Suggest Pain Management Treatment For Osteoarthritis
Question: I have been taking oxaprosin for nearly 2 years, and it does not seem to have any effect anymore. Lately I take 2 ibuprofin (400 mg total) in the morning and again at noon. Then I take a 600 mg oxaprozin 12 hours before I take ibuprofen the next morning. I am 62 yrs. My rhemetolgist will not switch me to anything stronger and says that I need to give up my construction assistant job and find a job that does not require physical labor. I am discouraged. What can I do to relieve this 24 hour constant pain? I also have mild emphasema and terrible back pain (ddd). Forgot to say that I have osteoarthritis and not rhematold arthritis. Have carpal tunnel, digital clubbing,and parasteigia and poor spelling. I am a recovering alcoholic (lifelong alcoholism) and have 4 + years sober. Have gotten cortiszone injections for past 3 months in the wrists until I have decompression surgery in a month or so. I seem to be more sensitive to pain than most people, as hydrocodone had no effect on me when I had teeth pulled, and tylenol has never had any pain alleviating effect on me.
Brief Answer:
Tramadol may be used.
Detailed Answer:
Dear Sir,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that tramadol can be tried in combination with paracetamol . Your doctor is right in saying that minimum drug should be used but you are already taking lots of NSAIDS , so tapering that would be good . But this much pain is not common with osteoarthritis , I would like to review your medical records once to verify if you are correctly diagnosed . Please send the reports so that I can guide you in best possible way .
Take care.
Dr. Shruti
Tramadol may be used.
Detailed Answer:
Dear Sir,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that tramadol can be tried in combination with paracetamol . Your doctor is right in saying that minimum drug should be used but you are already taking lots of NSAIDS , so tapering that would be good . But this much pain is not common with osteoarthritis , I would like to review your medical records once to verify if you are correctly diagnosed . Please send the reports so that I can guide you in best possible way .
Take care.
Dr. Shruti
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar