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...
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.
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 😉
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!
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!
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!
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.
These two doctors failed to realize who their audience is: a person with minor pain or acute injury. They are in the store bewildered by the aisle of colorful boxes. The title of video is "which NSAID is best". Instead if answering the question, they describe ever possible side effect they may result from heavy or long-term use (kidney disease, stroke, heart attack, stomach ulcer, death).
Hi Witha. Sorry. We are not allowed to endorse any specific products. Best to talk to your pharmacist. Thanks for watching, subscribing and sharing with someone if you did.
This was filmed when it was safe to speak moistly to each other. NSAIDs are very subjective. On the other hand, red wine has been shown to reduce inflammation 😉 You're welcome.
Hi Sir Brian. There is limited evidence to show their impact on arthritis but they do have some general health benefits. You could probably argue just eating fish would have the same benefit. Having said that we have both shifted to more plant based diets. Good luck. Thanks for watching and subscribing if you did.
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.
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.
@@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.
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.
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?
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
I have end stage kidney disease in the left kidney. My right was removed three years ago. I am on dialysis and a transplant list. I have battled this since I was 13, now age 62. In no way, could I ever have used NSAIDS and still can’t. Here’s the funny part, I also have rheumatoid and osteoarthritis. Can’t use the NSAIDS. I’m left with just pain meds, which included Tramadol, Hydrocodone and Oxycodone. None have worked. So I plug away every day. I was on Prednisone a long time and had to stop it because of side effects.😡😡😡😡 I too am going to need knee replacements. Cortisone injections and Synvisc no longer help. It will be fun trying to work through the pain after surgery. Everyone be careful, do what your doc says and stay healthy. The irony? I worked for a rheumatologist for 31 years, just sayin. 🙂
I feel your pain literally. severe fibromyalgia and cfs.,30 plus year.,Been on every thing to get over it from birth control pills every NSAID, prednisone for yrs till got neck hump that went away. magnets, ultrasound, u name it. take opiates now many years same dose. still pain but can carve out half a life now had none before. good luck to you thru your journey.
I came here because I just got an MRI because of knee pain. Left Class 1-2 MCL Water in joints Right Water in joints Bone brusing Bakers cyst Water in knee. Tissue damage.
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
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 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.
Is cortisone a foreign material in our body? I like the "make fun of it" tactic. It's always a great defensive reaction to something that you disagree with. Works for everything! Would be nice if regular doctors could actually study it & actually give it to patients instead of only getting it at holistic doctors only. I understand you expect people to not be proactive & attack their conditions themselves but sometimes someone completely changes their eating lifestyle & attacks their conditions head on. It's quite possible that eating our "normal " diets that PRP potentially doesn't completely help. But if one doesn't eat the "normal " diet & doesn't rely on sugar for fueling their body anymore & is instead fueled by fat/healthy fat, which is the fuel your heart & brain prefer coincidentally.[ heart disease #1 killer on planet] 🤔 sugar- heart disease/fats- great for heart/brain function 🤔. But I digress 😉. PRP potentially CAN be beneficial if you have completely restructured your eating habits/lifestyle. Would surgery/replacement be necessary? Time will tell. Sorry about any anger to the higher ups/pharmaceutical companies 😂😉
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
@@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 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.
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.
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…
Doctors fail to warn patients of the long term harm these drugs cause. And because they typically know nothing about nutrition they fail to give good advise above disease prevention and reversal through diet and lifestyle.
Hi C J. We would always counsel our patients regarding ulcers, hypertension aggravation and kidney disease. As for nutrition you are right. If your doctor is interested in nutrition you are good. If not you likely won’t hear anything. Unfortunately food advice is not complicated. But most patients simply don’t listen. Look around
Some walk-in doc prescribed Ketorolac 3 times a day for pre op surgery waitlist pain. Then I watched W5 about how nasty that stuff was for hockey players!?!? You're not supposed to take it for longer than 5 days?!?! Then they wonder why my blood pressure is creeping up. PS no such thing as a family doctor in BC. They are as rare as White rhinos ;-)
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.
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?
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 :)
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.
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.
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.
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.
Cant take nsaids have kidney cancer plus now blood clots after tkr pkus have reflux they dont work anyway. But im on 10mg of Prednisone daily since 2010 for my lungs helps that but not my joints. Back in the day took daypro which helped my cramping fingers then didn't have to take and fingers great. But put up another dog kennel yesterday and boy my fingers cramped up. Got a daypro rx last year but didn't use now cant. Tylenol doesn't work just make liver enzymes high. So stopped that. I remember Vioxx. Still have my vioxx clock i got from the drug rep when they were allowed to give things out when i worked in er at hospital.
Ibuprofen is excellent BUT it's hard on your kidneys and liver. My numbers went thru the roof after taking 440mg a day for 2 months. I'll just have to endure the pain.
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
I've been taking naproxen for a year now. Suddenly I don't get any more recipes. Is it dangerous to suddenly stop these? I have had them for my fibromyalgia. Please help me! 🙏🏻
Thousands of people die each year from over the counter medications. You guys leave out 2 very important things. One. The persons age. A 20 year old reacts very different then a 60 year old. Two. Side effects.
Hi white Owl. Yes everyone regardless of age react differently. This is why they should be taken with the supervision of your doctor and or pharmacist. Good point. Thanks for watching and subscribing if you did
It has less risk of ulcers or gastritis due to where it interacts along the inflammatory path yeah. Most NSAIDs are equally effective but with different side effects
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
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?
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?
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.
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
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!
Sounds unlikely, but if I can feel a migraine coming, all I need is two aspirin and rest to head it off. For some reason, it's also the only time I crave Coca Cola.
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.
My friend has been on steroids for years due to a number of chronic health conditions. She has had GI bleeding, blood clots, AF and cataracts in both eyes.
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
Im more interested in Supplements as anti-inflammatories and foods seeing as medications have so many side effects..I'm only interested in medications Supplements or foods that have the most results with the least side effects to 0 side effects if possible!Most all medications have subtle to severe side effects particularly steroids which work great for immflammation but can have severe side effects same for Nsaids or otc medications!
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.
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
