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Suggest Treatment For Inflammation And Pain After Shoulder Surgery

Posted on Thu, 25 Jun 2015

Question: On xarelto and had shoulder surgery. Inflammation and pain has made rehab nearly impossible. Can not use NSAIDs. Would Celebrex or steroids help?
I use ice all the time.

Answered by Dr. Dr. Naveen Kumar Sharma (4 hours later)

Brief Answer:
steroids should be avoided

Detailed Answer:
Hello,
I have studied your case.

I would not recommend you to take steroids as they can cause serious side effects. You can take celebrax as it is not going to harm you. Before I advised you any further I would like to know little detail of your illness.
1.what procedure was done on you?
2.Are you having stiffness and swelling in shoulder?
3. Why you can not take NSAID?
Please send me answers of these questions. I will try my best to help you.

Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Naveen Kumar Sharma (17 hours later)

Had Left shoulder arthroscopy with manipulation lysis of adhesions, synovectomy (total, acromioplasty and Mumford procedure. Can not take NSAIDs because I am on xarelto. Procedure was done 4/24/5 and I continue to have a lot of pain. Pain is preventing me from doing rehab exercises. there is stiffness but no swelling.

Answered by Dr. Dr. Naveen Kumar Sharma (4 hours later)

Brief Answer:
you need to take Pregabalin and amytryptalin

Detailed Answer:
Hello,
I have seen lots of patients like this. I would recommend you to take Pregabalin and Amytryptalin tablet at night time. These are safe and you will feel better after taking these drugs.
you should continue with physio otherwise your shoulder would become stiff.
Along with painkiller you can also do hot water fomentation and use volitran ointment.
Thanks

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Above answer was peer-reviewed by : Dr. Shanthi.E