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Conservative Treatments

 

Medications:

STEROIDS:
Cortisone, Prednisone, Methylprednisilone (Medrol Dose Pack), Triamcinilone (Kenalog), Celestone, Depomedrol.

 

NSAIDS (Non-steroidal Anti-inflammatory Drugs):
Celebrex, Vioxx, Aspirin, Ibuprofen (Advil, Motrin), Naproxen (Alleve), Diclofenac, Salsalate, Voltaren, Daypro, Indomethicin (Indocin)

 

OPIATES:
Vicodin, Tylenol#3, #4, Percocet (Oxycodone and Tylenol), Percodan, Norco, Lorcet (Hydrocodone and Tylenol), Lortab, Darvocet (Propoxyphene and Tylenol). The requirement for stronger narcotics will be assessed and controlled by a pain specialist.

 

MUSCLE RELAXANTS:
Robaxin, Soma, Flexaril, Zanaflex, Baclofen, Parafon Forte, Skelaxin

 

OTHER:
Elavil (Amytriptlilline), Neurontin, Paxil, Prozac, Zoloft, Remeron Sinequan, Deseryl

 

 

Body Braces:

Anterior Cervical Orthosis (ACO): These can be either soft or rigid. Soft collars are often used for minor cervical injury and can provide a great deal of comfort after a soft tissue injury. These collars do not produce any demonstrable immobilization of the structures in the cervical spine but do produce an improvement in muscle function for a short period after a soft tissue injury. Rigid collars are commonly used as a postoperative treatment to assist in neck immobilization. They can also be used to temporarily treat instability of the cervical spine.

 

Thoracolumbosacral Orthosis (TLSO): This is usually a rigid brace and comes in various styles. It is designed to immobilize the upper and lower back. It is commonly used in thoracic or lumbar spinal fractures, and also during postoperative periods.

 

Lumbosacral Orthosis, Lumbar Corset, Back Brace (LSO): Lumbar corsets can be rigid or soft. They provide support for the lumbar spine, help reduce the load on back muscles, and are helpful during episodes of acute and chronic low back pain. They are also used for support after spine surgery such as discectomy, and fusion surgeries.