I’m not looking for medical advice, but more understanding. I have chronic back pain. I can alleviate it completely with only 2 things - alcohol and a heating pad. Ibuprofen lessens it but it’s still present. Muscle relaxers do nothing (which makes sense because it’s not muscle related, it’s spinal disk degeneration).

A tall glass of whiskey makes my back relax and I can move normally. Once it wears off tho, it’s right back to tense and painful.

  • Libra00@lemmy.ml
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    14 days ago

    Because you’re not taking the good pain meds.

    I’ve lived with chronic back pain for 20 years, and I have 3 stages of medication I go through (though mine is alignment-related, so muscle relaxers help): aleve (the only OTC painkiller that touches my back pain), tramadol (moderate-strength opioid, can’t take it for long or it causes plumbing problems), and tizanadine (the serious industrial-strength muscle relaxers; knocks me out for 8 hours and usually fixes my back the first time.)

    If you’re looking for alternatives, THC helps somewhat with my back pain, but I dunno what’s legal where you are.

    • steeznson@lemmy.world
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      14 days ago

      Tramadol is quite nasty to come off as well because it functions like a combination of SSRI with opiod effects on your brain. I think it’s the mu-opiod receptors as opposed to the normal opiod ones so more similar to kratom in that respect too.

      • Libra00@lemmy.ml
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        14 days ago

        Yeah, tramadol is weird because it makes you not care about stuff. Which is kinda good because it makes you not care about pain, but also, ya know, the other stuff too. But it was quite easy for me to come off of honestly; I didn’t shit for a week and that was more than enough to make me stop taking it regularly. Now I take it maybe once or twice a month at the outside.

        • steeznson@lemmy.world
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          14 days ago

          I believe it is like long term use of months or years which can be bad when coming off because it can feel like stopping anti-depressants at the same time as stopping opiates.

          I am familiar with the constipation from those types of meds too. Not pleasant!

          • Libra00@lemmy.ml
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            14 days ago

            Oh, yeah, probably. I only used it regularly for like a month or two, 3 pills a day, so it wasn’t so bad for me.

      • Libra00@lemmy.ml
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        14 days ago

        Depends on the back, and the pain, and the meds. No, they don’t fix the underlying issue, but for circumstances where the underlying issue can’t be fixed they make it a lot more tolerable.

          • Libra00@lemmy.ml
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            14 days ago

            I take it you have some better approach than relying on medication when my back pain becomes incapacitating? Cause it’s not fixable, I’ve seen numerous doctors about it over the years, not to mention chiropractors, physical therapists, etc. My choice is to take pain meds when things get bad or to just be incapacitated for the rest of the day whenever it flares up. So if you have a better approach I’m all ears, but just saying ‘drugs are bad mkay?’ isn’t terribly convincing because so far my experience has been that not relying on drugs is all downside.

            • RedditIsDeddit@lemmy.world
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              13 days ago

              you know one thing about social media that’s really hard to deal with is that everybody seems to speak an absolutes about every single fucking topic on the planet. there’s room for the gray in almost every conversation that has ever existed and people like to just point out well what about my special circumstance, of course there’s room for special circumstances and other things why does everybody think everything is absolute?

  • ultranaut@lemmy.world
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    16 days ago

    Maybe it has to do with its effects on GABA receptors? Have you ever tried something like gabapentin or pregabalin?

    • rc__buggy@sh.itjust.works
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      16 days ago

      The doc put me on gabapentin for my nerve pain (ulnar and carpel tunnel) and I thought it was hitting the right receptors to help me stay off of alcohol, or dulled my desire for it. Turns out I was just self medicating the nerve pain and with the GABA I didn’t need the booze so much.

      • Genius@lemmy.zip
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        15 days ago

        Don’t drink and take Gabapentin. They work on different receptors on the same channel. That means they have unpredictable effects together. The effects aren’t additive, they’re more like multiplicative. And more random than either alone.

  • Genius@lemmy.zip
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    15 days ago

    Sounds like the pain is coming from one of the systems inhibited by the GABAergic system.

  • steeznson@lemmy.world
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    16 days ago

    I’ve got a degerative disease called Anklyosing Spondylitis, bit of a tongue twister but also my pelvis is splintering due to arthritus associated with the condition so very painful. I find dicofenac works pretty well for flare ups but sometimes I’ll switch over to booze if I’m going out since that works better. NB: I don’t mix booze with the NSAID if I can avoid it, might just intersect at the tail end.

    Opiates work better for the pain too but that’s a whole other can of worms I try to avoid opening.

  • altphoto@lemmy.today
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    14 days ago

    Do you do chair exercises? You sit on a chair and then bend your upper body forward as low as you can. Not sure exactly what it does but seems to help. I had sciatica for 3 years and that helped get it fixed. I still get pain in my back when the weather changes or when I get sick like the flu or cold or covid. But otherwise my body learned somehow that the sciatica is not pain.

    It was on a weekend when I went swimming with family and then the next morning I could not get up from bed due to back pain. And the exercises from a Kaiser permanent pamphlet were the thing that worked. But dude, they were painful as hell. I hope It helps you or someone else.

  • RedAggroBest@lemmy.world
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    15 days ago

    To piggyback on another comment. Massage. I’m a massage therapist who sees clients with disk issues all the time.

    99% of the time it’s because of shortened hip flexors (your psoas attached to your bottom vertebrae and as it shortens, is too tight to let your spine stretch which then just crushes your disks) due to both extended time in a seated position as well as a weak core. Stretch, get a massage, find a PT to help with chronic back pain. Start doing crunches before bed.

    Also drink more water. Only kinda related but basically everyone should be drinking more water.

    • daniskarma@lemmy.dbzer0.com
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      14 days ago

      Why crunches before bed? Physical exercise before going to bed seems like insomnia recipe.

      Is it not better to do it in the morning or the afternoon?

      • RedAggroBest@lemmy.world
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        14 days ago

        Like the other response said, some light exercise before bed is generally good for sleep. If you feel it’s waking you up, your brain might already be in go-mode. Do you limit blue light or anything before bed?

        If you still feel before bed is no good, or don’t have the time or whatever, literally anything is better than nothing.

      • Lv_InSaNe_vL@lemmy.world
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        14 days ago

        Statistically, you should be doing more exercises in general.

        But working out absolutely does improve sleep, as well as mood, digestion, memory recall, anxiety, and basically every other common ailment.

        Please go work out more. Even if its just a walk or some crunches. Just get 15-30 minutes per day of continuous exercise. I promise you you’ll see a difference

        • daniskarma@lemmy.dbzer0.com
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          14 days ago

          No one says the opposite. I’m a very active person.

          Just not at night right before going to bed. I feel like that could lead to bad quality of sleep.

          • Lv_InSaNe_vL@lemmy.world
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            14 days ago

            Well it’s your feelings compared to the huge amount of scientific backing. And the article I linked to has a bunch of sources too, although I consider John Hopkins Hospital a valid primary source for medicine

            • daniskarma@lemmy.dbzer0.com
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              13 days ago

              The article you linked states that many people have trouble sleeping if they do exercise before going to bed, because the physiological response of doing exercise activates the body in a way that makes it harder to sleep for a while and recommend doing it a couple of hours before.

    • possumparty@lemm.ee
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      15 days ago

      Idk what happened but over the weekend my back went to hell in a hand basket. I’m usually in pretty good shape but this went from 0-100 immediately. I’ve heard some good things about the GIBoard for core strength and stability so I’m looking to see if that helps. It’ll help me with stretching too so hopefully that’ll do something…

      • stringere@sh.itjust.works
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        15 days ago

        GIBoard

        You got me looking at these. Then I started looking around. Is there a reason to get one of the ~200 USD balance boards over a 20 USD wobble board? Other than durability, I guess.

  • Krudler@lemmy.world
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    14 days ago

    I’ve read a lot of comments.

    My personal experience is very different than what people are saying, maybe it applies to you, maybe it doesn’t.

    I have the same thing over my life with different types of pain. I would be given different pain relievers from surgeons, dentists, doctors, etc. For the most part it did fuck all.

    Now that I am decades older and I’ve gone through all this bullshit, I basically learned that I’m immune to most painkillers. I metabolize caffeine very quickly and codeine and morphine are in the same family - so they’re useless on me!

    Freezing at the dentist always took double or triple. And very often the dentist would have to stop mid procedure and reapply freezing.

    These are just a few, but certainly not all of my experiences, being completely baffled at the ineffectiveness of painkillers.

    My friends could never understand why I was so blasé when I was prescribed heavy duty medications. And I could never understand why they were doing flying cartwheels to get them off me. It makes a lot more sense now that I figured shit out.

    And like you, I turned to alcohol, actually at the advice of one of my oral surgeons who finally just said “look go home drink a 6 pack you won’t feel any pain”.

    Let’s leave all the completely unethical recommendations out of the discussion for now, and accept the fact that we now have more knowledge about painkillers than we did back in the day.

    All of this to say, you may be just simply immune to painkillers. There’s a variety of reasons for that, and it’s no sense trying to explore those in the comments with laypeople like myself.

    But on to any advice that I might give you? Perhaps not advice per se… but to tell you that what I did which helped me and perhaps it will help you.

    I finally got over all my chronic pain by stretching and strengthening. I’m not going to sugar-coat it, certain parts of it were hell. I went to an athletic therapist who made me cry, but made me stand up straight. And I devoted myself to doing all the exercises and stretches… yes… 45 minutes every 2nd day for like 10 weeks. But damn did it pay off. That initial investment (not trying to half-ass it or go through the motions) got me to a certain plateau where I barely have to stretch anymore, my body is pretty happy.

    I sincerely hope any of this applies to you and can be used but if not oh well maybe it will help someone else!

      • RedditIsDeddit@lemmy.world
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        14 days ago

        Solve is kind of a strange word to use, because it certainly CAN solve it. For instance, relieving compressed nerves for sciatica for example, something I have treated on and off in my life, chiro has helped me with this more than ANYTHING else I’ve tried.

    • DerArzt@lemmy.world
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      15 days ago

      Go to chiro

      If OP does do that, please, please, please get informed on what the history is around chiropractic adjustment, and then determine which practitioner (not doctor since they aren’t medically licensed) fits your needs and acceptable methodology.

      Chiropractic practice originated around spiritualism, and to some it’s a con man’s version of osteopathic treatment.

      Chiropractic adjustment reportedly works for some people, but there are many practitioners out there that may do more harm than good.

      • RedditIsDeddit@lemmy.world
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        15 days ago

        While I do agree to an extent. This isn’t true across the board. My chiro is also a license doctor for example. Definitely do some homework. But Chiro, generally, works great for back\spine issues. I would be a complete mess with out my chiropractor.

        • KneeTitts@lemmy.world
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          15 days ago

          But Chiro, generally, works great for back\spine issues

          citation needed, because as far as I know, no efficacy from ‘chrio’ has ever been demonstrated, this is not surprising since its not science based.

          • RedditIsDeddit@lemmy.world
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            15 days ago

            Well, I know people like to say this, but I’ve been going to Chiro for over 12 years and I would say the “not based in science” thing feels false largely. I’ve had slipped discs, nerve compression, and a misaligned vertebra that I get treated for. The adjustments bring me great results time and time again.

            Even the Mayo clinic agrees that chiro has benefits. https://www.mayoclinic.org/tests-procedures/chiropractic-adjustment/about/pac-20393513

            Don’t just believe whatever you hear about health stuff. Too much misinformation out there.

              • RedditIsDeddit@lemmy.world
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                14 days ago

                At times, it’s like doing physical therapy. It helps but doesn’t cure things, usually you are doing it in conjunction with Physical Therapy. I only go when I need to personally. Sometimes I don’t go for over a year or two, then I’ll have short stint of treatment, then back to time off.

            • Jessica@lemmy.blahaj.zone
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              14 days ago

              Chiropractic was literally invented by a man who didn’t feel like he needed to go to medical school. It is not based in science. This is not some new misinformation campaign. It has been well known, since the inception of it. Do some research on it if you don’t believe me. It’s quackery. It’s nice that it seems to have helped you. But again, not science.

        • RedAggroBest@lemmy.world
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          15 days ago

          But they’re a doctor. They get the title Dr from being a doctor and not a chiro. Chiros are allowed to call themselves doctors in many places for some damn reason.

  • jeffw@lemmy.worldM
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    16 days ago

    What you’re really asking is “why do some drugs work for me, while others don’t?”

    I’d bet there are some prescriptions that would work for you and probably a number of other “recreational” drugs too

    • Baaahb@feddit.nl
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      14 days ago

      Gabapenten has serious side effects, dont just go get some and go “o we gonna be good.”

      • Dasus@lemmy.world
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        14 days ago

        Uhm, I don’t think I did.

        You shouldn’t take strong prescription drugs willy-nilly.

        • Baaahb@feddit.nl
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          14 days ago

          Wasn’t talking to you directly, but appending additional info to what you were saying. You kinda did suggest that taking gabapentin would help with their pain, so while Yes, its a terrible idea to take prescription stuff without knowing what you are doing, if they are gonna read what you told them and decide to ignore the part where you suggest you are uncomfortable providing medical advice and then go ahead and do it anyway, they should at least be warned that your advice is particularly dangerous due to gabapentins mental side effects.

          • Dasus@lemmy.world
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            14 days ago

            I didn’t provide medical advice. I provided access to medical information.

            I’m saying that pain that is neuropathic is often treated with Gabapentin, which in the long run, is healthier and safer than self-medicating.

            Thus if OP looks up what neuropathic pain is and gets concerned, they should call a doctor and tell all this. Which is when the actual medical advice will come.

            You can give people information about medicine without giving them medical advice.

      • nickwitha_k (he/him)@lemmy.sdf.org
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        14 days ago

        Gabapenten has can have serious side effects for some people, dont just go get some and go “o we gonna be good.”

        FTFY. Everyone’s brain chemistry is different. For some, it can be a lifesaver in low doses for anxiety, for some (like me) it can be used as an adjunct to acetaminophen/paracetamol in a combination that is more effective for pain than opioids (had a minor hemorrhage in an adrenal gland - not fun), and for others it can cause extreme depression and other behavior changes.

        Noone should take it without the supervision of a medical professional.

        • Rai@lemmy.dbzer0.com
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          14 days ago

          Neither my partner or I have any side effects with gabapentin! I take it occasionally, and they take like 900-1200mg daily for spicy nerve pain that makes life horrible.

    • Two2Tango@lemmy.ca
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      14 days ago

      I think it depends on the person too. Tylenol doesn’t work well for me, even prescription Tylenol; it kind of just makes me nauseous. Advil works great though.

      • RampantParanoia2365@lemmy.world
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        14 days ago

        My parents both seem to prefer Ibuprofen, but I swear by Excedrin as a miracle drug. But Excedrin is like, everything.

        But Ibuprofen is better for muscle pain.

    • GalacticGrapefruit@lemmy.world
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      14 days ago

      Ditto what the others said. You might have just rolled bad RNG (DNA) at character creation (birth) and just gotten stuck with immunity to certain painkillers. It happens. Bad luck, friend.

    • SparroHawc@lemm.ee
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      14 days ago

      Tylenol is interesting - it’s a psychoactive drug. It reduces your brain’s ability to experience pain, or even understand the possibility of pain, rather than reducing the amount of pain you’re feeling. That means different people’s brain chemistry will result in very different results with Tylenol.

      Studies were done that show people are slightly more likely to take risks when they’re on Tylenol. Wild stuff.

    • phx@lemmy.ca
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      14 days ago

      I think it very much depends on the type of and source of pain.

      For me, Tylenol works for headaches and some cold/flu stuff but I’ve never really found it effective for strained muscles etc

    • RampantParanoia2365@lemmy.world
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      14 days ago

      Oh, Excedrin and Tylenol absolutely help headaches. I’ve had some splitting headaches that weren’t migraines, and I can feel the pain get a lot better over 15-20. Of course water also helps, but it’s faster than natural, I think.