Suggest treatment for chronic pain in joints
Patient: I have been suffering with chronic aches and pain in my joints i have degenerative disc in my cervical neck and back, i am chronically tired and always cold, it is worse in the morning and after not moving for a while. my stomach also is upset and i am all nausea.  i have recently gone off taking cymbalta. can you help me. Doctor: Hai.looks ur in chronic neuropathic pain, with degenerative disc problem &arthritis. Pain is normally more in the morning. U hav to get up with sloe warming up exercises. For ur arthritic pains u can start with immunomodulators likediacerin added with glucosamine for 6 to 8 weeks.U can start with pregablin or gabapentin added with methylcobalamin daily once and see the wonderful change.these are safe on the kidneys also.Opiods &neurolytic blocks are of the last choice.Teke care , good luck