Medication

Back and neck pain can be miserable!  Injury, herniated disc, spinal stenosis, osteoarthritis, vertebral compression fracture … even a simple back strain can cause considerable pain.  Back pain is one of the most common reasons people seek medical care.

In our practice, we recommend and prescribe medication to patients who are under our care.  We understand spinal disorders can be painful and want to help you manage your pain while under our care.

Medication - Overview

Listed below are common types of drugs prescribed or recommended and available over-the-counter (OTC) to treat symptoms.  Sometimes, drugs work better in combination, such as an NSAID and muscle relaxant.  Dr. Frazier and his staff will explain which drugs can and cannot be combined, as well as answer any questions you may have about your treatment.

*Non-steroidal anti-inflammatory drugs

Narcotics (Opioids)

Narcotics are used for a short time to control acute pain.  Acute pain is sometimes described as severe and sharp.  Narcotics taken for a long time may cause your body to develop a drug tolerance, meaning it takes a larger dose to control pain.

Muscle Relaxants

Muscle relaxants help relieve muscle tightness, spasms, and cramping.  Acting on the central nervous system, these drugs cause muscles to relax.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Many spinal disorders cause soft tissue inflammation.  A herniated disc can cause spinal nerve inflammation and pain.  Whiplash or overuse injuries also affect soft tissue, causing swelling and muscle pain. Non-steroid anti-inflammatory drugs help reduce inflammation and pain.

Sedatives

Back or neck pain can make going to sleep and achieving deep sleep difficult. Dr. Frazier understands this and may prescribe a sedative to help you sleep.  These drugs should not be taken long-term, as they can be habit-forming.

Transdermal Analgesics

Certain pain-relieving drugs are available in transdermal patch form.  The drug is delivered over time through the skin.  Transdermal patches help some patients avoid the gastrointestinal consequences of oral medication. 

Side Effects

Whether your medication is prescribed (Rx) or over-the-counter (OTC), there are risks -- side effects, drug interactions, and liver damage.  Therefore, be sure to tell you doctor about your allergies, current medications taken (Rx and OTC), and use of vitamins and herbs.  When you obtain a new medication, take time to read the information provided by your pharmacist or on the label.

There are certain side effects you should immediately report to Dr. Frazier's office.

• Black, tarry stools
• Behavioral changes
• Cold, clammy skin
• Hallucinations
• Facial swelling
• Fast or slow heartbeat
• Hives, skin rash, itching
• Severe confusion or fatigue
• Severe weakness
• Difficulty breathing
• Trouble urinating
• Jaundice (yellow color) of the skin or eyes