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Author Topic: Pain meds question.  (Read 1858 times)

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Offline Kimberly 77

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Pain meds question.
« on: September 29, 2010, 03:41:18 PM »
I am confused why it is so hard to get something for the pain when you have OA. I suffer daily like most of you and can't get my OS to prescribe anything. Do they not prescribe Celebrex to young people or any of the other arthritis meds out there. I just want a anti inflamatory or something to take all this pressure away. Anyone else have this problem? Also what are some of the meds you have been prescribed and what works best for you? Thanks in Advance, I am at the end of my rope!
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline chuck172

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Re: Pain meds question.
« Reply #1 on: September 29, 2010, 04:26:41 PM »
I really feel ultram helps me cope with the pain the most. You can try over the counter aleeve or advil for the anti-inflammatory drugs.

Offline TwoBadKneesUSA

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Re: Pain meds question.
« Reply #2 on: September 29, 2010, 05:22:38 PM »
For a long while all I got was naproxen or ibuprophen for the pain.  Since it was cheaper to get the OTC ibu in the big jars, I took 4 of the 200mg three times a day for a while.  You have to watch for stomach problems with NSAIDS.  Many GPs are reluctant to give out narcotics for pain, especially chronic pain.  Maybe a referral to a pain clnic may be helpful?  OA pain can be debilitating and frusterating to treat.
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline eaglemom

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Re: Pain meds question.
« Reply #3 on: September 29, 2010, 06:54:42 PM »
I agree - I'm at a loss as what to do for chronic pain. I've found Aleve / Advil liquid jells helpful, but not prefect.  At night if I don't take narcotic I'm up 3x's or more just moving. Even taking that I'm not sleeping well - so that sets up a bad cycle for the next day.  I believe I would be open to the idea of a pain clinic, if the doc would mention it.  He just keeps saying "it will get better." We are at 3 years I'm starting to doubt him!!!!

Anyway, I think each on of us has to figure out what works for them, pain wise.  I have learned no exercises in the evening.  Also I go to bed with ice - one of the times I'm up I put that one up and grab another - and frankly that helps me more than anything.  Good luck - I hear what you are saying and literally feel your pain.  eagle

Offline Lottiefox

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Re: Pain meds question.
« Reply #4 on: September 29, 2010, 07:46:16 PM »
I have tried:

Ibuprofen (OTC stuff) - did nothing
Paracetemol - nothing again
Combination of the two - nothing
Tramadol (Ultram I think that is) - nothing for the actual pain but I didn't care about the pain as I was in la la land and nearly drove my car off the road trying to remember where I lived!
Naproxen - minimal effect - but hideous tummy cramps and constipation.

Then:

Nothing - apart from wine, acupuncture and massage.

6 weeks ago - I requested Celebrex from my GP. I was told it "probably wouldn't do anything" - but it has transformed my pain. The low grade gnawing, burning bad toothache feeling in my kneecaps is 80% reduced. I have early OA in patella and on one medial compartment. I also had a Euflexxa shot some 3 weeks ago but the Celebrex took effect before the shot has. I would say after 3 days the knees felt better. Even rain, cold, driving a lot is more tolerable. Due to the reduced pain I am training harder and more and muscle is coming back - which helps the kneecaps track. I feel more positive. I HATE meds but I will take this if it helps. There is a risk with the COX2 NSAIDs (Vioxx withdrawal) but actually when you really dig into the stats there is a smaller risk than ibuprofen. I am on 100-200mg a day, (you can take up to 400mg for serious problems if GP prescribes) and my BP today was 115/70 - same as it ever is. No gut issues, no sleep problems.

Its a costly drug - in the UK we get it on the NHS for a 7.20 prescription charge but our PCTs pay for it, but they can't deny it if it works.

I still ice regularly, listen to my body and rest BEFORE pain increases. Even if I cycle hard, lift weights and drive all day I rest up and ice even if the knees feel OK. Its a tedious regime but worth it.

Kimberley I would say it might be worth a try. I have read that 60% of people find it helpful for OA in early stages.

Lottie x
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline Kimberly 77

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Re: Pain meds question.
« Reply #5 on: September 30, 2010, 04:57:08 PM »
Thanks so much for the support and all the advice! Now I just have to figure out how to get my OS or GP to prescribe something. Eaglemom, I can so relate to the not being able to sleep thing, completely impossible. When I told my OS I am not sleeping he just shook his head and continued to say well see what you can get out of it....well I'm not getting anything out of my knee but pain and mechanical problems. I don't think he gets it at all, I walk on crutches everyday anyway so its not like I can just grab a crutch and take some weight off , just having one leg makes it impossible to bear weight for a long time the way I am hurting. I am putting way too much stress and strain on my hands, wrist, and shoudlers trying to take the weight off my knee. Oh, and I forgot my elbows too. I just feel like all of this is causing more disability in other parts of my body now. I need a different Dr. asap and have no idea where to go next or how to make them listen to me. I personally think my OS has treated me like I am just too big a risk for him to take. (being I am a amputee, if he messes up this knee he will be in trouble or something)
He has been really reluctant to do anything at all for me and has informed me he don't feel comfortable doing anymore and I should seek a specialist. I thought he was a specialist! Sorry I got a little off subject, but it is just so fustrating. I would really like to try the celebrex but have been having issues with high blood pressure so I am not sure if that is a good option for me. I have taken so much Ibprofen that I probabaly have kidney or liver failure by now, it don't do a thing for my knee but helps my headaches I get. lol! Anyway thanks for listening to my feel sorry for myself session. :)
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline Sehrish

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Re: Pain meds question.
« Reply #6 on: October 01, 2010, 11:41:26 AM »
m havin this pain in ma knee since 3 yrz.. it causez snapping.. i visted hspital 3 days back n had n xray of ma knee.. da report sayz i have a fabella bone . .i didnt heard abt this b4 since no one in ma family n frndz hav 1.. do i need a surgery? is it risky? :(

Offline vickster

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Re: Pain meds question.
« Reply #7 on: October 01, 2010, 11:50:16 AM »
That's really hard to understand...can you write again without the text speak for us oldies ;)

What's a 'fabella' bone? 

OK interesting...
http://www.kneeguru.co.uk/KNEEnotes/fabella-syndrome
http://www.kneeguru.co.uk/KNEEtalk/index.php?PHPSESSID=779e515b1d3698d3c8a6985f649d4c05&topic=44266.0;prev_next=prev

What country are you in by the way?
« Last Edit: October 01, 2010, 12:00:47 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Sehrish

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Re: Pain meds question.
« Reply #8 on: October 01, 2010, 12:10:07 PM »
A Fabella bone is an extra sesamoid bone, located laterally, behind the knee. Only about 10% of the population has a Fabella bone. It is embeded at the head of the Gastrocnemius tendon. It is about the size of a pea and is very difficult to see on xray. I heard this little bone is susceptable to arthritis, fracture, dislocation and impingement. def 4m : (http://www.kneeguru.co.uk/KNEEnotes/node/183)

 m havin pain n my knee has occasional problems in terms of locking up, ven i twist ma leg n apply sum pressure da pain is released but the situationz is bak again after a min or 2... i had ma xray n this little particle- fabeela bone iz present dere.. i heard it should be removed via surgry :(
 m 4rm Pakistan.. need sum gud advice plzz

Offline vickster

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Re: Pain meds question.
« Reply #9 on: October 01, 2010, 12:23:17 PM »
I'd suggest you start your own thread entitled 'fabella bone help' or similar.  It's not directly relevant to this topic :)

Maybe you do need surgery but much knee surgery is done arthroscopically / key hole nowadays.  What did your orthopaedic doctor say?
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up















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