#092

[@user-om4og2nh4u]

I am very gratefull that you are sharing with us your knowledge!

[@DrAndreaFurlan]

That is very kind of you Mapia.

[@rejnormandin4658]

Love your videos , thank you so much I’m badly broken and you are helping me a lot you the information!

[@DrAndreaFurlan]

Hi Rej. I believe that knowledge is therapy.

[@beryldiamond]

This video is very helpful for me to understand what is going on with my meditations. Thank you!

[@DrAndreaFurlan]

Glad it was helpful!

[@gilgosch4943]

Obrigado Andrea! Parabens pela qualidade e nivel tecnico na producao do video! Sucesso!

[@T0neXIII]

Thanks always!

[@DrAndreaFurlan]

Thank you too!

[@lindacarmelle8333]

I have been prescribed cyclobenzaprine 7.5 mg for 3x daily, but I only use it on the days I go to physical therapy as my muscles spasm during my sessions preventing me from performing the exercises correctly. Sometimes even half of that pill is enough. I do not have problems with sleepiness(I wish I had that benefit as my crps keeps me up all night long, I sleep by 5am). I would prefer to take an over the counter one tho,I did not know that was an option. Thank you for educating me on this! This video under 7 minutes has given me so much info that my doctors have not shared with me! I have watched it many times and I'm taking notes =) LOVE, LOVE , LOVE this video! I do have many modalities ,but they have not worked to control the spasms. The modalities have I have do not work,so I know I need these and use them sparingly. My cyclobenzaprine has 1 odd side effect.....it makes me have tremors,but with tremors I can do physical therapy . I can't do my therapy with spasms and the intense charley horses and cramping. I also have the effect of feeling cold and shivering...again I do not mind as with CRPS I am always hot ,sweaty and have so much nerve pain. I do not drive and do not work at this time. I do not drink alcohol. Has anyone else experienced cold feeling, shivering, and hand tremors while taking cyclobenzaprine? I am NOT in therapy at this time ,I'm in a time frame where I need to await preapproval. So I will look into OTC ones for my spasms during this time. my spasms become very intense during a flare and I flare with the weather change ,such as tornadic wind events or lightning storms. I can deal with having spasms & pain all other times except for Physical therapy sessions and a flare. Thank you Dr. Furlan for this wonderful video!!! I have learned so much and I am sure this benefitted the Chronic Pain Community greatly!

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@mariateresaspagliardi4692]

Grazie dottoressa Furlan per questo video molto interessante 🤗🙋🏼♥️

[@DrAndreaFurlan]

Thank you Maria Teresa.

[@HighTen_Melanie]

Here in the UK I’m prescribed Baclofen (Lyflex). I relate to the drowsiness. I find eating first can over come this. I have a spinal cord injury.

[@DrAndreaFurlan]

Hi, I use backdown for my patients with spinal cord injury too.

[@sharmisthapancholi3109]

Thanks for another good advice.I also believe that we should do excises first . If we haven’t have big problems . I had a shoulder pain and I was doing excises from your video now my 90 parcent pain gone . God bless u .🙏🌹

[@DrAndreaFurlan]

Thanks for sharing!

[@anagonzalez3237]

Muchas gracias por tan buena información. Como dije ayer, tengo hernia discal l5s1 y protrusiones cervicales. Tomo la menor cantidad de medicinas posible y siempre por prescripción médica. Sustituyó las medicinas por visitas a mi fisioterapeuta periódicamente, él me lleva tratando durante 5 años aproximadamente. Durante el confinamiento lo pasé muy mal, pues tuve una recaída con la hernia y tuve que pasarla tumbada y sin medicación de ningún tipo, pues el paracetamol no me aliviaba y no podía tomar nada más. Tuve que aprender a canalizar el dolor psicológicamente y hacer cosas que me relajaban, como colorear dibujos. Parece una tontería, pero eso me acercaba casi a un estado de meditación y me hacía sentir mejor, el dolor era más leve y llevadero. Las endorfinas también ayudan. Este año he empezado a hacer Tai Chi con un gran maestro. La fisioterapia y el Tai Chi me ayudan más que las medicinas, aunque cuando el dolor es muy agudo recurro a ellas, pero nunca más de 1 toma y por la noche. Siempre evaluada por mi médico. No abusen de los medicamentos y busquen alternativas más saludables, lo digo desde el respeto y la experiencia. Un abrazo🤗

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.

[@anagonzalez3237]

@@DrAndreaFurlan Thank you for your words. I had written my experience to show other ways to care ourselves instead of taking muscle relaxants. I understand the purpose of your video, it is a great work. I apologize if I had sent you a wrong idea. Thank you so much😁

[@oldpicker6315]

Thanks Dr.

[@DrAndreaFurlan]

That is great to hear. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔 Did you know that I have a website where all of my videos are organized by topics, and you can download all my handouts, worksheets and booklets for FREE. Visit www.doctorandreafurlan.com

[@alicegrace8476]

Very informative, thank you! Interesting that Methocarbamol is prescription free in Canada, in Europe you need a prescription for it.

[@NansGlobalKitchen]

Same in the USA you need prescription for it.

[@vallhacarter4094]

Need a script here in US also and my doctor gets angry with me when I ask for it.

[@DrAndreaFurlan]

Interesting to know that. Thank you Alice.

[@davidkruse4030]

@@vallhacarter4094 why would your doctor get angry about that? Sounds like time to get a new doctor

[@sillysinginggrandma5880]

Thank you for this informative video!

[@DrAndreaFurlan]

You are so welcome!

[@elzbietadaniowicz775]

Dziękuję Pani Doktor bo lęku zwiotczające mięśnie można podać człowiekowi bez jego wiedzy i wówczas może być choroba o której nikt nie wie dlaczego mięśnie i powiązadła są słabe i jest problem z poruszaniem się. Grozi śmierć człowiekowi. Wyjaśnienia są potrzebne i za nie dziękuję. Pozdrawiam serdecznie Elżbieta

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@priteshanandbarsikar2423]

Thank You Soo Much for Very Helpful information 👍.

[@DrAndreaFurlan]

Most welcome 😊

[@myintooo5695]

Hi!.How are you. Long time no see. Glad to see you. Good luck.❤💯🙏

[@DrAndreaFurlan]

Thank you! You too!

[@elizabeth--thefibrochef]

I take tizanidine for muscle spasm but also for its sedating affects since i do not sleep well.

[@DrAndreaFurlan]

Tizanidine causes a lot of sedation. Need to be careful

[@elizabeth--thefibrochef]

@@DrAndreaFurlan I agree-- but I have been taking it for over 15 years.

[@aliksanderj9729]

I’m prescribed Baclofen in Canada for back and neck pain, I had surgery for double curve scoliosis at 18 months old and have 2 screws, a wire and a wedge in my lower spine. It’s the only thing that’s helped

[@DrAndreaFurlan]

Hi Aliksander, I mention baclofen in my video. It is a medication for spasticity, not a skeletal muscle relaxant.

[@doloreswinsbarrow1110]

Hi Dr Furlan thanks for the video 💕 I lifted a gas tank and hurt my back. So i purchase over the counter flamer-MX. It help, i was able to do my work, but this morning i lift a bucket of water and the pain came back. I will try the heat bag as u said. Thanks for the health tips 👍appreciate it💕

[@kimdamrong8350]

Dear pro. May I ask which muscle relaxant medicine is good for low back pain patient.? Thanks

[@DrAndreaFurlan]

There are many. I speak about them in the video.

[@kimdamrong8350]

@@DrAndreaFurlan thanks for your reply. I always your video. Love from Cambodia 🇰🇭

[@thestonedprince]

I’m using this medication now n don’t feel nothing

[@philipkim9779]

Thank you for great info :)

[@DrAndreaFurlan]

Hi Philip. Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@muteesasiraedward4578]

Another piece of quality information......can i use anti-cholinergics as muscle relaxants

[@DrAndreaFurlan]

It depends. Please ask your doctor.

[@alfred576]

Hi Dr Furlan thank you for another enlightening video. My GP has prescribed me Norgesic Quick Release (Orphenadrine citrate 35 mg + Paracetamol 450 mg) for my severe neck muscle cramps. Do you know how long the effect lasts normally? Is this drug safe to use? Or am I safer with Valium? Thank you. Best regards

[@BCLeeLee]

Really informative video and agreed with you. A few weeks ago I knocked my arm against the door knob and had very bad arm pain. Doc prescribed muscle relaxant and pain relief cream. Pain was gone for only a day after taking medication. The pain relief cream was also not helpful. The pain was worse especially upon waking up from sleep and gradually reduce after doing some arm exercises. Nowadays I hate waking up in the morning due to the terrible pain.

[@DrAndreaFurlan]

Sorry to hear that.

[@BCLeeLee]

@@DrAndreaFurlan Thank you Dr Furlan. I was also having trouble getting to sleep and saw a video by Dr Mandell. He recommended to eat frozen banana with ceylon cinnamon before bedtime. I tried and surprisingly, I had a very good sleep and also the pain has greatly reduced. I only have mild pain in the morning and hopefully will go off completely soon.

[@petersmith143]

👏👏 Very informative. Dr Furlan should be on prescription herself.

[@nypdbob]

Thank you for a great presentation. Objective and professional. Honest.

[@DrAndreaFurlan]

I'm glad to hear that.

[@monpederson]

Thanks for this! I’m always wondering if I should take ibuprofen or a muscle relaxer but usually get better results from ibuprofen

[@DrAndreaFurlan]

Hi Monica, I Have another video about anti-inflammatory drugs and I talk about ibuprofen.

[@BrodeyDoverosx]

Every intervention has a side effect. Foam rolling is absolutely contraindicated in a number of cases. Particularly, where increasing mobility/laxity will reduce support for passive tissues.

[@DrAndreaFurlan]

Hi Brodey, Yes, agree with you. I have another video about foam rollers.

[@zen9332]

Hi dr. Do recommend night time use of clonazepam for chronic muscle spasm?

[@DrAndreaFurlan]

No, clonazepam is very addictive and habit forming.

[@طارقمحمد-و5د1و]

@Dr. Andrea Furlan Thank you for your reply. I underwent cartilage surgery and had a fall in the metatarsal. The treating doctor prescribed Duloxetine 30 and Baclofen 25 for a month for a month. Is there a risk of using these medications or serious side effects? Thank you very much.

[@sidka84]

Hello.Can i ask Dr ,what about meprobamate as muscle relaxant ?

[@NansGlobalKitchen]

Thankyou so much for this video, I had a sciatic flared up really bad last year April, the doctor prescribed Metycarbonol, Aleve 500mg, Tramadol and a whole bunch of others that I don't remember. But I did not take any of them, I was so scared of any damage to my heart or liver. So I got accupuncture, and massage and took reguler Tylenol. It helped a little but I still have this pain everyday. It's not as bad but its there especially when I get up on mornings. Is there anything natural I can take for pain on a daily basis? I feel so alone and sad because nobody understands they think I am complaining and wants to compare their pain to mine. I get up and do my work as usual but with pain.

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.

[@NansGlobalKitchen]

@@DrAndreaFurlan I understand but anyways thankyou very much!

[@chicagomike]

Omg the doctor over medicated you I think. Omg. All those. No thanks.

[@evapauig6352]

Tnx Doc..

[@DrAndreaFurlan]

Hi Eva, thank you for watching.

[@dariusemin5086]

I take baclofen for spasticity because of stroke. only a little less. the problem is when I take it in the morning it makes me feel nauseous and vomit when I'm traveling by car. should I do my own massage and stretching exercises without taking more baclofen?feel better when doing stretching exercises and massaging without baclofen. thank you Dr. Andrea Furlan.

[@DrAndreaFurlan]

Hi Darius, thank you for sharing that.

[@thestonedprince]

I take oxycodone M30. And this is it safe ?

[@mohammedelqahtani3843]

there is no functional,dry needling, acupuncture, medication and physiotherapy nor exercise. the worst is that my examamtion not showing anything worng i did manual inspection,MRI ,CT, nerve , searching for scar tissue ,xray, ultrasound etc but my pain is persistent ((after humerus fracture and joint dislocation happened to me 4 yrs)) its 24/7 spasms in the muscle in the neck, scapular shoulder the problem over time its spread in one side like after the operation the pain was in the shoulder then neck after that the traps muscle then the shoulder blade then lower back now my knees and all in the same side of the body could you advise me to find the main problem it has worsen my life and am just 30 yrs old and it has with me since am 26

[@DrAndreaFurlan]

Hi Mohammed, I'm sorry to hear that.

[@bobchevallier8456]

Find another Dr., go to Google

[@kanbaharal2683]

I hamstring injury... I can this injection???

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor. Have you seen my website yet? Check it out www.doctorandreafurlan.com

[@manthanaswarnasrinu4546]

Super video mam

[@deepthimuthukumarana2617]

Thank you so much explain your vidio

[@DrAndreaFurlan]

You are welcome

[@savitakataria7149]

Madam please can you tell my sister treatment or pain reliver. Sha has perhaps food allergy. Her whole body skin has allergy symptoms. She has pain from several months. She is getting treatment. But there is no improvement in her conditions. We are living in India near Delhi. We will be thankful to you if you can suggest some treatment, tests, pain reliver. Thank you. In hope of your response.

[@DrAndreaFurlan]

I’m sorry. I only provide my medical opinions if the person becomes my patient in the pain clinic where I work.

[@xx1352]

But WHY does my lower back muscles spasm...? It is very painful when the spasm occurs.

[@cynthiaobuzor1223]

Good day ma'am,pls can i take vitamin e and vitamin D3 together for treatment of neck pain and joint and ankle pain

[@DrAndreaFurlan]

Hi Cynthia, thank you for posting this comment.

[@royyurusrinivasarav1166]

Mam I am a mytonia congenita disease patient from last 27 years suffering now iam at 40 But still there is no cure for this muscle stiffness and head severe pain coming.can u please help me in advice in this

[@jujuapple6706]

Dr what is your experience with muscle relaxants for Fibro? How about Tens for Fibro?

[@DrAndreaFurlan]

Hi Juju. I do not prescribe muscle relaxants or TENS for fibromyalgia. I have another video about fibromyalgia. Did you see it?

[@jujuapple6706]

@@DrAndreaFurlan Thank u Dr. How long ago was you Fibro video? U have so many informative videos and I would luv to see the Fibro vid. Is it more than one Fibro vid?

[@MargaretKnaus]

I've had fibro since 1986, before they had a name for it. Tried every medication for it you can name. Methocarbamol has been my best go to. Tizanadine has little relief, for me. Eve r y one is different. Try any of them until you find one. Don't be afraid to ask your doc to try different ones. By the way, exercise is not your friend if you have fibro. Depending on your severity level, it will take 1 to 2 days to recover from moderate exercise.

[@dr.vigneshkumarphdphysioth6585]

Good & wounderful explanation in breif about adverse cum sideeffects of muscle relaxant ...very common in india drs prescribed myospaz ..for acute protective spasms in all msk ailments ...well said better to take massage icepacks tens or foam roller and gradual exercises which induces hypoalgesic effect than pill ....yes there are lots of sideffects dr andrea ...6 mins video also very valuable informative ...

[@DrAndreaFurlan]

Thanks Vignesh

[@jayadama1301]

Dr.Furlan muscle relaxants are good pain?

[@DrAndreaFurlan]

Hi Jaya, I answer this question in the video.

[@طارقمحمد-و5د1و]

سلام عليكم لو سمحت يا دكتور عملت عمليه الغضروف وكان صاغط علي جذور الاعصاب للرجل اليمني والدكتور كاتبلي بالكوفين 25 ودولوكسبرين 30 بس انا قريت النشرة والاثار الجانبيه خفت منهم فهل يوجد بديل ليهم تكون اثارة خفيفه ولو اخدتهم فهل ليهم تاثير سلبي علي المخ لانه كاتبه لمدة شهر وشكرا لحضرتك

[@DrAndreaFurlan]

God bless you too.

[@طارقمحمد-و5د1و]

@@DrAndreaFurlan Thank you for your reply. I underwent cartilage surgery and had a fall in the metatarsal. The treating doctor prescribed Duloxetine 30 and Baclofen 25 for a month for a month. Is there a risk of using these medications or serious side effects? Thank you very much.

[@---bk2hj]

Excellent Ms Thanks Take Care love you RADHE RADHE JAI JAI RADHE

[@DrAndreaFurlan]

Thank you.

[@peterrudy9207]

Instead , try a steam bath or hot tub , or the new flotation tanks .

[@DrAndreaFurlan]

Hi Peter, yes, that works very well for muscle tension.

[@ceciliamargarint7929]

Artroze patailare? Traitement

[@DrAndreaFurlan]

Hi Cecilia. I have another video about knee exercises. Please ask your doctor.

[@vallhacarter4094]

Can someone in US order methocarbamol?

[@DrAndreaFurlan]

I believe methocarbamol can be purchased without a prescription in the US

[@vallhacarter4094]

@@DrAndreaFurlan thank you for answering. It needs a script in US. Will continue with ice, heat and acetaminophen. Can't take Aleve or ibuprofen due to kidney issues. Love the information you give.

[@bobchevallier8456]

@@vallhacarter4094 you can order online thru a Canadian Pharmacy. Check what credentials for Govt. Approval of pharmacy.

[@Jay-ix4hp]

Pretty shirt Dr

[@DrAndreaFurlan]

Thanks

[@gregoryjones9506]

I'm not a fan of the fact this isn't available OTC in the US

[@tm5346]

They don’t make me sleepy!

[@sumaraj100]

Madam, pregabalin very bad side effects, I took 10 tabs, made me fat and sleepy

[@DrAndreaFurlan]

Hi Suma, I have another video about pregabalin It is not a muscle relaxant, it is a anticonvulsant.

[@janetrodriguez5445]

If muscle relaxers work in the brain, wouldn’t they be effective for fibromyalgia pain?

[@DrAndreaFurlan]

Good question Janet. We don't use muscle relaxants for fibromyalgia because fibromyalgia is a chronic disease, and muscle relaxants are good only for acute pain, up to 3 weeks. They are too dangerous becuase of sedation side effects.

[@janetrodriguez5445]

@@DrAndreaFurlan thank you for your response. Insomnia is a common symptom of fibromyalgia. Can they be used long term only at night to help with sleep using the benefit of the sedative effect.

[@DrAndreaFurlan]

@@janetrodriguez5445 Janet, none of these muscle relaxants are approved for fibromyalgia in Canada.

[@aswathik1]

Hi

[@DrAndreaFurlan]

Hi

[@royyurusrinivasarav1166]

I am from india

[@gretaholmes783]

Before you were born these medications -back when they tested for years before releasing from the FDA they started being used and have been used for generations safely. Don’t advocate for the destruction of the disabled and incurable when this was their only relief. Think about that. It’s phrased wrong so people think it’s a good thing, but don’t tell people - if they don’t get well they don’t get relief either. Please.

[@SB-gq7fp]

I don't think she was. I think she simply said get off your ass and exercise before resorting to drugs as taking a psychologically destructive drug should be a last resort if *normal* methods of relaxation don't work. Can't be that safe if there are people who have harmful addictions because of it. I can assure you magnesium you find in spinach or taking a walk on the beach have far fewer damaging effects than taking a chemical that destroys signals in your brain to force submission.

[@ΞένιαΒρούση-γ1σ]

🇬🇷🤗👍🙏👏🙏🌺🌹🥰

[@DrAndreaFurlan]

Thank you for the emojis.

[@Scott-ff2oe]

#pain

[@javierruiz6792]

Carisoprodol soma is the best of the best .cyclobenzaprine the worst of the worst .

[@ceciliamargarint7929]

Artroze patailare? Traitement

[@DrAndreaFurlan]

Hi Cecilia, I already have another video about knee pain.