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Doctor insights on: What Is The Best Prescribed Osteoarthitis Medication For Long Term

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Dr. Qamar Khan
1,560 Doctors shared insights

Osteoarthritis (Definition)

Common degenerative problem of cartilage and joints. Wear and tear to a point that the joint no longer can keep up with depositing fresh cartilage and the joint space thins, bone becomes exposed and pailful, bone spurs ...Read more


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What would be a medication prescribed for osteoarthritis?

What would be a medication prescribed for osteoarthritis?

Start with NSAIDS &: See how it works for you. I would Start with Tylenol (acetaminophen) Arthritis first. Replace it with some other one. Non - medicational measures like using a cane or a walker, reducing weight, are all helpful early stages. ...Read more

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What's the best updated way to treat the osteoarthritis?

What's the best updated way to treat the osteoarthritis?

2nd opinion: There are too many strange doc opinions for osteoarthritis. Get a 2nd, 3rd, 4th and so on opinion. Money is well spent! ...Read more

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People say walking is the best for osteoarthritis, but how comees it hurt?

See details: At age 39, I would question if you have oa severe enough to cause that degree of pain. See a rheumatologist. ...Read more

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What are the best treatments to treat osteoarthritis?

What are the best treatments to treat osteoarthritis?

Osteorarthritis: Osteoarthritis is a wear and tear kind of arthritis. Usually the medications are to treat the symptoms, tylenol, (acetaminophen) or anti inflammatory meds like Ibuprofen and sometimes stronger narcotic. Glucosamine has shown to slow down progression, exercise is helpful and eventually surgery for joint replacement is needed. May time steroid injections in the joint may help. ...Read more

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What is the best treatment for gout and osteoarthritis?

D J D: Both gout and osteoarthritis are serious destructive joint diseases. Gout is a systemic disease that is best treated with oral medication to control uric acid over production/under excretion. Both gout and osteoarthritis can be treated with nsaids. However gout can be treated with uloric, probenecid or colcrys. These three oral agents are specific for the treatment of gout. ...Read more

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What's the best treatment or therapy for osteoarthritis? Heat or cold?

What's the best treatment or therapy for osteoarthritis? Heat or cold?

Like a motor: Think of a motor like your car's engine. A cold (stiff) engine does better when heated and a stiff joint benefits from heat. An overworked engine or joint needs to cool down. ...Read more

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What is the best diet for a woman who has osteoarthritis and has to loose weight?

What is the best diet for a woman who has osteoarthritis and has to loose weight?

Anti-inflammatory: The anti- inflammatory diet is rich in vegetables, low in grains, avoids refined and processed foods, including sugar and alcohol. Includes fatty fish and flax. Spices like turmeric, ginger, rosemary, and frankincense are strongly anti- inflammatory. ...Read more

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What is the best treatment for osteoarthritis in lower back and thumbs?

What is the best treatment for osteoarthritis in lower back and thumbs?

No single answer: There are many treatments for these two areas. Often arthritis of the thumb can be treated with topical ice and simple pain medications like acetaminophen or Advil (ibuprofen)
Similar approaches with the back but often need higher doses
Physical therapy for back is also very helpful
You are somewhat young for typical osteoarthritis so there may be other things going on
See a rheumatologist for surecdiagnosis ...Read more

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What is the best topical treatment for knee pain osteoarthritis in elderly?

What is the best topical treatment for knee pain osteoarthritis in elderly?

Diclofenac: In the U.S., diclofenac is a prescription anti-inflammatory often put into a gel or a cream that can be applied to the knee between 1 and 4 times a day to relieve the pain of knee osteoarthritis. Other similar options, less commonly used, are available. If I can help, then join my care team at www. Healthtap. Com/dr-clarke holmes ...Read more

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If you have osteoarthritis and a bone spur in the shoulder. Is the best treatment surgery?

If you have osteoarthritis and a bone spur in the shoulder. Is the best treatment surgery?

No: Surgery should be the last resort. I recommend trying injections first-prednisone or synthetic joint fluid (like synvisc) can be helpful.
The only indications for surgery are pain and inability to move. ...Read more

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I am interested in optimising my health with mild Crohn's disease and osteoarthritis what are the best supplements?

I am interested in optimising my health with mild Crohn's disease and osteoarthritis what are the best supplements?

Misinformed?: I would bet you that the doctor who knows and cares for you has not recommended supplements. Supplements do not optimize your health. They optimize the wallets of those who produce them. I would follow your doctor's advise for good health in your conditions. ...Read more

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My father is suffering from osteoarthritis level 3 for 2years. What analgesic and joint supplement would be the best for him?

My father is suffering from osteoarthritis level 3 for 2years. What analgesic and joint supplement would be the best for him?

Osteoarthritis: Medications like ibuprofen /naoroxen should be helpful for pain control unless not tolerated well in the past. There is no strong evidence that supplements of any sort work on arthritis symptoms. That’s true even for glucosamine and chondroitin. Those are 2 supplements people seem to think help with arthritis. If you decide to try any supplements or herbs, check with your doctor or nurse before taking them. ...Read more

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Do antidepressants work well for back pain and osteoarthritis? If so, are tca's the best such as amitriptyline?

Do antidepressants work well for back pain and osteoarthritis? If so, are tca's the best such as amitriptyline?

It can help: Clinical studies has shown that the use of anti depressant in addition to non narcotics pain medication in chronic pain situation would help keep the pain down and minimize the need for narcotic pain medicine.and keep the patient functional. ...Read more

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The nsaid ketoprfen helps my osteoarthritis a lot. But I am only 50 and worry about the long term side effects. What do you think?

The nsaid ketoprfen helps my osteoarthritis a lot. But I am only 50 and worry about the long term side effects. What do you think?

Speak with Doctor: Usually long term use of nsaids may have effects on the kidneys, GI system and cardiovascular issues. You should speak with your doctor to make sure you are stable with your kidney function, make sure you don't have significant cardiovascular risk factors (high blood pressure or history of heart attack, stroke, etc) and make sure you don't have any GI upset issues for long term use to be safe. ...Read more

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Does long term use of NSAIDs such as Celebrex cause loss of cartilage or contribute to osteoarthritis?

Does long term use of NSAIDs such as Celebrex cause loss of cartilage or contribute to osteoarthritis?

Not necessarily: Cartilage loss has been described due to ongoing arthritis with indocin but this may have have been ongoing disease and not due to inocin ...Read more

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Is there any connection to long term (over 10 years) use of opioids and osteoarthritis, bone degeneration?

Is there any connection to long term (over 10 years) use of opioids and osteoarthritis, bone degeneration?

Let me explain: The chronic abuse of opioid drugs may be associated with altered bone metabolism and reduced trabecular bone mass, attributable, at least in part, to gonadal deficiency. These alterations seem reversible after drug discontinuation. ...Read more

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For 57+ F is consumption of Zedfit (collagen peptide) safe for long term? How much real benefit does it have for osteoarthritis treatment?

For 57+ F is consumption of Zedfit (collagen peptide) safe for long term? How much real benefit does it have for osteoarthritis treatment?

No proven benefit: Here in the States, we're allowed to sell dietary supplements w/o 1st proving either safety or benefit, which is different from medications (both prescription & over-the-counter) where we have to prove both before marketing. With that in mind, there's no proof of safety in consuming collagen peptide nor of benefit for osteoarthritis. It doesn't mean it's not safe or doesn't work. Just no proof. ...Read more

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I have severe osteoarthritis in both of my knees surgeries on both knees. I would like to exercise running what is the best shoes for my case?

Running would not be: A good choice for exercise. Any impact exercise will cause your DJD to progress faster good/perfect shoes or not. Walking outside or treadmill, not running is a good substitute or swimming even better. ...Read more

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What is the best medicine or injection for restoring joint function and relief pain of knee osteoarthritis?

What is the best medicine or injection for restoring joint function and relief pain of knee osteoarthritis?

Nutrition, supplem't: Start with good nutrition and try: glucosamine (500 mg 3x/ day), same (don't take if bipolar or with prostate cancer) 400 mg on empty stomach (may eventually take up to 800 mg 2x/ day) and must have b-complex with the same, and wait 2-3 months to see if these are helping. Both have good evidence for treating osteoarthritis and are safe. Physical therapy can help any misalignment in muscles. ...Read more

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Meniscus tear op removal of torn cartilage, will this not cause bone on bone grinding or osteoarthritis long term. Not sure if I should go ahead?

Meniscus tear op removal of torn cartilage, will this not cause bone on bone grinding or osteoarthritis long term. Not sure if I should go ahead?

Post menisectomy: Anytime me part of ones meniscus is removed it leads to increase force across the exposed bone. Studies show that removing part of the posterior medial meniscus decreases protection of the articular surface by 50%. Although this is of concern, leaving a partially torn meniscus will result in more damage to the articular surface, especially nit ones knee is unstable or locks intermitantly ...Read more

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Go to NY in 5 days. Knee osteoarthritis n pain if walk for long. Steroid jab or others to walk without pain? Immediate n long term risks n side effect?

Go to NY in 5 days. Knee osteoarthritis n pain if walk for long. Steroid jab or others to walk without pain? Immediate n long term risks n side effect?

Maybe: I have patients who know that they will sooner or later need knee replacement surgery. Some were planning on traveling and requested injections for pain relief. All of these patients had good temporary relief of their pain. However, the pain always returns sooner or later, and the patient runs the small but real risk of infection with any injection. Think carefully and discuss with your Doctor. ...Read more

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I recently got an arthroscopic surgery, meniscoctomy, which was the trimming of my tear of my meniscus. Could these lead to long term osteoarthritis?

I recently got an arthroscopic surgery, meniscoctomy, which was the trimming of my tear of my meniscus. Could these lead to long term osteoarthritis?

Yes, OA can occur: Any significant wearing of the joint surface articular cartilage, is, by definition, osteoarthritis (oa). There is a spectrum of oa from very mild and sub-clinical, to severe and debilitating. The real-time current status of one's knee cartilage is important, but just as important is the rate of demise. Your knee can reach a steady-state after successful treatment and slow down your progression. ...Read more

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28 yr-old had ACL repair 10 years ago, and has felt leaning and off-balanced since a second surgery 5 yrs ago, and hopes to find a cure.....?

28 yr-old had ACL repair 10 years ago, and has felt leaning and off-balanced since a second surgery 5 yrs ago, and hopes to find a cure.....?

Full ortho eval: Initial radiographs would need to include weightbearing views: Bilateral standing AP, PA Rosenberg, full extension lateral and bilateral sunrise views. If any hint of poor alignment noted, then proceed with full hip-knee-ankle bilateral mechanical axis views to determine where weightbearing line from center of femoral head to ankle crosses at the knee joint. This will help determine if an osteotomy in such a young patient is indicated or should be considered. After imaging and a full examination for motion strength, and laxity, an MRI would help finalize any plans for potential surgery by delineating the degree of any cartilage or meniscal and ligamentous pathology. With history of hyperextension, a definite concern is whether posterolateral corner (LCL, popliteus and popliteofibular ligament) is also involved or injured/loose. ...Read more

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What medication can reduce swelling for osteoarthritis?

What medication can reduce swelling for osteoarthritis?

NSAIDs: Non-steroidal anti-inflammatory drugs like Aleve or advil may help. Other nsaids are prescription meloxicam, nabumetone, celebrex, (celecoxib) etc. These rx will only reduce swelling due to inflammation and will not reduce swelling that is due to bony enlargement. ...Read more

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What are some medications to treat osteoarthritis of the knee?

Medications: There are many different meds like nsaid's, tylenol, (acetaminophen) and Codeine deriative meds. It is very important to incorporate diet, weight loss, and daily physical therapy exercises medications to optimize the treatment. ...Read more