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Sturgis, SD
A 34-year-old female asked:

Taking cymbalta 60 mg and nucynta (tapentadol) daily for lumbar facet issues and fms. they stopped working and cannot tolerate lyrica. what else could i try?

3 doctor answers7 doctors weighed in
Dr. Sarah Blake
Pain Management 21 years experience
Facet Injections? Tr: Have you discussed with your doctor lumbar facet injections or medial branch blocks? Have you tried lumbar traction?
Dr. David Rosenfeld
Pain Management 28 years experience
See below: You have lots of options. Gabapentin or Gralise or savella (milnacipran) for the fm. There are many other opiods (and non opioids) to replace the nucynta.
Dr. Qamar Khan
Pain Management 18 years experience
Facet Arthropathy: These are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radiofrequency ablation would be helpful for you.

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Last updated Jul 12, 2014


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