instruction: hello doctor I have had a compound fracture of both the radial and ulnar forearm bones that resulted in two bones sticking out of my arm torn ligaments and muscle and nerve damage I had the arm reconstructed with titanium and it has been two years since then to this day I still have nerve pain and aching in my bones and I am trying to find relief I have been using an average of eight ibuprofen a day for nearly two years and it is not getting the job done I feel as though the nerve pain is not getting better but instead worse my question is what recommendations do you have for me to help relieve the pain I have tried almost every common remedy that doctors have recommended should I give up on trying to avoid the pain and get a consultation to talk about possible options
output: hi I have gone through your complaint and seen your pictures I feel sad that you had to undergo such a procedure and pain since you have chronic pain I would suggest you to use opioid analgesic like oxycontin oxycodone and percocets oxycodone and paracetamol which are very effective in chronic pain alternatively you can use piroxicam tablets and flupirtine centrally acting analgesic capsule which has also shown good results in chronic pain management if the pain is of neuropathic origin then gabapentine and pregabaline are the best drugs you can discuss all these options with your treating physician and get prescribed the medicine that best suits you