Monday, March 12, 2012

Anti-depression medication and back pain

A number of patients tell me that they are given anti-depression medication for their back pain. I often ask "are you depressed?" and they answer "no."

I do not understand why these medications are given to you. In health care, you want a treatment that hits the problem in the bullseye. These means that you want antibiotics for a bacterial infection, not a fungal infection. You want a muscle treatment for a muscle problem and a tendon treatment for a tendon problem.

If I gave you an antibiotic for your spinal curves, you would think I was nuts. The treatment doesn't match the problem. This should make sense.

There is a limited list of structures that could possibly cause lower back pain. Here they are: muscle, bone, disc, ligament, cartilage, nerve, and bone are the most common. The rarer forms of back pain could be caused from blood vessels (aneurysms, etc), kidneys, prostate, ovary, uterus, and liver.

One of these structures is causing you pain. Find that and you are half way to proper treatment, or at least something close to the bullseye.

This "anti-depression medication-for-back-pain" seems to be very common.

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