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On Warfarin so cant take anti -inflammatoires

jlm789jjlm789 Posts: 6
edited 06/11/2012 - 8:53 AM in Pain Management
Hi,I am new to this forum. i am a 36year old women who has been diagnosed with OA of my lumbar spine. i have disc desiccation of L3,L4 and L5,S1. I have bulging disc at L4,L5 which is impinging the sciatic nerve down both legs. This is my limited understanding of my condition. I also suffer with OA in my left ankle after an accident two and a half years a go and after two surgeries i have been on crutches for that amount of time and i have had the ligiments repaired and tightrope fixation.I have Chronic regional pain syndrome in my leg also. This injury has also lead me to have two blood clots the most recent two and a half weeks ago so i am Warfarin for the rest of my life due to my reduced mobility. but my question is i believe the treatment for OA is anti-inflammatoires muscle relaxants and pain killers. I cant take Tramadol (Zydol) ,Diazepam and Gabapentin although the gabapentin is for the chronic pain syndrome in the leg.

Is there any other medication i can request from my gp instead of the anti-inflammatories even herbal pills as i am finding the pain unbearable and due to the nhs i dont get to see a pain specialist for another 12weeks.

Any help or advice would be very greatfully received.

Many Thanks.



  • Hi there and welcome to spine-health! I too have CRPS (feet) and OA (feet, ankles, both knees, hips, shoulders, C-spine) and I honestly do 'feel your pain'. Surely your Dr knows that you might be needing something stronger than what you mentioned you are taking for your pain. I try very hard to keep my medication (pain medication/opiates) to a minimum because of the whole tolerance thing, but I am taking 15mg oxycodone up to six times a day.I try to sleep through a dose or two, and it is very painful waking up, but waking (as you know) is painful anyway. I also take Topamax, Ativan, Norflex, Keppra, and occasionally tylenol, Synthroid,..I think that's all-lol.

    I know that we are told to stay "on top of our pain" and so skipping a pill or two at night isn't always the best plan, but whenever I wake up I sit for a while and can't move anyway, so this works for me and I feel better than if I were to take all six of my pills a day. If I have a Dr appt or somewhere else to go in the a.m., that is a different story and I have to maintain my pain control, otherwise I wouldn't be able to get up and get ready to go.

    Your Dr should understand that these are the symptoms you are surely living with as well, and would need help in having some type of pain control so that you can function, but it is up to you to communicate your concerns, otherwise the Dr won't know and can't treat you properly.
    How long since you have been given your Dx(s) and been with this Dr.Maybe you should call and mention that you are in pain and can't wait 12 weeks, and can't s/he help you until you see the pain Dr.?
  • hi, thanks for your comments and support, but the national health service in the uk but it has its draw backs one being the long waiting lists to see the specialist doctors at the hospitals not that i am complaining as it is a free system but there is nothing else i can do as my gp wont prescribe me any more drugs I can have morphine if i want it but i have a child and am a single parent so i cant be zoned out on morphine on top of all the other meds i take . but im sure the time will soon come around i hope so anyway.

    hope you are keeping well :)))
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