadol is kind of a controlled substance, so some pharmacies will not sell it.  Lots of influence by Americans into Thailand's drug policy. Like everything else here, it is a fluid situation, so YMMV.

Tramadol is available over the counter in Facimile pharmacy. 

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18 hours ago, NCC1701A said:

anyone esle please. no more from you thanmks

Tramadol won't do much for the pain, but it tends to make you feel better about handling the pain you have.  However, it's a pain in the butt to obtain. Most pharmacies don't carry pure Tramadol which is cheap as dirt around 40 THB for a strip of ten 50mg capsules, but instead carry Ultracet which is Tylonol with 35mg of Tramadol and costs between 180 to 220 for 10 tabs. And most don't carry it at all.  Pharmacies, doctors, and brain-washed average citizens love to get on their high-horses and demonize anything that resembles an effective pain reliever. Opioid medicine is evil and people who take opioids are bad people.  That's the thinking around here.   NSAIDS don't do diddly other than wreak various organs of your body including your liver and kidneys.  Unfortunately you live in a country where even the doctors assume that if you are in pain it's because of your own bad karma so they are loath to give you anything to alleviate pain.
My next door neighbor is dying of cancer and the doctors give him Tylenol.  That's the country you live in, so best of luck. 

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