Ladybug76020

Osteoarthritis & NSAIDS? What do I take now?

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I have pretty severe OA of the knees. My ortho wants to do bilateral MRIs and will consider the synthetic cartilage injections provided I don't have any tears. Problem is, I can guarantee that the meniscus is torn in the left and most likely in the right too. I've had tears before and know the locking/popping feeling that accompanies them.

I do the elliptical and weight lifting 4x a week. The elliptical bothers my knees less than the treadmill provided I don't crank up the cross ramp or resistance too high. For weight lifting, I do the entire circuit of machines and do 3 sets of 10-15 reps at each machine. As I've gotten stronger and lost weight, I obviously have to push the workout and that leaves me pretty darn sore. Like tonight, I can barely walk; I hurt all over like I was run over by a steam roller. I look like an old lady getting up out of my computer chair.

Other than Vicodin, what can I take? Plain Tylenol does nothing. I was hurting so bad last night that I took some of my kid's liquid ibuprofen and washed it down with a ton of water. I know that there is risk with repeated use of ibuprofen related to reduction of the mucous protective layer of the stomach. Is the risk of ulceration from a pill getting stuck against our staple lines negated with use of the liquid product?

Because of my total body pain, even on non-workout days, my ortho wants me to have an autoimmune workup. Have any of you been diagnosed with an autoimmune disease AFTER your weight loss surgery?

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The major effects of NSAIDS on your stomach are actually not from the medication coming into contact with the stomach, but occur when the medication enters the bloodstream, so pill vs. liquid should not make much difference. That said, I have heard that the sleeve patients have more leeway when it comes to taking NSAIDS. I tried to quickly find some medical literature about NSAID risks in sleeved patients, but didn't see anything. Perhaps you could ask your surgeon's opinion on that. ALSO, because of my debilitating hip pain, I was forced to take the risk and take NSAIDS. Celebrex is a class of NSAIDS with much lower gastric risks than the other NSAIDS on the market since it acts as a Cox II inhibitor. I have taken that successfully throughout my 18 months post-op and it has offered a bit of relief (though some folks swear by the stuff!). Each time I have gotten cocky and/or just desperate and tried to take Motrin/Ibuprofen for any length of time or with any regularity, I have developed ulcer issues. If you only need to take Celebrex for a few months, taking a PPI or other acid reducer will give your stomach added protection.

There are also a couple of non-narcotic meds on the market that work as "opioid agonists," Tramadol and Nucynta. They say addiction is not a problem with these two meds, but I'm not convinced. These are also not great choices for me for regular pain relief because they make me just as STUPID and even sleepier than narcotics.

Hope any of this helps. You may come to a point where you have to weigh benefits and risks and carefully monitor your body's gastric and pain symptoms to decide what the best choice is. Good luck!

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Omg! This is exactly what I am struggling with. : (

Obviously not the end of the world considering but it's so disappointing to have lost 70lbs and actually like exercising and have this.

I had my PCP do a doppler and we ruled out a blood clot and a bakers cyst so I see an Ortho surgeon on Monday bc it looks like it is a torn meniscus. : (((

I was told the same thing from my surgeon to try to avoid NSAIDs if possible.

I'll let u know the outcome after my Monday appt.

My left knee and ankle ache so badly I can barely sleep or sit. Only movement temp removes the pain but as soon as I am still I am coming out of my skin.

Best wishes to you and talk soon

Jeanne

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When I first had my surgery I had got Gout, guess my body didn't like the new way of eating life..lol..and my Dr told me 10 - 12 days of twice a day dose of Aleve was going to be fine it is when you take it every single day consistently that it starts to create a problem. I only did 5 days and once the Allopurinol kicked in I was fine, but I would think 1 - 2 doses wouldn't hurt, of course as we know every Dr is diffrent I would call your surgeon and see what they say, tell them you need to take something stronger and was wondering what is safe for you to take, good luck and hope the pain eases real soon.

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I broke down today and called for an appointment with my PCP. Going to get him to order MRIs for my knees. My pain is interfering with my ability to exercise and daily activities.

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I am not one to promote sales of products but there is a natural remedy my husband just started selling, he has had back pain since we met and he has been taking this for a month and it really helps with imflamation. Hope this helps. or at least something to look into.

http://oceanavenue.com/empower

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PS my Dad has hep C (blood transfusion before they checked for it) and isn't supposed have NSAIDs and his Dr. said it was fine,

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My surgeons told me I can never take NSAIDS again, but I had knee surgery on 11/26 and my ortho wants me on a NSAID, i called my surgeon and they said they would have to prescribe me Pantoprazole (Protonix).

I haven't done that yet, but, If and when I do, I will advise.

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I feel your pain I had been taking Celebrex and Advil for a number of years and they took the edge off the pain in my knees and back. I also tried the injections that are suppose to replace where the cartlidge has worn away. I had an auto immune reaction and had to stop. When I went for my medical clearance for surgery, I was told I had kidney damage. I saw a kidney specialist and after doing some rule out tests he felt it was from the Celebrex and Advil Mild kidney damage. So I had to go cold turkey and it is not easy. Even with the weight loss there has been no relief. I tried Tramadol with no success. I need knee replacements, but am just not ready to get them yet. I too am limited to the exercise I can do. Walking and gentle yoga so far is all I can do. It is frustrating when you want to do something good for yourself, but your body won't cooperate. Wishing you all the best. Keep us updated

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I have a prescription for Voltaren, which is a topical anti-inflammatory gel. I use it for tendinitis in my wrist and Impingement Syndrome in my right shoulder, but I think it's approved for any topical orthopedic use. You apply the gel to the affected area every 4-6 hours. It is a little messy, but there is relief, maybe not as much as with Vicodin, but at least I can still drive.

I also started seeing a chiropractor after surgery. I thought after losing weight that my back pain would magically dissolve, but that did not happen. The chiropractor made a dramatic difference and I'm actually half an inch taller now. I saw him 2x a week for a month, then 1x a week for month, then as needed. I'm also in PT now for the Impingement Syndrome. I want to get the resolved so I can start some High Intensity Interval Training. I never would have gone the PT before because the first thing I would have been told has to lose 50 pounds.

So there are some alternatives available, ice therapy, heat therapy, topical treatments, and even pain management clinics can do some great things without heavy duty narcotics. Good Luck.

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