horrible back pain need help

[connda]

16 hours ago, metempsychotic said:

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

There is the Catch-22:  "Painkillers have the potential to be abused, therefore we, them government, will make them close to impossible to obtain if you need the legitimately."  It's interesting that there are countries that still sell medicines with codeine as an ingredient.  Will some people abuse them?  Probably.  It that a reason to restrict the entire population for having access to effective pain relief?  Only if you completely lack compassion for human suffering. 

[ShortTimed]

In the case of acute back pain that the OP describes, pain killers can have a counter-productive result since the pain is the body saying, “Do not fkn move” and when that pain is dulled then movement is more likely and so is resultant additional injury.

Anti-inflammatory and muscle relaxer are a better approach.

And possibly an oral steroid such as Prednisone.


Sent from my iPhone using Thaivisa Connect

[KarlS]

2 minutes ago, connda said:

There is the Catch-22:  "Painkillers have the potential to be abused, therefore we, them government, will make them close to impossible to obtain if you need the legitimately."  It's interesting that there are countries that still sell medicines with codeine as an ingredient.  Will some people abuse them?  Probably.  It that a reason to restrict the entire population for having access to effective pain relief?  Only if you completely lack compassion for human suffering. 

Abuse of prescribed opioids in the USA has led to the declaration of an on-going Public Health emergency. 

[murraynz]

19 hours ago, NCC1701A said:

where is sherly

is sheryl a doctor ?????

[bkk6060]

19 hours ago, KarlS said:

No codeine based medication is available OTC.

Wrong!

[rwill]

You could try Arcoxia it is available in most pharmacies.  

 

https://en.wikipedia.org/wiki/Etoricoxib

 

[scubascuba3]

Anti-inflammatory and muscle relaxer are a better approach.

They never seem to improve my pain when it hits so i don't bother taking anymore. I guess we are different

[oldrunner]

Why in the hell would you ask a bunch of onion heads for medical advice especially regarding OTC drugs. While I'm into it, why in the hell should anyone give to a 'go help me' fund for someone too stupid than not to have insurance?

[ShortTimed]

is sheryl a doctor ?????

No she is better than one from the archived posts she has commented on.

[KarlS]

Just now, bkk6060 said:

Wrong!

OK  -- Let me rephrase --  No codeine based medication is LEGALLY available OTC in Thailand. Possession of illegally acquired codeine can result in a draconian outcome which includes fines, jail time and deportation. 

[connda]

12 hours 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.

 

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.

 

This country's palliative medicine is still in the Stone Age.  Once again - they are confused Buddhist who believe that pain is a result of your own bad karma so who are they to help with the pain.  And pain medication is for moral degenerates so they are saving you from yourself.  Add to that that the doctors seem to have no understanding of the variability of respond to pain med between populations of individuals, for example, Thai that I know tend to much more sensitive to pain meds than myself.  The level of medication that will make my wife zone-out will barely take effect my own pain.  I see this at the dentist office all the time.  1 out of 7 dentists I've been to will under-anesthetize me.  The same shot would make my wife's face slack for three hours.  But yet, Thai doctors treat all patients that same as though their is no variability between patients.  Obviously virtually all doctors were sleeping during their Statistics classes with virtually none understanding natural human variability to the effects of pain medicine as charted on a Bell Curve and divided into responses segmented by standard deviations from an average response to the meds.  In a Thai doctor's mind - One Size Fits All.  Statistical analysis shows that not to be true in the least.

So NCC1701A, if they gave you any sort of effect pain killers, which they are loath to give, then they under-prescribed the dosages.  The human condition is to suffer - so the doctors are helping you out.

[bkk6060]

43 minutes ago, connda said:

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.

Sorry my friend, you are wrong.  You can buy it at most pharmacies in Pattaya.  Actually CM pharmacies mostly have it even the 100 mg slow release.

Many pharmacies around Nana in BKK also.

 

It is very addicting, causes horrible dreams, and takes a few hours of fuzziness to wake up on the morning.  The buzz and pain relief are decent.

I would not suggest mixing it with booze.

[faraday]

I've got a herniated L5/S1 disc, I've had 2 Caudal steroid injections which helped a lot.

 

The single most thing that helps with the sciatic pain is hanging by my hands from a bar I've got in the house.

 

Really helps.

 

 

[ShortTimed]

This country's palliative medicine is still in the Stone Age.  Once again - they are confused Buddhist who believe that pain is a result of your own bad karma so who are they to help with the pain.  And pain medication is for moral degenerates so they are saving you from yourself.  Add to that that the doctors seem to have no understanding of the variability of respond to pain med between populations of individuals, for example, Thai that I know tend to much more sensitive to pain meds than myself.  The level of medication that will make my wife zone-out will barely take effect my own pain.  I see this at the dentist office all the time.  1 out of 7 dentists I've been to will under-anesthetize me.  The same shot would make my wife's face slack for three hours.  But yet, Thai doctors treat all patients that same as though their is no variability between patients.  Obviously virtually all doctors were sleeping during their Statistics classes with virtually none understanding natural human variability to the effects of pain medicine as charted on a Bell Curve and divided into responses segmented by standard deviations from an average response to the meds.  In a Thai doctor's mind - One Size Fits All.  Statistical analysis shows that not to be true in the least.

 

So NCC1701A, if they gave you any sort of effect pain killers, which they are loath to give, then they under-prescribed the dosages.  The human condition is to suffer - so the doctors are helping you out.

 

Geez,

When I was in pain with a herniated disc, about the last thing in the world I would care about is this venting on Eastern medicine.

[ShortTimed]

I've got a herniated L5/S1 disc, I've had 2 Caudal steroid injections which helped a lot.
 
The single most thing that helps with the sciatic pain is hanging by my hands from a bar I've got in the house.
 
Really helps.
 
 

Yes, this decompresses the vertebrae and relieves pressure on the disc.
It is basically hillbilly traction.

Can be quite effective in some circumstances.

[bkk6060]

2 minutes ago, ShortTimed said:

 

Geez,
When I was in pain with a herniated disc, about the last thing in the world I would give a crap about is the gibberish being spouted from this soapbox.

 

Yet here you are making no contribution and spewing gibberish.

[ShortTimed]

Yet here you are making no contribution and spewing gibberish.

EMT for 12 years.

Recently suffered from and recovered from L4-L5 broadband disc herniation here in Thailand.

I invite you to read back over my posts and find one error.

You will not.

First & foremost, stressing he must indicate what medications he is currently taking before just randomly trying out more.

Two, stating that more details are needed since the original posts went on a kidney stone tangent for no medical reason.

Three to be cautious of some suggestions that are fine for the therapy stage but counter-productive for the acute stage the OP is in.

[faraday]

10 minutes ago, ShortTimed said:

 

Yes, this decompresses the vertebrae and relieves pressure on the disc.
It is basically hillbilly traction.

Can be quite effective in some circumstances.

 

What an unfortunate sentence.

[ShortTimed]

What an unfortunate sentence.

 

My apology, no disrespect intended.

Its just a vernacular suggesting a home-remedy.

 

The post I responded to offers a type of treatment that can be quite successful for some back trauma. I should not have used an expression that can be interpreted as negative because I think it can be sound advice once its determined his issue.

 

Traction works depending on the OP injury.

 

 

 

[lopburi3]

15 hours ago, simon43 said:

Quote

 

 

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

 

 

 

My post with a quote looks fine to me - maybe it's you...

Or maybe not - take a closer look - there is no indication of who you quoted - as is clearly indicated at top of my quote of your post.

[Sheryl]

Since we do not yet know the underlying cause of the pain any and all suggestions are premature.

 

Wait for OP to return and tell us the diagnosis.

 

Most certainly massage not a good idea during acute back pain, at least not until/unless it has been cleared by an orthopedic specialist.

 

The only DIY that can be recommended safely at this stage is to stay lying down in whatever position is most comfortable and apply ice.

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

 

[simon43]

Quote

 

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. 
 

 

 

Prior to visiting a chiro (who resolved my back issues almost 20 years ago), I had very bad back pain one late evening in Saladaeng, BKK.  My Thai GF suggested a back massage might help.  The only massage place open at that late hour was a gay massage shop!  My GF explained the problem and a 'pretty' boy stood behind me, held me close, and started to massage my lower back in a sort of 'twerking' movement!!

 

Well, it did resolve my back pain, but my GF was wetting herself at the sight of her BF apparently being 'rodgered' by a gay guy... ????

 

(Maybe that was too much information for some... and I never visited that massage shop again!)

[marcusarelus]

I had a lot of back pain (no walk no sit - lay on left side only) and the doctor would not help much unless I was admitted to the hospital.  So I went to another doctor who was also trained in acupuncture.  It helped.  Went twice a week for 3 weeks.  I should mention again he was an MD. 

[NCC1701A]

8 minutes ago, Sheryl said:

Wait for OP to return and tell us the diagnosis.

later today going hospital. only one hand to type right now.

 

thank you everyone 

 

poring rain Hua Hin of course.

[simon43]

there is no indication of who you quoted

 

I'll comment only once because it is off-topic...

 

Why do I need to tell everyone who made the original run-of-the-mill comment? I only quote that comment so that everyone knows the topic or sentence that I'm commenting on. I don't identify you specifically because the comment is nondescript, of minimal value or importance.

 

Sorry if your Tapatalk doesn't like it - there are more important things in my life ????

[scubascuba3]

The only DIY that can be recommended safely at this stage is to stay lying down in whatever position is most comfortable and apple ice.

Ice has an annoying habit of melting, I've found using frozen peas or similar better

[scubascuba3]

 

 

there is no indication of who you quoted

 

 

 

I'll comment only once because it is off-topic...

 

Why do I need to tell everyone who made the original run-of-the-mill comment? I only quote that comment so that everyone knows the topic or sentence that I'm commenting on. I don't identify you specifically because the comment is nondescript, of minimal value or importance.

 

Sorry if your Tapatalk doesn't like it - there are more important things in my life [emoji846]

 

Most people quote including name, it's the norm. Removing someones name is not only a bit weird but screws up Tapatalk

 

[Dario]

My late mother suffered from severe back pain many, many years until she passed away here in Thailand. She told me it was an isciatic nerv which caused the pain. What helped her the most whenever the pain returned was using a fluid called Perskindol which we rubbed onto her back. She brought a 500 ml bottle with her when she moved to Thailand. And it always helped her. Perskindol is available in Thailand. I buy it on Lazada for my daughter for when she plays tennis. After strong ground strokes or serves muscle ache is sure to occur and then Perskindol is your friend. Even her tennis coach and his son use it. They have it always on court. Much safer than all the pain killers mentioned in this thread. It might help the OP for recurring pain.

[Jim7777]

20 hours ago, NCC1701A said:

anyone esle please. no more from you thanmks

As long as you are not going to a government hospital you can ask for a morphine shot and oral morphine tablets to take home.  Or Codeine is good as well.

 

In fact I just dislocated my shoulder last week and I’ve had to have 3 morphine shots this week and I just finished the last of my oral morphine tablets last night.  My shoulder is starting to feel better now I think because of the steroid shot so I don’t think I’ll be needing anymore morphine.  

 

But you can get a shot of morphine at the hospital and ask for oral morphine tablets to take home.  Or Codeine tablets if it’s severe pain the morphine is probably better.  

 

What kind of back pain is it?  Is it spinal or a vertebra or a disk injury?  Or is it lower back “flank pain” on the right or left side?  If it’s lower back pain on the left or right side it might be a kidney stone which are EXTREMELY PAINFUL I HAVE HAD THEM BEFORE AND IT IS HORRIBLE!  If it’s a kidney stone they might do a CT Scan maybe just to see how big it is if necessary but if it is a kidney stone most definitely ask for a morphine shot and oral morphine tablets to take home.  I just finished mine for my dislocated shoulder, all you have to do is ask for it.  If the pain is severe enough the doctor will give you morphine as long as you are not at a government hospital DO NOT GO TO A GOVERNMENT HOSPITAL!  

 

And forget about tramadol that drug sucks and it makes me really sick to my stomach.  Tramadol is crap.  More than likely you’ll get morphine if it’s that bad or Codeine which is also really good for pain but for what you’re describing probably ASK them for a morphine shot and oral morphine tablets to take home with you.  Make sure you ask the doctor for morphine and really emphasize how much pain you are in.  Really emphasize your pain because some doctors are really conservative about prescribing narcotics and some doctors will just give it out like candy.  So you must ask for morphine and really emphasize how much pain you are in and ask for a morphine shot at the hospital and oral morphine tablets to take home with you.  I just went through a lot of morphine this week because of my shoulder being dislocated and some torn tendons.  

 

I hope you feel better soon, and definitely avoid that tramadol it’s crap.  If you are in desperate severe pain ask for morphine at the hospital.

 

Get well soon man.  I just noticed that this is an old post so hopefully you have figured that out by now and hopefully you’re feeling better by now.  

[connda]

40 minutes ago, bkk6060 said:

Sorry my friend, you are wrong.  You can buy it at most pharmacies in Pattaya.  Actually CM pharmacies mostly have it even the 100 mg slow release.

Ok, I'll trust that you're correct.  So, please name the pharmacies in Chiang Mai that carry pure Tramadol and add the GPS coordinates on Google Map so that they are easily found.  No exaggeration here, but I walked Suthep Road from Maharaj Hospital to Chiang Mai University stopping at each pharmacy and asking if they have 50 mg tabs of Tramadol or Ultracet. And did the same along the moat bordering the old city. That walk yielded not one pharmacy which sold Tramadol and only a very few that sold Ultracet.  It's easy to simply say that it's highly available - it once was, but it isn't now.  So, please inform the rest of us specifically which "CM pharmacies mostly" sell Tramadol, because it's my direct experience that "CM pharmacies mostly" do not sell it.  My experience is that there are perhaps 2 or 3 that sell it in the 50mg capsule form.  Those shops are a rarity to find.  But if you believe I'm wrong my friend, than supply the names and location to say about 10 of the easily found Tramadol selling pharmacies. 

Personally I wish Thailand would get with the program and start producing cannabinoid base pain relievers without making them a circus of hoop jumping to obtain.  I simply want the cannabinoid extracts without THC and I'd dump Tramadol for good. I don't want to be high, I want to be out of pain.  But my guess is that dispensation of cannabinoid extracts will be so restricted that use for things like arthritis and gout will not be covered.