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So guys I'm having pain in the arch of my foot (caused by wrong foot ware and flat feet) and this is giving me referred pain in my knees - Anyway I'm on a mission to cure this - hopefully soon - I have seen a podiatrist and got myself fitted for orthodics which I am waiting for - One of the residents at the hospital also suggested taking anti-inflammatories for a brief period of time - like 1-2 weeks - so he recommended Ibuprofen - he says that it is an analgesic - but after 600mgs it starts to help with inflammation - and the limit is 3200 once a day - so I was thinking either of 600 mgs 4 times a day or 800 3 times - I think 800 x 3 would be easier for me as I can "time" it throughout the day - 600x4 would be a bit more convenient as I would have to get up at the crack of dawn to have to take the first dose so I can space them out properly - Has anyone had experience with this in curing an injury - any advice will be appreciated -
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I've used anti-inflammatories many a time to help with dancing injuries.
Whether you do it 3 or 4 times a day won't make any difference. The half-life is sufficient that it won't have worn off if you do it even twice a day. So just start and do it 3/day as you suggested would be easiest for you.
I'd say 2 weeks min. It takes maybe a week for the full anti-inflammatory effect to kick in. There are even stronger NSAIDS for this sort of thing, that don't have some of the s/e's of ibuprofen. Cox 2 inhibitors for eg. So if you start getting heart burn go see your doc again.
Be aware of any drug interactions with any other meds u are taking. And esp. that it thins the blood - so NO lasers/skin treatments whilst on it or for a couple for weeks after.
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Amber wrote:
Whether you do it 3 or 4 times a day won't make any difference. The half-life is sufficient that it won't have worn off if you do it even twice a day. So just start and do it 3/day as you suggested would be easiest for you.
I'd say 2 weeks min. It takes maybe a week for the full anti-inflammatory effect to kick in. There are even stronger NSAIDS for this sort of thing, that don't have some of the s/e's of ibuprofen. Cox 2 inhibitors for eg. So if you start getting heart burn go see your doc again.
Be aware of any drug interactions with any other meds u are taking. And esp. that it thins the blood - so NO lasers/skin treatments whilst on it or for a couple for weeks after.
Thank you doctor - LOL Regarding taking it 3 or 4 times I day - I could take it 3 times a day and space it out well (6 a.m./2 p.m./10 p.m.) if I can get up that early - and other times would be convenient too - but I worry about the 800mgs at one time versus 600mg - Thankfully so far when I have taken them in the past I have not had "stomach issues" but I worry about ulcers and kidney issues - did you not have those concerns?? Cox 2 drugs have their own particular problems that I would rather not deal with - I remember reading a write up on it in the NYTs - I am not having any laser/skin stuff done in the near future - Love Lara
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I couldn't say it better: http://www.drugs.com/ibuprofen.html. The long-term use of this drug is what's a problem. AND, I'd be floored and amazed if you could ingest 3200 mg a day for more than 2-3 days MAX. You will find your tummy is ON FIRE. When that symptom kicks in, you simply can't irritate the lining of your stomach by continuing on with this. Just go cautiously here. While Tylenol is NOT going to reduce inflammation like any ibuprofen, it IS a pain reliever. You can also combine acetominiphen (Tylenol) and ibuprofen taking one 250mg pill of each 4 times a day. They work on different pathways of the body, so you get anti-inflammatory plus pain relief. Perhaps you could combine a lower dose of these meds with ice and rest that foot - as a stopgap measure till your custom orthotics come in. Cuz ultimately you need the structural support of a GOOD SHOE. My hubby has feet flat as beaver tails, and he spares no money in getting shoes that help his condition.
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Bugjune wrote:I couldn't say it better: http://www.drugs.com/ibuprofen.html. The long-term use of this drug is what's a problem. AND, I'd be floored and amazed if you could ingest 3200 mg a day for more than 2-3 days MAX. You will find your tummy is ON FIRE. When that symptom kicks in, you simply can't irritate the lining of your stomach by continuing on with this. Just go cautiously here. While Tylenol is NOT going to reduce inflammation like any ibuprofen, it IS a pain reliever. You can also combine acetominiphen (Tylenol) and ibuprofen taking one 250mg pill of each 4 times a day. They work on different pathways of the body, so you get anti-inflammatory plus pain relief. Perhaps you could combine a lower dose of these meds with ice and rest that foot - as a stopgap measure till your custom orthotics come in. Cuz ultimately you need the structural support of a GOOD SHOE. My hubby has feet flat as beaver tails, and he spares no money in getting shoes that help his condition. BJ - I don't intend taking 3200 a day - 2400 is fine - I'm sure other people have done it - its just that no matter what you do (like rest, ice etc.) and I will be doing that for sure - nothing really helps like NSAIDs do - Amber knows that - I don't have that much pain - its just at night it disturbs my sleep - also ironically it is Tylenol that upsets my belly - even half of one - so go figure
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OK! But keep your doc in the loop on this, and avoid the following while on high doses of ibuprofen: http://www.aolhealth.com/drugs/ibuprofen/what-should-i-avoid-while-taking-ibuprofenI wonder if there is a brace you can wear at night to reduce the pain. Folks with plantar fascitis use one to keep the foot stable and reduce stress on the inflamed connective tissue in their feet.
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Thanks Bug for all your help - I don't know if I have classic "text-book" PF - my podiatrist doesn't seem to think so - but then doctors can be wrong - he says my arches are fallen and fatigued due to not wearing my orthodics constantly - I don't have heel pain which is a classic symptom of PF
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Ibuprofen can cause water retention and be harmful to your kidneys, even in low doses--if you are susceptible. So, just be cognizant of it and you can avoid bigger problems. If the NSAIDs don't help, ask for a Medrol dose pack (6 day pack). If is is not PF, it may knock down all of the inflammation.
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Larazelle wrote:
Thank you doctor - LOL
Regarding taking it 3 or 4 times I day - I could take it 3 times a day and space it out well (6 a.m./2 p.m./10 p.m.) if I can get up that early - and other times would be convenient too - but I worry about the 800mgs at one time versus 600mg - Thankfully so far when I have taken them in the past I have not had "stomach issues" but I worry about ulcers and kidney issues - did you not have those concerns??
Cox 2 drugs have their own particular problems that I would rather not deal with - I remember reading a write up on it in the NYTs -
I am not having any laser/skin stuff done in the near future -
Love
Lara
Responses to NSAIDS - including Cox 2 inhibitors - are very individualistic, for reasons that are not fully understood. As you've found, you don't have stomach issues with it. But 2,400mg is a big dose. Cox 2s dramatically reduce the risk of ulcers - that's the point of them. Personally I have a repeat rx for Celecoxib - a Cox 2. I had a long talk with a v senior medic who was called in for his statistical whizzery after the pulling off of the market of one of the Cox 2s. He said categorically that it was not the Cox 2 bit that was causing some people to have serious problems - the stats showed that v clearly. We talked about my risk with NSAIDs per se, and he felt as I was youngish and very healthy, it was fine - and it has been. I once had a pinched nerve in my back that no physio here could seem to get rid of - nor could massage do more than temporarily relieve - so I took Celecoxib for a year so that I could carry on dancing. Kidney screens came out fine everytime. Eventually the nerve seemed to free itself, thank god. So no, I can't say I had ulcer or kidney concerns. But that's not to say that you might not be vulnerable. And I am in no way advocating a year of taking it! I assume since a doc recommended NSAIDS for you that he went into your medical history? Now Medrol (methylprednisolone), I would be v reluctant to take. Steroids are v heavy duty drugs that suppress your immmune system. I know it's only for 6 days that it was suggested, but I wouldn't. Personally. Amazingly, Sebagh gives each patient who has their temples filled with him 16mg of methylpred (=20mg pred) to take for 3 days cos his method means the joint you use when chewing is affected, and it hurts a bit for a few days. I just say thank you and chuck them in the bin and put up with some discomfort. And given I'm marvelling for 3 days at how smooth the filling is, I don't notice the discomfort much. I tell this tale partly cos I think it's interesting - shocking that he does that, for something so trivial - and partly to try and convince you that I'm not fast and loose with all drugs.
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You are wise to choose some degree of discomfort over the effects of a powerful drug. It kind of shocks me how blithely we take our doc's orders for prescriptions to be filled, how many to take, for how long. They may understand our condition from a textbook standpoint, but often the quirky realities of each patient will throw them a curve ball. At the very least, not all patients even know to tell the doctor any other drugs, supplements, vitamins or food items they are taking which could interact with a drug. Even something as innocuous as grapefruit juice can completely alter a medication's effect. After having a completely bizarre and unplanned-for adverse reaction to Valtrex, I VOW to never fill a prescription before I understand completely the drug's benefit vs side effects, and what percentage of people have those side effects. =============================================== Amber wrote:
Amazingly, Sebagh gives each patient who has their temples filled with him 16mg of methylpred (=20mg pred) to take for 3 days cos his method means the joint you use when chewing is affected, and it hurts a bit for a few days. I just say thank you and chuck them in the bin and put up with some discomfort. And given I'm marvelling for 3 days at how smooth the filling is, I don't notice the discomfort much. I tell this tale partly cos I think it's interesting - shocking that he does that, for something so trivial - and partly to try and convince you that I'm not fast and loose with all drugs.
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A Medrol dose pack finally helped my shoulder after a year of of pain. I had a shot and a dose pack of steroids that worked this time. When you're in chronic pain for that long and NOTHING helps, you'll do most anything for relief. It was a miracle for me, in the end (even after having three surgeries that I wish I had not had). It's not for everyone but when all else fails, for some of us, it can really make a all the difference in quality of life.
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Very timely study, Laz. It was just released today. Saw a piece on it on Nightly News after my last post. Denmark is known for keeping excellent follow-up records on medications taken by their population: Quote:Previous studies of NSAID risk examined people with underlying health conditions. The Fosbol study differs. Because detailed medical records are available for everyone in Denmark, the researchers were able to study NSAID risk in more than a million healthy people from 1997 to 2005. http://www.webmd.com/pain-management/news/20100608/common-painkillers-raise-heart-death-riskMaybe you should opt for Naproxen instead: Quote:The silver lining to the Fosbol study is that naproxen (brand names include Aleve and Naprosyn) does not appear to carry any risk of heart disease or stroke.
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DCNGA wrote:A Medrol dose pack finally helped my shoulder after a year of of pain. I had a shot and a dose pack of steroids that worked this time. When you're in chronic pain for that long and NOTHING helps, you'll do most anything for relief. It was a miracle for me, in the end (even after having three surgeries that I wish I had not had). It's not for everyone but when all else fails, for some of us, it can really make a all the difference in quality of life. I do agree *if* you've tried most everything else (bar surgery). I have had to take it for uveitis in the past, to try and save my sight.
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Thanks so much DC - I was just going to start taking Ibuprofen today - However this must be "new" news as in 2001 there was something saying the exact thing about Naproxen - so as we know there are theorys proven and disproven after every new study - LOL - however since I read the info I will take Aleve and I will take 4 tablets instead of 2 - my doctor said it would be fine - I don't think I need to take Medrol right now - I am not in that much pain - its just that I am a princess about pain - I do not tolerate it very well - I don't know how people live for years with pain - my heart goes out to them - as it does to you - was it very bad - were you on some kind of painkiller at least - and was it just a shoulder injury that was causing it ?
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This last time it ended up being a disc issue in my neck causing my shoulder, elbow and wrist problems. Funny thing was, I never had neck pain, just the referred pain so I thought it was my shoulder acting up again. Had an MRI of my shoulder before discovering the neck problem and the MRI showed severe bursitis and tendinitis in the shoulder, thus the Medrol pack and shot to the shoulder joint. Then my shoulder doc sent me for PT because he said my pain down my arm was not my shoulder and suspected my neck. It was my neck. A few simple exercises and the arm pain went away but the neck pain is now terrific. I've been putting off an MRI but I see it looming in the near future. Previously, I had three shoulder surgeries for adhesive capsulitis (frozen shoulder). WORST pain ever for almost 5 years, total. Be glad you are pain sensitive, I'm not. When you aren't, you push yourself beyond what is safe for your body (joints) and do more damage. I see a physiatrist for my spine/neck issues and he told me his most injured patients are those with a high pain tolerance. He said pain is nature's warning bell, so always listen to it and don't tolerate pain for too long. Yes, the study came out TODAY. Isn't that weird? To think we have been discussing this very thing and out comes a ten year long study on the very subject.
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I'm sorry you are in so much pain :/ It is such a drag to hurt all the time- trust me I am right there with you!
I take a ridiculous amount of Motrin/Percocet for my painful disease, and the only thing that saves my stomach is ALWAYS taking meds with food and taking DGL about 15 minutes or so before the NSAID. NSAIDS reduce inflammation but in the process they also inhibit your natural mucosal stomach procetive layer, and the DGL works to temporarily replace it while the drug is in your system. I personally would continue the DGL for at least a week or so after you're off the anti inflammatories to give your system a chance to readjust.
Anaprox is awful, at least for me. I makes me so sick and stoned and doesn't even help to take away the pain!
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I would just take plain aspirin along with some milk to buffer the acidity.
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DCNGA wrote:
Yes, the study came out TODAY. Isn't that weird? To think we have been discussing this very thing and out comes a ten year long study on the very subject.
DC darling - I am so sorry for all that you have gone through - and it has not made you bitter in any way - you still are your wonderful self going around doing nice things for people - You deserve your wonderful husband and family - I was just thinking today that I don't really have someone who will "comfort" me when I am going through a painful low period - I have always yearned for that but never got it - all the men in my life at present are the "suck it up - this is life" kind of boys - I hate that - I am looking for a husband who takes the clause "in sickness and in health" very seriously - I am generally a very healthy person so when I am in pain or under the weather I regress and want to be petted and pampered like a young child - and this is hard for me to do as I know that I am a strong, independent woman - but yes, I do not like pain and I don't like to see others in pain - And yes - regarding the "weirdness" of the fact that the study came out just in time for me to avoid taking Ibuprofen - its not weird at all to me - it happens all time - "co-incidentally" I will be warned of something or someone or prevented from having a beauty procedure that I would regret later on - I think its part of my psychicness or it could be that I pray for protection every day - even though I am an Atheist - LOL - but I pray to myself to protect myself - if that makes any sense - and I do that by reciting about 4 pages of affirmations (that I have written for myself) after I meditate every morning - If you want I will send them to you - they are very powerful and have reprogrammed my psyche - I was a MESS a few years ago LOL
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Too weird that I just happened to watch the Nightly News that I rarely watch to see the study on this out of the ordinary subject, then googled it to find the paper. Yes, I think it is all connected to your connectedness. My mother was NEVER the cuddly, warm fuzzy type. I grew up with little to no affection from her so I think that's why I've always been so affectionate with my own kids. My DH is pretty good with taking care of me, too. He will rub my shoulder, neck or back for hours when I'm in pain. I guess since he's been so sick for so long, he has greater than normal empathy (for the typical guy type). You can always fly down to ATL and I'll fix you chicken soup and give you a hug when you need it.
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DCNGA wrote:
My mother was NEVER the cuddly, warm fuzzy type. I grew up with little to no affection from her so I think that's why I've always been so affectionate with my own kids. My DH is pretty good with taking care of me, too. He will rub my shoulder, neck or back for hours when I'm in pain. I guess since he's been so sick for so long, he has greater than normal empathy (for the typical guy type).
You can always fly down to ATL and I'll fix you chicken soup and give you a hug when you need it.
My mother should not have been a mother - she did not know how to be one - and I forgive her because she had a horrible non-maternal mother herself - I do think to a large part being maternal is learned - I have noticed that women who were abused/not loved by their mothers or abandoned by their mothers DO NOT HAVE CHILDREN - and its because they don't feel the need to nurture - so its something you like to do to your kids because it was done to you and you have fond memories of it - your case is the exception - Thanks for the invitation DC - but Atlanta in the summer is too hot and humid for my liking - but send me the hug through the psychic ether waves - LOL - I feel your love and that's all that is needed -
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