Q&A: low back pain; when to freeze eggs; how long to take antidepressants; & alcohol and social anxiety

We're going inwards and outwards in this week's Q&A

ICYMI 👉

• Are You Okay? START HERE 👋

• Make Kindness Great Again

• Why Taylor Swift is Good for Your Health

---

In this week’s reader-submitted Q&A, we’re tackling these questions:

1. What pain medication can be used for age-related lower back pain?

2. When is a good time to freeze my eggs?

3. How long can you safely take antidepressants?

4. How can I enjoy time with my friends while sober?

Click here to submit your questions (about anything) for future Q&A posts!

Disclaimer: The views expressed here are entirely my own. They are not a substitute for advice from your personal physician.

---

Photo by Jamie Street on Unsplash

The following subscriber questions have been lightly edited for length and clarity.

QUESTION #1: LOW BACK PAIN

Other than opioids, what pain medication can be used for age-related lower back pain? Over-the-counter meds just don't do it. The doctor prescribed Tramadol, but I don't want to be on it long-term. How do I get relief without playing with addiction possibilities?

-Diane

Dear Diane,

You are not alone! I assess and treat low back pain all the time. There are several types of pain medications that may be used to treat lower back pain resulting from age and wear. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen can be effective for reducing inflammation and pain. However, long-term use of NSAIDs can lead to stomach problems such as ulcers and bleeding.

Other options include muscle relaxants and Tramadol, the synthetic opioid analgesic medication you mentioned. However, these should only be used under the supervision of a healthcare professional, since they can be habit-forming and can cause significant side effects. Meds like Gabapentin and pregabalin are also options for treating chronic skeletal pain, and they are less likely to be habit-forming.

Better than relying solely on medications for pain, manual therapies (i.e., physical therapy, myofascial release, and massage) are usually more effective and sustainable treatment modalities. Correcting alignment and movement of the spine and pelvis and addressing any underlying structural issues gets at the root causes of pain. In addition, exercises and stretches can help to improve strength, flexibility, and posture, further reducing the risk of future back pain episodes.

For example, low back pain that is due to a herniated lumbar disk can abate with physical therapy directed toward strengthening weak core muscles. Arthritis-related low back pain can be mitigated with postural adjustments, improved footwear, and avoiding heavy lifting. Back pain that stems from stress is often ameliorated with mindfulness techniques and graded exercise.

Treating the root cause is the best way to obviate the need for heavier medications—and to get back to your regular life! 🏃‍♂️🏊🏾‍♂️🧘🏻‍♀️🚶🏿‍♂️

---

If you would like a paid subscription but it’s not in your budget (or if you are a family member, friend, or patient who should be getting it free!), please message me directly. ❤️

---

QUESTION #2: WHEN TO FREEZE EGGS

I am a 33-year-old single woman. I want to have kids but haven’t found the right partner. When is a good time to freeze my eggs?

- Molly

Hi Molly,