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My father has been complaining of pain, particularly in his back, for about a month now. He says his doctor says it's arthritis and that he should take acetaminophen or ibuprofen. These two medications give some relief but my father is now always complaining of the pain. It's really bad now and I can't stand to see him like this. Taking care of him like this makes everything worse.


I told him that we need to call the doctor, tell them about the ongoing pain and ask if there's anything else they can recommend or prescribe. My father is stubborn and thinks that all the pain management available to him are the two over-the-counter medications. Does any one else know of anything that will relieve this type of pain effectively? Nerve block, more potent pain medication, exercises, etc.?

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I get PT for my arthritic knees. OT for my arthritic thumb. Voltaren gel and therapist-prescribed braces also help.

What kind of orthopedic specialist does he see? I have a specialty knee doc and a specialty hand doc.

When an MD tells you just to live with pain or dysfunction, seek another opinion.

Years ago, my husband had serious breathing problems post open heart surgery. The first pulmonologist he saw told him he was lucky to be alive and to stop whining(?!).

We saw someone else who recommended specialized PT to get his diaphragm working and 15 years later, he still has no problems.
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My mother found relief in water walking in a warm therapy pool 3 times a week for many years.
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I use Voltaren gel OTC and it's very effective and be used along with acetaminophen or ibuprofen.
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Schedule an appointment with a Pain Management Dr.
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LIsa, I thought that your plan was to back off from Dad, brother and SIL and go live by the ocean?
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The squeaking wheel gets the oil in these circumstances. Are you his medical POA? You need to follow up. You need to tell the docs that he cannot deal with this level of continual pain and they must DO SOMETHING. There are other medications he can try on a daily basis. There are some low dose anti depressants that actually help which are being used for off label relief of pain.
This is often due to spinal stenosis, spinal compression of age and it can be very very painful. Good xrays and even MRI may be needed to assess the level of the damage. SOME PAIN is going to be present in age. If it isn't my knees at 80 then it's my back, and if not that it's the feet, the shoulders and so on.
Keeping moving may help if this is ONLY arthritis, but with stenosis or compression of the spine it may exacerbate this.
If all else fails you will need to ask for pain management consult. You ideas of PT consult and possible injections for the back may be in the future dependent on what's goin" g on, but an MD just sluffing this off as "It's arthritis" isn't good enough if Dad's in a lot of pain.
You can help by making a THOROUGH outline for doc of this pain.
Sharp or aching in nature?
What time of the day and with or without activity?
Worsened by sitting, standing or walking, or better?
Does it waken Dad at night?
Is there nerve pain (sharp) shooting down into the feet at all?
and etc. This will help MD diagnose what's happening. Ask for an Orthopedist consult.
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GardenArtist Jul 2022
Alva, your excellent advice helped me consider options and questions to ask about lingering lower back pain I've had since falling. Thanks for sharing your experience and advice.
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I second and third the recommendations for (a) activity and (b) cider vinegar. My father took the latter daily for years, and despite having arthritis, he never mentioned pain.

I'm of the firm belief that natural remedies should precede meds, especially acetaminophen or ibuprofen.
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Alleve it works wonders. Also Salon Pas Pain patches. They come in different sizes and you can put them right on the source of pain.
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The doctor should be able to give him some ideas or refer him to a specialist.

They can prescribe anything from SalonPas patches or Voltaren gel (topically applied to the back - wash hands thoroughly after using if he has cats; it's very toxic to them) to a surgically implanted spinal cord stimulator (https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/treating-pain-with-spinal-cord-stimulators).

I agree that movement is good, so if he experiences any relief with treatment he should add a movement routine to maintain the improvement.
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If you Google “turmeric anti inflammatory”, you get the Mayo Clinic “turmeric’s anti-inflamatory properties may relieve arthritis pain”. It upsets some people’s stomach, but so does ibuprofen. I cope with turmeric, and can’t tolerate ibuprofen. It’s not snake oil, the Mayo Clinic is totally mainstream, and it may be worth a try. The recommendation (I’ve read a lot on this) is 7 teaspoons turmeric, 2 teaspoons black pepper, 1 teaspoon ginger, mixed in anything (I use yoghurt) that will help you get it down. It tastes disgusting, works in about 45 minutes.
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Yes, apple cider vinegar. Use it every day, many benefits.
Thanks isthisrealyreal, i do it teaspoon straight but water and honey sounds good.
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Apple cider vinegar with raw honey, diluted with water. Drink every morning and afternoon.
(2 tablespoons vinegar and honey to taste, water to not burn the esophagus)

It has been used for many decades and really helps.

Of course staying active is the best no matter what else is being done.
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Lisa, I've just been diagnosed with degenerative osteoarthritis in my neck. I had a really bad bout with pain and started physio therapy about a month ago. It has helped. What is your Dad's age? Is he frail? Could he manage physio? I mean, yeah, I do take the ibuprofen and the acetaminophen as well and have not been prescribed anything stronger. The trouble with any pain killers is it's a slippery slope. What helps one day could cause other problems the next. But the physio has helped. I'm only 60 and still able bodied so I'm speaking from a fairly young point of view but consider it for your father if he is able.

Oh, and yes, movement is important. Sitting around is the worst thing you can do for arthritis. My physio guy even said sitting in one position for more than 15 min. isn't good. He said get up and move during commercial breaks if you are watching t.v. or anything that has you sitting too much.
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Most everyone deals with arthritis as we age. And most of us get told advice much like your dad has been given. For my family members dealing with it, we’ve found movement to be vital. Sitting and inactivity is the enemy when dealing with arthritis. Walking and other exercises help a lot. Perhaps accompany your dad to the doctor and voice your concerns. Be very cautious with potent pain meds, they can come with their own set of issues
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