The Best Type of NSAIDs (Non-Steroidal Anti-Inflammatories)
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- Опубликовано: 6 июл 2024
- This video was filmed before the COVID-19 pandemic.
There are many different types of NSAIDs (non steroidal anti-inflammatories).
In this video the surgeons discuss the various types of NSAIDs. They discuss the risks and benefits as well.
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Wonderful video! I recently had a knee revision after a mechanical failure of a 10 year old Zimmer replacement.
I was in pain before surgery and took NSAIDs, also for inflammation.
Post op, I took 1 ASA daily for anticoagulant property and stopped narcotics in one week. Felt nauseated and dizzy with narcotics, went back to NSAIDs.
I didn’t have any appetite, continued to have pain after I ate, and nausea.
My brother, an orthopedic surgeon in Wisconsin, suggested I begin Nexium. It was a game changer! Appetite returned, pain left, nausea stopped.
My surgeon believed I developed an ulcer pre op, waiting for OR, (surgery delayed due to Covid and elective surgeries), and taking Motrin, post op.
Now 9 weeks post op, feel amazing, going back to work in 3 more weeks.(RN in a Hospital)
Firm believer in NSAIDS but found out how their side effects can hurt you.
Recommend your videos to my surgeon and surgeon brother, for patient education! Thanks!
Thanks so much Amy. Many physicians will prescribe a stomach protector (like nexium) from the outset for those at risk. Glad you are ok! Thanks for watching and subscribing if you did.
Awesome to hear great Doctors giving common sense, easy to understand information for the things we all need to know…wish more Doctors were like this even when you are in to see them…I will be watching more of your videos!
So glad you liked it Rich. Thanks for watching, subscribing and sharing with someone if you did.
This channel really deserves far more subscribers. Great, direct, and clearly presented information every time. Now if I could ever find a GP that could do the same...
Thanks so much Scott. Spread the word! Good luck with the GP search. Thanks for watching, subscribing and sharing with someone if you did.
Tell your doctor to talk in English and ask lots of questions
Thankyou so much for these videos! I am a person who needs to know what is being done and how. So thankful that you gentlemen are sharing this vital information with everyone. Takes a huge portion of the anxiety away!
Hi Pam. You are very welcome. A big part of what we do is reduce anxiety by getting people informed. So glad we could help. Thanks for watching and for subscribing if you did.
Thanks, Docs! It’s so great to have you back (well, I watched you when you were filming from home, too)
Hi Alise. We are trying to release regular content. This video was filmed pre - pandemic hence no masks. Thanks for your support.
Great information on a very important part of any recovery. Thanks for all you do.
You are very welcome Rick. Glad we could help! Thanks for watching and subscribing if you did.
What a great topic! Thanks for another clear answer to a question I get asked every day.
You are very welcome Dr Didyk. We thought it was a common one for sure. Stay safe!
Thanks for being so generous with your time and talents..."
Very welcome sherp2u1. Thanks for watching, subscribing and sharing with someone if you did
One of my fav doc channels! Thanks! 😊
Thanks so much Nan '59! Thanks for watching and subscribing if you did.
I’m subscribing to these guys page. I listened very carefully to them and everything they said I have found out through my own research as well as what I and my Dr. have talk about. They are speaking clear plain English and nit talking way order a persons head with terms an average person can understand…thank you guys very much…
Very welcome Rose. Thanks so much. Thanks for watching, subscribing and sharing with someone if you did.
amazing how you both make this so understandable knowing that most of us just don't know medical jargon which is importat to your profession and can leave folks like me lost in the rip tide of the language...
Glad we can help David! Thanks for watching and subscribing
An Orthopedic surgeon told me the same thing 20 years ago. I'm 75 with Osteoarthritis in my knees and the cartilage is bone on bone. I started cycling long distances, X/C skiing in the winter & lost some weight. The results are amazing. I still have pain issues hiking down hill but as long as limit the distances I can live with the discomfort. I'm a firm believer that cycling is like a tonic for knee problems.
We would tend to agree Blaine. Thanks for watching, subscribing and sharing with someone if you did.
I gave up driving, 20 yrs. ago, retired here in Fla..everything I need is near, grocery, fast food, library.. I started riding bike, & my dr said that's why my knees are not arthritic like my fingers. In rainy , cold , use the elliptical strider,, am 80.
You want to amplify your healing conditions, never too late to research a healthy ketogenic diet. 3 weeks on this lifestyle change & I was completely off pain medication. It will eliminate ininflammation, plus you will find your cardiovascular improve. Heart, cognitive function all improve. Calcium build up starts to be eliminated in week 1. Watch what happens to your teeth in 1 week. This will be the first sign you understand something profound is happening 😉
I just viewed one of your 2016 videos. Gosh, you guys haven't aged a day. :) Thank you for this information and all your time.
Thanks DBJones. It is the Tom Brady plant based living! Thanks for watching and subscribing if you did.
Good cosmetic crew.
Facts without "silliness." GOOD!
Doing our best James. Thanks for watching and subscribing if you did
Great video, very useful. Thank you.
You are very welcome Kate D! Thanks for watching and subscribing if you did.
Thank you guys the clarity
Very welcome Angella. Thanks for watching, subscribing and sharing with someone if you did.
Thanks SO MUCH…it was very helpful.
Glad we could help LotusBlossom. Thanks for watching, subscribing and sharing with someone if you did.
Great info. Thanks
You are very welcome G Nohn! Thanks for watching and subscribing if you did.
Thanks docs for this very important information!
Very welcome Alida. Thanks for watching and subscribing
Great info. I have a good surgeon for my hip replacement on 1/11/22, but somehow I wish you guys were in Philly. Thanks
Hi Jim. Thanks for the kind words and best of luck on January with your surgery. Thanks for watching and subscribing if you did
Thanks Docs!
Very welcome Darlene!
Thank you very much again. Sooo informative!
Very welcome Stephen. Thanks for watching and subscribing
Thanks for the information! Some family doctors don’t explain these things for lack of time, i guess. But im really glad you both covered NSAIDS, the what, which, how, and when of these drugs b
Very welcome Mila. Thanks for watching and subscribing
Great team guys.🤗
Thank you 😀 Danielle. Thanks for watching subscribing and sharing with someone if you did.
Love you guys! Sharing your videos...
Awesome! Thank you!
You guys are fantastic very informative thank you
Thanks Sharon! Thanks for watching and subscribing
These 2 Surgeons Explain...
WHAT TO KNOW ABOUT YOUR HEALTH
& AILMENTS 👍👍👍
Thanks so much Cinnamon Girl. Thanks for watching and subscribing
I just love these guy’s! I wish I had them!!! 💙❤️💙
Thanks so much M & M. Thanks for watching and subscribing
Great advice. I find ASA/Aspirin is highly underrated. People often forget its for pain relief when all the marketing is for ibuprofen or naproxen. There's nothing wrong with all three options, but ASA is often very cheap and just as effective.
Thanks for sharing Brandon. Glad it is working for you. Thanks for watching and subscribing if you did
What do you recommend taking for upper trapezius strain?
great stuff, thanks
Very welcome kurt! Thanks for watching, subscribing and sharing with someone if you did.
Excellent contextualization of allergy and sleeping pill and narcotics. Good job!
Thanks Arshad. Thanks for watching, subscribing and sharing with someone if you did.
I'm surprised that Colitis wasn't another reason to avoid NSAIDs. Thank you for the informative video!
It is though Esther. Thanks for watching
enjoyable and informative
Glad you enjoyed it Steven. Thanks for watching, subscribing and sharing with someone if you did.
Who knew? All good info, thanks.
You are very welcome Jennifer. Thanks for watching and subscribing if you did.
What is your opinion of Excedrin PM? And, what happened to it? Thank you for your bits of wisdom! 😊
Retired plastic surgeon. Very good discussion from two MDs actually qualified to discuss the science. Hopefully you both still find use for narcotics post op. Worrisome trend of over- prescribed nsaids when a little codeine is the right answer
The anti opiod zealots have an agenda. Trying to get rid of opiods at any cost . Unfortunately the public drank the koolaid and opiod hysteria is in full force . People don't realize that opiods work better and are safer long term thar NSAIDS. One week of this can damage your kidneys and I bet most people need pain relief longer. I had doctors actually look me in the face and say " Tylenol works better than opiods for pain relief "! Unbelievable. The CDC'S guidelines for opiod perscribing were misused and written by anti opiod zealots like the group PROP founded by Andrew Klodney. All make millions of dollars as opiod experts. Almost every member of the group has testified against the pharmaceutical companies as expert witnesses yet most are not pain management doctors or even doctors at all . So you are an expert in addiction and opiods yet you have never written a perscription or treated a patient? Klodney is nothing more than a psychiatrist and possibly a psychopath. He wants all opiods banned even for children and pets and the dying. Not even for cancer patients. Should we call everyone who needs opiod analgesics to manage their pain and are compliant with their doctors orders addicts? Thats exactly what is happening right now if they can even get opiods. Remember big tobacco? Big oil is next to be sued . Oh and all the politicians who push this false narrative of addiction will ALWAYS BE ABLE TO GET OPIODS FOR PAIN RELIEF. JUST NOT YOU OR YOUR FAMILY. THINK ABOUT THAT.........
@@jennymccombie9604 As a retired surgeon, I am horrified by the turn of afffairs with pain management. When I was trained, we were always taught that opioids had an indispensable place, and were quite underprescribed in terminal patients. If I weren’t given an opioid option when I’ve had surgery performed on me, I would raise hell. Unfortunately , this is another extension of what the Trump administration thought was important.
@@jennymccombie9604 Jenny I salute you. As a chronic pain sufferer, it is ridiculous that doctors would rather prescribe drugs that will probably destroy my stomach or liver, then write an opioid. Most chronic pain sufferers DO NOT abuse their medication. I wear an opioid patch for idiopathic neuropathy and it has saved my life. Without it the crushing burning pain in my legs and feet is intolerable. I have never taken more than my doctor has prescribed, and have been on the same dose for years. STOP demonizing this class of drugs. Take away opioids, and true addicts will find a way to overdose on something else. I have written my representatives and am trying to find ways to get this message across to law makers AND DOCTORS. The world has gone crazy.
@@jennymccombie9604 Jenny do you know of any movements that are trying to help chronic pain sufferers? I thankfully have a doctor who writes an opioid patch for me. It has turned my life around. I went from crying most of the day from nerve pain, to walking my dogs several miles a day. There has to be some type of chronic pain representatives who are willing to go against the CDC guidelines and fight these groups who are trying to restrict access to these drugs. This is ridiculous.
@@happytrails699 Go on Facebook and look at the chronic pain patient pages there. Here's a few of them 1) # Don't punish pain rally. Both a national site and one for each state . 2) CIAAG . Read Violation of a Nation. Explains everything. There's many more but these are a good start . There's a protest coming up in September and another one in October. Contact the # group for your state and place attend with as many people as possible!
My creatinine was slowly rising as I watched this!
That is funny JAY. Thanks for watching, subscribing and sharing with someone if you did.
Indeed guys. I am a professional at passing kidney stones. Once you have had one.. You will never forget! My particular type is due to lack of water. I could give a dissertation on kidney stones..lol. You guys give great information and hope you keep it up!
Thanks John. And thanks for sharing.
Hi, i have a couple of qts after binge watching your knee replacement videos. Do you always have to have the spinal type block anesthesia for knee replacement surgery or can you have just general anesthesia? Also, so many treatments for knees are temporary fixes like cortisone shots or gel shots,
My thinking is at 62 yrs old why put off the inevitable ? Im not getting any younger, im aging, more tired, heavier etc so do drs consider that when delaying surgery? It does look like a scarey surgery but i can barely walk w a right knee complex meniscus tear and osteoarthritis. And now my left knee feels worse than my right cause i had a steroid shot in the right knee. Last qt: how long do you wait after a corticosteroid shot in the knee for knee replacement surgery?
Thanks so much for your videos! And answers!
Hi Ellie. So yes they can be done with general anesthetics but spinals provide more pain relief. Surgeons like to delay because knee replacement is the last option. You are young and could wear out an artificial knee. You should get it when you can no longer tolerate the pain. And usually we wait 12 weeks after injections. Thanks for watching and subscribing if you did.
Great information! I have been taking 6 Advil a day for a very long time. Guess I better have a chat with my Doc. 😬
Yes Janice. We will start calling you Iron Gut. Stay safe. Thanks for watching and for subscribing if you did.
For joint inflamation, I take Ibuprofen for 3 to 4 weeks, then switch to Acedaphenamin{
Thank you for sharing your approach Rose. Thanks for watching, subscribing and sharing with someone if you did.
ACETAMINOPHEN!! ingredient in Tylenol, can get in 325mg. or 500mg.
Wonderful videos. Please enable closed captioning for your viewers who are hearing challenged. Thank you.
For sure Terry. Thanks for watching and subscribing
I take a cox2 every day, but to get around the golf course (walking), nothing beats indomethacin. I've had bilateral knee replacements and several spinal surgeries.
Very nice Margaret. Keep swinging. Thanks for watching subscribing and sharing with someone if you did.
I was having seriously severe joint paint (suspected rheumatoid, which the test was negative though). I depended very heavily on ibuprofen for too long (months). Turns out, I had a complete metabolic panel, which showed my GFR was pretty seriously decreased. I stopped the ibuprofen completely upon receiving those bloodwork results. I have to have my kidney function retest in August. My doctor is hoping my kidneys will rebound, as I’ve had no signs of kidney dysfunction on any previous bloodwork (totally normal in 2020). Ibuprofen is a very serious medication. It’s kind of petrifying being in this position, not knowing if your kidney function will rebound or not. Thank you guys, really enjoying your videos a lot.
You are welcome Lori Lyn. So glad you liked the videos. So sorry to hear about your kidneys and we agree they are very serious medications and can cause kidney failure so should be taken carefully and with the supervision of a pharmacist and or your doctor even though they are over the counter. All the best. Thanks for watching, subscribing and sharing with someone if you did.
I experienced exactly the same AND a huge rise in liver enzymes.
How are you doing?
@@TalkingWithDocs It's way to make the fallacious connection that Over the Counter equals Completely Safe. I have a friend who almost died from too much Tylenol when she had a toothache. OTC Completely Safe.
Thank you once again Dr B and Dr P. Really informative, especially when you mentioned a particular tablet(didn’t catch the name) which they took off the market due to problems with heart and strokes. In Britain I used to take a tablet called Zantac. It disappeared...overnight . I couldn’t buy them or get them from my Dr. I’m presuming it was the same one you mentioned under a different name! I did wonder why it disappeared. Thanks again for all the information you give us all. 👍
Hi Sandra. Zantac is still available in Canada and is for stomach acid reduction. Often taken with NSAIDs. Hope you found something to help. Thanks for watching and subscribing
Doctors thank you for getting together to create these knowledgeable videos. I have a question... is it safe to take Advil when you are taking a prescription medicine that contains Tylenol? I have been told yes and no. Even the research I looked into several years ago was conflicted. Thank you Doctors. I am enjoying your channel -new subscriber as of today. :)
I can assure you that not only it is safe, it is preferable to add an NSAID like ibuprofen temporarily to the mix because by doing so you disrupt the pain from more aspects at the same time.
Hi Ldydi5954. Yes you can. Tylenol is processed by the liver and advil by your kidneys so they are ok together. Great question. Thanks for watching.
Hi Milan. We would mostly agree. NSAIDs do have some risk depending on your past medical history - they can cause problems with your stomach like reflux or ulcers, can cause kidney failure and can make your blood pressure increase. They are also used with caution in the setting of prior heart attack or stroke. Always best to discuss what you are taking with your doctor or pharmacist. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Thank you for answering my question. :)
Bone on bone double knee replacements needed. First one will be done in 2 weeks. Took Meloxacam for months swapped out occasionally with Tylenols. Tried Tramadol but it wiped me out so I stopped. I also got a shot of Zilretta in each knee 1x. Zilretta is as close to being blessed by the hand of God for grinding bone on bone pain as you can get :) Looking forward to the end of crippling pain aided by a walker. 72-years youngster here who looks forward to walking again. Enjoy your info, thanks :)
Very welcome Besame. Good luck in 2 weeks. Thanks for watching and subscribing
Hey How are you doing?
don't end by saying "and remember you are in charge of your own health'. NO. you are when I come to see you and take your advice so no trying to duck it. love you guys anyway.
Hi loophole. We offer suggestions. No ultimatums so yes you do get to choose. If it was cancer or an infection then you don’t get to choose. But for pain it is always up to the patient. Thanks for watching and subscribing if you did
Hi Docs, I dont think you have made reference yet to the use of etanercept (Enbrel, Benepali), a TNF-alpha inhibitor, for the treatment of rheumatoid- and osteoarthiritis. Your viewers may be interested to learn of this treatment for various forms of arthritis (which is, I believe, very different in the way it works to other frequently used medications), how etanercept is manufactured, how it is taken, and its mode of operation on the body. Many thanks again for your truly inspirational and informative medical videos.
Hi David. No we have not. It would be included in a video on rheumatoid arthritis which is on the list for the future. Thanks for sharing. Thanks for watching and subscribing
Hey Docs. I’m taking Celebrex. Doesn’t seem to have any positive effects on the inflammation on my neck (pinched nerve). Does Celebrex cause weight gain?
My 85 year old father requires a shoulder replacement. He has been taking ibuprofen around the clock for months. Has difficulty sleeping due to the pain. His orthopedic refuses to prescribe any other pain medication. Would not give him a cortisone injection since he was having surgery. Surgery was canceled due to abnormal lab work. Told to return in 2 months to have lab work redrawn. Told to continue taking ibuprofen. If he needs stronger pain medication he needs to follow up with primary MD.
It can be frustrating for sure Lory. The main reason not to give narcotics is that they do not work very well and can make pain control after surgery more complicated. The reason for no injection is that there is a slightly higher risk of infection if you have an injection too close to your surgery. Hope that helps and best of luck to your dad. Thanks for watching, subscribing and sharing with someone if you did.
What about prescription MELOXICAM, MOBIC, ? I have been taking that for back pain. Works ok . Does that have less side effects? Thanks
Yes it does 1rwjwith ToneDog. Not zero but less side effects. Thanks for watching, subscribing and sharing with someone if you did.
Thank you
Very welcome RHM. Thanks for watching and subscribing
Hi doc!
I've been watching your videos on everything that y'all have done and talked about....
(Including knee replacement)
I have so many questions and don't know where to start?
I'm in the US.
I see doctors at the VA veterans administration...
And I also see private doctors.... Outside the VA. Do you guys take patients from other countries like the US to do knee replacements?
I have just about everything you've talked about on this video... And I am allergic to Tylenol don't know why but it causes my heart to palpitate...
I can take one of the ingredients in Tylenol the pseudominophen.
It doesn't bother me at all.
I'm a diabetic and I need to drop my A1C level down to seven something... It's 8.2 right now and once it drops down to 7.5 7.6
And lose about 10-15 more pounds they'll do my knee replacement I asked the doctor if they could do both at the same time and he has said I needed one good leg to stand on... I told him I don't have neither one good enough to stand on now....lol 😂
I've seen my cardiologist my primary care physician and all the doctors I have 15 or 16 specialists something like that.... Some say I'm good to go as long as my A1C comes down and I lose a little bit more BMI I get body mass index?
Before I can have the first one done....
Don't give me wrong I get pretty good doctors here. But I wouldn't mind being a patient of yours y'all tend to have too much fun!!!
I'm having a procedure done again on the 11th of October they're going back down my throat to see how my esophagus is from the damage of acid reflux to see if it's under control...
Well it looks like I'm getting a call from the VA so I guess I'll let you all go and take this call hope to see and talk to you later have a good one.
I am subscribed to you guys!! Even though you're in Canada and I am in the US I listen to your advice also the same what the my doctors tell me.
Hi Lorenzo. So glad we can help in any small way. Unfortunately we are not able to take patients from out of country - very flattered though. Sounds like you have a good approach. Lose whatever weight you can. It is very hard. Keep the A1C down. And get ready as much as you can for the TKR. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Great video ! I’m 77 and take a Tylenol in the evening for Arthritis of the hip. You didn’t mention Tylenol and I was curious your thoughts on it’s use.
It’s not an NSAID that’s why. It is helpful and safe but not as effective as NSAIDs. Much less risk though
And so what do I, with bilateral stage four arthritis in both CMC joints, do for pain relief?
Hi David. Often medications, topicals and sometimes splinting. Or consider surgery. Best of luck. Thanks for watching and subscribing if you did
I use Etericoxib (Arcoxxia) starting at 60mg. Mainly because it is a 1 a day prescription and you just need to increase the dosage (60-90-120) and the patient just takes 1 a day which helps with compliance (one of the main issues with the NSAIDs not working is that they dont take them). You need to be aware of hypertension patients though.
And also steroids, I use a 9 day decreasing dose of prednisone and depending on the injury, intraarticular or periarticular steroids.
Hi Dani. We totally agree about high blood pressure. And stomach issues and kidney function. Proceed with caution. Thanks for sharing. Thanks for watching and subscribing if you did.
I am taking Celebrex for my back and to reduce pain/ inflammation post forearm fracture with two ORIF surgeries. I have controls hypertension and pacemaker for Mobitz II SECOND DEGREE HEART BLOCK and Marked bradycardia. My internist and orthopedic surgeon prescribed this and know my conditions. Is this safe.
Hi Julie. Usually for the blocks it is ok but this should be discussed with your doctors and pharmacist. Usually the concern is around coronary artery disease. Hope that helps. Thanks for watching and subscribing if you did
My orthopedic Doctor prescribed Newxsis for my knee and lower back. Works very well, except causes you not to go #2. He said I need knee replacement. Also gave me diclofenic cream to rub. Works well. I would like your thoughts. Thank you.
Hi Kim. We are not familiar with Newxsis and a google search turned up nothing. Glad to hear it is helping. Thanks for watching, subscribing and sharing with someone if you did.
I was told to take 325mg. Aspirin twice daily for 30 days after my right hip replacement in 2018. Was just for blood clot prevention, but I presume it helped with inflammation as well. My hip healed well, and then November 2019, I had a full scoliosis spinal fusion surgery. This was well over a year after my TRHR. I’ve healed well from that also. Not taking any prescription pain medication right now. Once in awhile I will take a couple extra strength Acetaminophen at bedtime if I’ve kinda overdid it that day. In 2019 I was on Hydrocodone a lot for pain. I did not take any OTC pain meds with it. Now I feel my left hip maybe going. It’s not bad yet, but sorta feels like a dejavoo from when I was having bone on bone pain in my right hip. I can feel my left hip “catching” once in awhile when I go to get up. It really hurts, but soon goes away once I start walking. I’m still functioning ok, push mowing my yard! I do have a high pain tolerance!
Hi Amy. Glad you are ok. Thanks for watching, subscribing and sharing with someone if you did.
How are you doing?
Love this channel..!! I prefer good old aspirin myself..!! It shuts down angina pain within minutes..!!
Yes it does Lee. Glad you like the channel! Thanks for watching and subscribing if you did
What's your opinion on using ibuprofen (600mg) per day after a spinal fusion? Do you think it interferes with the fusion healing?
Hi tuffshot. There is some evidence that NSAIDs can reduce spinal fusion success. Better to use Tylenoi or similar products. Best of luck. Thanks for watching, subscribing and sharing if you did.
Can you tell me what to expect in recovery from the fulkerson osteotomy in a patient that has sarcoidosis
Hi VL. So typically you would have to be immobilized for a portion of time with your leg straight and once healed rehab would increase to focus on range of motion. You will have moderate pain. Best of luck. And always discuss with your surgeon. Thanks for watching and subscribing if you did
I had an idiopathic TIA 11 years ago. Is Celebrex ok to take very occasionally and at the lowest dosage ( never more than 3 days). Thx
Hi anthony. It likely is but best to confirm with your regular doctor. Thanks for watching, subscribing and sharing with someone if you did.
Hey Docs - I’m a big fan of your videos! On this one, is there any real relative difference in risk between the OTC NSAIDS (e.g. Aleve and Advil)? And if one is taking a NSAID long-term (to address arthritis in multiple joints), should Celebrex be considered as an alternative to avoid the risk to kidneys and gastro? Thanks!
Hi Paul. Good question. Most of the over the counters have the same risk. They all pose risk to the kidneys. Celebrex is safer for the gut. If taking long term follow up regularly with your doctor
Thanks Docs!
Going through PT for knee problems prior to an orthopedic consult per insurance protocol. After being active most of my life, your channel is providing me much useful insight. Thank you both!
You are very welcome Nancy. Best of luck. Thanks for watching and subscribing
Year of PT did not help me with hamstring, 34 yo(((
I took Diclofenac for arthritis pain. It worked great but it almost ruined my kidneys. Thankfully they went back to normal after I stopped taking it.
Yes it can be hard on the kidneys for sure Marge. Be careful. Thanks for watching subscribing and sharing with someone if you did.
What about other like Humira, Orencia or even Kenalog. I know they are different formulations except for Kenalog which is a steroid. How does the other two actually combats rheumatoid arthritis, and their side effects.
Hi Nelson. Humira is very different. It is a TNF blocker designed to reduce inflammation and is specifically used in rheumatoid arthritis and Crohns. Thanks for watching, subscribing and sharing with someone if you did.
Hey Docs - Question. What are your thoughts on taking NSAIDs as a Treatment for Muscle Strains? As a way to reduce inflammation to Allow for Healing? I've read conflicting evidence. Some saying inflammation is a necessary and natural element of healing, and that we should let the body do its thing. And other evidence saying patients should do a 7-10 day course of NSAIDs. Curious to hear your thoughts. Thank You.
Hi Eric. We would often endorse a short course. Plus physio and ice
it woukd be nice if you can explain tylenol vs advil
We have that exact video Bill. Keep watching. Thanks for watching and subscribing if you did
any opinion about licorice for this purpose? Odd that folks shun aspirin when it's such a useful drug.
Not sure about licorice Dan. Tastes good. Thanks for watching and subscribing if you did
Is there any specific reason why Celebrex still requires a prescription? Also would like a more detailed explanation of what a 'pathway' is?
Hi Zanzibar. Not exactly sure the process that is involved with medications coming off prescription. As for the pathway celebrex is a COX2 inhibitor. Maybe in a future video we can break it down. Thanks for watching and subscribing
Why there’s no videos on actual surgery ?
Most videos are only on case presentation. Thank you
Hi Sum. There are a few. Most patients actually do not want to watch surgery. They want to know more about it and how to be successful after. Thanks for watching, subscribing and sharing with someone if you did.
It seems topical lidocaine & salicylic acid (Aspercreme) are the best I can get for various joint & similar pains. NSAIDs drug sheets also indicate tinnitis as a side effect, which I developed when a doc had me take NSAIDs daily for 'supposed' carpal tunnel that was ultimately healed by own discovery of the healing effect of stretching exercises. Why are those cox-2 inhibitors not over the counter? It seems it would be good to have some kind of nsaid that doesn't tear up your stomach that is OTC. I'm still waiting for the "dream" OTC pain reliever drug. I've suffered pain with accidents, going NSAIDs free, rather than the side effects of tinnitis & stomach irritation.
Great video and thanks for sharing your knowledge. I am 61 years of age and work out every day of the week. I acquired an NSAD/Salicylate allergy at 51 years of age. Is there any anti-inflammatory you can suggest without a salicylate base?
Hi W K. Sorry to hear this. Best advice would be to talk to your pharmacist. Thanks for watching and subscribing
@@TalkingWithDocs Thanks for the reply. I have heard of red light therapy for inflammation and other things. Is this something you as doctors would comment on? Thanks again. I really enjoy your channel.
I used to take Celebrex intermittently leading up to a total hip replacement. I only used it when I was in pain or when I needed to work physically. I was great when I needed it. Since my hip replacement, I haven’t needed them at all.
That is awesome Anton. Thanks for watching and subscribing
Good discussion. Your advice to discuss this with your doctor cannot be emphasized enough. [NSAIDs are listed on my chart as an allergy; however, after hearing your discussion it is probably listed as thus to keep MDs from again prescribing NSAIDs for me. Naproxen created Stage 3 Kidney condition which reversed itself when I went stopped taking the Naproxen. I decided pain (joints, migraines) was preferable to kidney failure, although on rare occasions I will take a Tylenol. All of this has been thoroughly discussed with my doctor and specialists.] :)
Glad you liked it Luigina. Thanks for sharing your experience. Thanks for watching and subscribing
How long did you take for ? I just got prescribed these and I’m worried
at no time did these guys put forward what each NSAID is good for. I’m still left wondering what’s better than what based on activity. (I’m going to walk the Camino. I’m older than 50, so I’m gonna be sore. I’m still looking for answers)
Hi James. We are not able to endorse any one product. The best one utilizes multiple classes to address your pain in multiple levels. Most NSAIDs are comparable in efficacy. Thanks for watching and subscribing
Love you guys, but You didn’t answer the question! And what about effect on the gut? Leaky gut syndrome. Are there any safe anti-inflammatory meds in a box or should we use naturals? Which ones? Willow bark? Omegas
Hi so we can’t endorse any specific products. Yes all NSAIDs are hard on the gut. The natural ones have been significantly less studied. Often trial and error for sure. Best of luck. Thanks for watching and subscribing
What are your thoughts on Tramadol for pain. I take it for pain caused by plates on my sternum because it was not stable after AVR 15 months ago
Hi Gloria. Tramadol seems to be slightly better than some of the other narcotics with respect to addiction and can control pain. Ideally under supervision with a plan to slowly wean off of them. Good luck to you. Thanks for watching and subscribing if you did.
@@TalkingWithDocs Please stop with the addiction already. There are many of us out here who are willing to follow our doctors orders and DO NOT become addicts. I was given Tramadol for pain and it made me bleed (needed a blood transfusion) , gave me pvcs and severe anxiety, and stopped working after less than 2 hrs. You all have drunk the Kool-aid. I have been on and off opioids for pain for years. NEVER have I been addicted and they gave me less side effects than most drugs. Like my mother's rheumatologist once told her- long term NSAIDS will probably kill you, but opioids won't.
Thanks docs I like your videos. You both have a good repore. Why don't you talk about whole food plant based eating to heal disease? Join the movement.
Hi Judy. We have a video on that exact topic. Thanks for watching and subscribing
I am a 71 yo man with Barrettes and Osteo Arthritis, which of the anti-inflammatory drugs are safest for me?
Hi Donald. If you have Barrett’s esophagus often you are not allowed to have any NSAIDs. Tylenol for you. But you should always confirm with your doctor. Thanks for watching and subscribing if you did
I take Celebrex for knee arthritis. Is that an NSAID? It help my arthritis in knees but not in my hands.
Yes it is Deborah 954. Specifically a COX2 Inhibitor. Thanks for watching, subscribing and sharing with someone if you did.
In Ireland (of all places), a prescription is needed to buy aspirin, even baby aspirin. Paracetamol can be had over the counter, but only 12 tablets at a time (go figure).
Interesting Joshua. Thanks for watching and subscribing if you did
Can you take too many or too much of these drugs? For instance taking a naproxen every night for chronic pain.
So yes JoAnn you can take too much. That depends on the recommended dose as well as your medical history. Thanks for watching, subscribing and sharing with someone if you did.
I was a treadmill walker for years……had tkr and what is better bike or walking. I can only take acetaminophen for pain related to stomach problems.
Whichever one you like best and hurts the least but gets your heart rate up
Can you do a video on thyroid what best medicine for it my is high
We can add it to the list for sure Carol. Thanks for watching and subscribing
Can I take a pain reliever like tylenol with an NSAID?
Yes you can John. We have a video on that exact topic! Thanks for watching, subscribing and sharing with someone if you did.
My mother is over 80 she has bone problems and joints I need to know what is best for someone her age that has a bad hip can't walk and weak joints to and pain..she has been taking occasionally aspirin but at her age I feel aspirin ibuprofen etc may be counterproductive..what about recommendation if foods pr certain supplements to?
We have videos about inflammatory foods to avoid as well as anti inflammatory foods. Tylenol is much safer than NSAIDs. It can be tricky though.
Talk about Anakinra (Kineret)
Ibuprofen was a lifesaver when it went OTC for me for severe menstrual cramps. Now it doesn’t help as much for arthritis.
Hi Sarah. Sorry to hear that. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs You would do well to start speaking out against the CDC'S guidelines for opiod perscribing for chronic pain. Written by anti opiod zealots including Andrew Klodney and his friends at PROP. The CDC now admits ( quietly) they were misused. I promise you every patient will stand alongside you. Otherwise you are kinda saving us to death. Addiction is terrible but even worse is allowing people to suffer needlessly because you arw afraid to stand up to the government. People's lives are not worth less than your medical license.
I needed to ask a QQQ question was it MELOXICAM 7.5 mg 1 tablet twice a day as needed for 15 days ? WITH FOOD IN STOMACH??? TELL ME MORE PLEASE for HIP JOINT BURSITIS AND NERVES
Hi Lorna. That is a common prescription for bursitis and arthritis. Confirm with your doctor obviously but yes. Hope that helps. Thanks for watching and subscribing if you did.
@@TalkingWithDocs yes thanks for replying your quick reply to me yes, I have subscribed to your channel and share it
So, toward the end of the video the docs are discussing side effects of anti-inflammatories such as bleeding, etc. but I'm confused if this includes Tylenol. I think Tylenol is an anti-inflammatory but I don't think it has the same side effects as aspirin and ibuprofen?
Tylenol is not an anti inflammatory and bleeding is not a risk.
I took a (pardon my French) butt load of Naproxen Sodium (Aleve) to manage pain during cycling tours normally 7 days.
I always exceeded the recommend dosage so that's on me, but I'd really tell anyone else to use caution. Even though during a normal day of cycling I downed
8 - 10 gallons of water (depending on mileage and temp) NS really did a number on my kidneys. Use caution.
Thanks for sharing Linda. Glad you are ok. Thanks for watching, subscribing and sharing with someone if you did.
Honest, people, I really cut my sugar intake, especially corn syrup, and I haven’t taken a single ibuprofen in two months, and I always took at least one full dose per day. So, what conclusion should I draw?
Hi Tim. Sugar is a big cause of inflammation for sure. Add processed foods and animal products to that list. Thanks for watching and subscribing
Im an athlete who developed knee bursitis. I also have arthritis in my big toe, and mild arthritis in my lower back. Im in my 50s.
I was prescribed diclofenac 75mg (2x daily) and diclofenac gel 1% (4x daily) for 30 days.
Isnt this a bit too much? Concerned about stroke/heart disease.
Hi T Z. Often this is well tolerated. Stomach and kidney issues would be much more common than heart attack or stroke. Always can talk with your doc or pharmacist. Best of luck. Thanks for watching and subscribing
@@TalkingWithDocs Thank you👍
So if a person has chronic inflammation in their joints they just have to suffer? Because Aleve works for me and I don't take more than the recommended dose, but according to these docs I'm not supposed to take it for more than 10 days. What if my inflammation comes back?
Hi Vicki. So lots of people take it for years. Just need to check your kidneys every now and then and if you have stomach pain let your doctor know. Thanks for watching and subscribing
I hurt of a new silicone injection that is used to coat the knee joints so you don’t to have knee replacements…is this something you know about and can you share some information concerning it…thank you in advance
It sounds like you are talking about Synvisc, which is a viscous material like an egg white. It helps to lubricate the joints and used in the knees. Usually, insurances want you to get steroid injections first. If it comes to a point that the steroids don’t work, you may be able to get a prior authorization for the Synvisc. It’s not cheap, but been around a long time.
Hi Rose. We do inject hyaluronic acid which is like a gel type substance but does not really coat the bones. It will help reduce symptoms but not prevent the need for a replacement per se. Thanks for watching, subscribing and sharing with someone if you did.
Sounds about right Jacquelyn. There are many different brands. Thanks for watching, subscribing and sharing with someone if you did.
What about elive?
Aleve is ok. They are actually all comparable for their pain relief. It is the side effects that are different