Alternative Treatment Choices for a Herniated Disk Involving Pain Relief Medications
A herniated disk, one of the most common causes of lower back pain, can be managed at home with the right measures. Nonsteroidal anti-inflammatory drugs (NSAIDs), readily available over the counter, can provide relief from the associated pain. However, it is essential to understand their potential side effects and who should exercise caution when using them.
Common NSAIDs such as aspirin (Bayer), ibuprofen (Motrin or Advil), and naproxen (Aleve) can help alleviate pain from a herniated disk. The typical dosage for aspirin is 1-2 tablets every 4 hours, or 3 tablets every 6 hours, not exceeding 4,000 mg per day. For ibuprofen, the recommended dosage is 1-2 tablets every 4-6 hours, not exceeding 1,200 mg per day, while naproxen should be taken 1-2 tablets every 8-12 hours, not exceeding 660 mg per day.
While these medications are effective in reducing inflammation and easing pain, they can carry potential side effects, particularly when used improperly or by certain individuals. Common side effects of NSAIDs include gastrointestinal issues such as stomach pain, nausea, ulcers, or bleeding, kidney problems, and cardiovascular risks.
Individuals with pre-existing conditions such as severe kidney or liver disease, heart disease, or those who have a history of stomach ulcers or bleeding should be particularly cautious. Additionally, individuals taking other medications that may interact with NSAIDs, like blood thinners, corticosteroids, or those with allergies to NSAIDs or aspirin, should consult a doctor before use.
It is also advisable for individuals whose work demands mental alertness (due to possible drowsiness or dizziness from adjunctive medications like muscle relaxants) to be cautious and consult a healthcare provider.
In rare cases, a person may develop serious side effects, including allergic reactions, infection, bleeding, nerve damage, paralysis. If you experience any of these symptoms, seek immediate medical attention.
For those who require long-term pain management rather than short-term use, or those with complex health issues where NSAID safety is uncertain, it is crucial to consult a doctor.
The American Academy of Orthopaedic Surgeons (AAOS) notes that pain medications do not heal a herniated disk - they can only help relieve the pain while the disk heals. In some cases, epidural corticosteroid injections may be recommended. These injections, performed in a medical facility, help reduce inflammation around nerves in the back, thereby reducing pain. However, corticosteroids can also reduce the effectiveness of a person's immune system and may cause side effects such as increased risk of infection, weight gain, changes in blood sugar, changes in a person's response to physical stress, increased blood pressure, changes to skin, and mood changes.
If other nonsurgical options have not helped in 6 weeks, a doctor may order an epidural corticosteroid injection. It is important to note that a person has an increased chance of infection if they receive the injection within 3 months of surgery.
For those finding medications expensive, it may benefit them to speak with a doctor or pharmacist about lower cost medication options. Various organisations, such as NeedyMeds, PharmacyChecker, RxHope, Partnership for Prescription Assistance, Medicare, Medicaid, can help find medications at a lower cost.
In conclusion, while over-the-counter NSAIDs are generally effective and safe for short-term use in herniated disk pain relief, some individuals must seek medical advice to avoid complications or adverse effects. Always consult a healthcare provider before starting any new medication regimen.
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