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Topic: RE: Medicare and revision surgery
You will need a secondary insurance.You do have co-morbidities, I wish you Luck.
Topic: RE: NSAID Alternatives???
Sorry, but I must respectfully disagree (I'm a rheumatologist). Inflammation is not the primary problem with OA. There is some mild inflammation when one looks at tissue under a microscope from a joint with OA, but it is mild. OA is primarily a degenerative process accompanied by some mild inflammation (as opposed to rheumatoid and other artitides which are primarily inflammatory diseases). The synovial fluid also usually has a normal number of white blood cells and is classified as non-inflammatory. Although many folks do better on NSAIDs compared to Tylenol, it is not clear that it is due to the anti-inflammatory effects at all since NSAIDs decrease pain through other mechanisms besides decreasing inflammation (they are very weak anti-inflammatories at best.)
Because of this lack of significant inflammation, many folks do fantastic on Tylenol. Therefore it is considered the first drug of choice in treating OA due to it being markedly safer than NSAIDs and many folks respond to it. If someone doesn't respond to Tylenol, then that is when we increase treatment to an NSAID, tramadol, or other stronger therapies.
If you had such severe OA that you needed a joint replacement, that means you had severe OA. You should not tell someone that Tylenol will not work for them just because it didn't work for you (everyone's body is different in their response to medicines.) In fact, I even have patients who do have severe bone-on-bone OA who actually are doing fantastic on Tylenol. I hope you are doing better after your surgery, but I would recommend not telling someone Tylenol won't work for them just because it didn't help you.
Because of this lack of significant inflammation, many folks do fantastic on Tylenol. Therefore it is considered the first drug of choice in treating OA due to it being markedly safer than NSAIDs and many folks respond to it. If someone doesn't respond to Tylenol, then that is when we increase treatment to an NSAID, tramadol, or other stronger therapies.
If you had such severe OA that you needed a joint replacement, that means you had severe OA. You should not tell someone that Tylenol will not work for them just because it didn't work for you (everyone's body is different in their response to medicines.) In fact, I even have patients who do have severe bone-on-bone OA who actually are doing fantastic on Tylenol. I hope you are doing better after your surgery, but I would recommend not telling someone Tylenol won't work for them just because it didn't help you.
Don
Topic: RE: NSAID Alternatives???
There is nothing that replaces the anti inflammation effect of these drugs. Inflammation IS the problem with osteoarthrtis. Tylenol does not decrease this condition but may dull it slightly.
Having years of experience with OA and really needing a replacement, I can tell you that it will not help. Drugs such a VOLTAREN , ARTHOTEC, IBUPROFEN, etc, should be used daily , so that the effect does build up. But if you cannot take them, then this is not going to be a help for you.
Many people have changed their choice of WLS just because of this. I think the sleeve allows one to use the NSAIDS. I am presently planning to have incisionless WLS Oct 5, and am awaiting the decision whether I will be able to take NSAIDS. I cannot do without them since I have extensive OA, so it will be the deciding factor.
Having years of experience with OA and really needing a replacement, I can tell you that it will not help. Drugs such a VOLTAREN , ARTHOTEC, IBUPROFEN, etc, should be used daily , so that the effect does build up. But if you cannot take them, then this is not going to be a help for you.
Many people have changed their choice of WLS just because of this. I think the sleeve allows one to use the NSAIDS. I am presently planning to have incisionless WLS Oct 5, and am awaiting the decision whether I will be able to take NSAIDS. I cannot do without them since I have extensive OA, so it will be the deciding factor.
Topic: RE: Anyone have relief w/ steroid shots ??
Hi!
I had a steriod shot for my back and it didn't help me at all. I have having an infusion in November.
Sorry and good luck!
I had a steriod shot for my back and it didn't help me at all. I have having an infusion in November.
Sorry and good luck!
Topic: RE: NSAID Alternatives???
"tears in the cartilage" means that you most likely have osteoarthritis in the knees which is a non-inflammatory arthritis; so you don't necessarily need an NSAID (which actually have very weak anti-inflammatory effects anyways). What you can do until you see your doctor is:
- Take acetaminophen (Tylenol) 650 mg, 2 tablets a day around the clock three times a day (works much better than taking it just as needed)... and it takes about a week at this dose before you get the full effect. However, don't do this if you have liver disease or drink more than one serving of alcohol a day (otherwise it is absolutely the safest analgesic there is). Also make sure you don't have any "hidden" acetaminophen in any other medicines you are taking (usually prescription pain meds).
- Apply capsaicin cream to your knees around the clock three times a day (just as needed won't work). Wash your hands very well afterwards and don't apply heat to your knees as this is made from the pepper plant.
Good luck, I hope that this helps.
- Take acetaminophen (Tylenol) 650 mg, 2 tablets a day around the clock three times a day (works much better than taking it just as needed)... and it takes about a week at this dose before you get the full effect. However, don't do this if you have liver disease or drink more than one serving of alcohol a day (otherwise it is absolutely the safest analgesic there is). Also make sure you don't have any "hidden" acetaminophen in any other medicines you are taking (usually prescription pain meds).
- Apply capsaicin cream to your knees around the clock three times a day (just as needed won't work). Wash your hands very well afterwards and don't apply heat to your knees as this is made from the pepper plant.
Good luck, I hope that this helps.
Don
Topic: RE: NSAID Alternatives???
There's nothing you can get OTC that RNYers can take that will have an anti-inflammatory effects. Sorry! You might ask your docs about Lidoderm pain patches---still not an anti-inflammotory, but they do help a bit with the pain.
Topic: RE: Rheumatoid Arthritis/Lupus and gastric bypass
I recommend yu take your snake-oil somewhere else. This is a serious forum for people with serious weight problems.
(deactivated member)
on 9/2/10 7:36 pm - Guilin, XX
on 9/2/10 7:36 pm - Guilin, XX
Topic: RE: OsteoArthritis
the surgery p;ay a role ,but it is not the best way ,one of my friends try to take the herbal medicine ,the pain relieve a lot.
(deactivated member)
on 9/2/10 7:26 pm - Guilin, XX
on 9/2/10 7:26 pm - Guilin, XX
Topic: RE: Fibromyalgia
some of my friends are like you have Fibromyalgia,then they tryed other treatment ,such as Tuina,the disease has reduce a lot .
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