... continued to get worse in the last 8/9 months. In the past 2 months the pain has began in my mid-back, along the sides of my spine. I am 33 years old and have had moderate anxiety (supposedly hereditary) most of my life, but NEVER chronic pain until this past year. I have tried massage therapy and Chiropractic therapy, to no avail. I have been on meds for generalized anxiety for several years. I am currently taking Prozac and Adderall (ADD/OCD). I have a family history of anxiety and degenerative arthritis. Any suggestions/opinions are needed and would be GREATLY APPRECIATED!!
11 Sep 2011
I am so sorry to hear about the chronic pain you have recently been dealing with along with the anxiety. I have dealt with chronic pain for just a little over 10 years now and I also have generalized anxiety disorder.
There are couple of medications that I take that help with both chronic pain and anxiety. They are gabapentin and valium (diazepam). Gabapentin is an anti-seizure medication with many off label uses such as for pain from nerve damage and anxiety. The side effects of gabapentin, I have found to be fairly mild. Valium is a benzodiazepine, which is used as a first line treatment for anxiety and panic disorder, similar to xanax or clonazepam. However, valium is also a very potent muscle relaxer that also helps with pain.
There are anti-inflammatories (both over the counter and by prescription) that could help. Many times, an anti-inflammatory is combined with acetaminophen (Tylenol), which enhances the pain relieving properties of both. Just be sure to not take more than 1000 mg of tylenol in one dose or over 4000 mg of Tylenol in a 24 hour period as doing so can cause liver damage.
By prescription, they have anti-inflammatory patches or lidoderm patches that you can apply to where it hurts. The lidoderm patches contain lidocaine, which by itself is also available as an ointment or a nasal spray (the spray is typically used for migraines). Lidocaine blocks pain signals from reaching the brain. I use the ointment for break through pain after all else has failed and I have found that it helps.
Lastly, there are opiate medications, such as tramadol, codeine, hydrocodone, tapentadol, percocet, morphine... to name a few in order of potency. These are very effective at relieving pain and I take a couple within that list for coverage of my baseline pain level and periods of breakthrough pain that come on throughout the day.
So in summary, there is lots out there to help with anxiety and chronic pain.
Hope that helps.
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