Over the years I have had repeated episodes of severe spasm in my lower back, which is excruciatingly painful on movement and thus really incapacitates me when it happens (usually at times of increased stress). In the past I've managed to treat these acute episodes with a combination of painkillers (Paracetamol plus Noproxene) and a high dose of Diazepam to knock out the spasm. However, since starting Gabapentin (for spasticity) this strategy no longer works. For the past six days I have been experiencing a very painful episode of lower back spasm and have tried first 4mg, then 8mg doses of Diazepam together with the usual painkillers, which did nothing. Then 60mg doses of Dihydrocodeine four-hourly, which has eased the pain somewhat but I am still left with the spasm and movement is still very restricted, even if slightly better than in the first few days. Aside from the Gabapentin, which I am reducing (from 900mg, now on 700mg, tomorrow going down to 600mg, and hoping to be off it within a week or so), I take 4.5mg low does Naltrexone every evening.
I have spoken to the MS nurses twice, had an out of hours GP visit over the weekend, and spoken to my own GP (who prescribed the Dihydrocodeine). Am waiting for the MS nurse to call me back again, but it seems no one has a solution. Ideally what I want is a one-off dose of a really strong painkiller such as Morphine to knock out the spasm, but no one seems willing to help.... Any suggestions? Any alternatives to medication?
I have the number of a cranial osteopath. Does anyone have experience of this? Any feedback much appreciated.Topics Symptoms Treatments and therapies