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Sleep Problem and Chronic Pain
I have chronic neck and upper back pain for more than 2y. Also I'm having a lot of sleep problem (Can't stay asleep and not getting deep sleep). feeling tired whole day. Also getting headaches. My pain management doctor ordered MRI and certain blood tests (CRP, CBC, ESR, ANA, HLA-B27, Anti CCP, Rheumatoid Factor), which all came normal. He said that I'm suffering from fibromyalgia and prescribed me Duloxetine 20mg + Pregabalin 75mg and advised me to do some neck exercises. It improved my pain for a period but not my sleep. Later he changed the meds to Desvenlafaxine 50mg + Pregabalin M-75mg, Still no significant improvement. The pain is somewhat bearable after using icegel and heat compression but the sleep problem is what is hampering my daily life. Another thing is sometimes when i take an afternoon nap of an hour, i feel refreshed but i never feel refreshed even after getting 6-7 h sleep at night. I'm a student and this thing is causing severe problem in my study and daily life. Ty
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Increase desvenlafaxine, continue rest of medicine, it will help
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A regular follow up with gradual rationalization of medicine will help you overcome all your issues.
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Heyy
I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
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Dr. Pydala Rama Krishna Reddy
Psychiatrist
5 yrs exp
Visakhapatnam
Better to consult psychiatrist he will adjust doses according to your symptoms.use medication regularly without skipping the doses.
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Dr. Vishal Bhatt
Psychiatrist
4 yrs exp
Rajkot
Yes once you r having a sound sleep , you will feel better in your back pain symptoms too , sometimes excessive work load burn out syndrome may happen and we can add some TCA class if drug it works extremely well in this kind of pain along with some exercise plus helathy daily routine may help you out in your case.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.