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Post by pktwatch on Dec 22, 2011 12:24:25 GMT -5
I am 3 months out of DS surgery and have arthritis. I used to take Nsaids but since surgery I have been taking Tylenol, not overdoing it but take 4 to 6 tabs a day. Is this to much for my liver while I am loosing weight? What other ideas do you have for arthritis pain?
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Post by Paula on Dec 22, 2011 14:11:20 GMT -5
Ive currently got an RNY and two OA jacked up knees. I totally sympathize with you as far as the pain of day to day living goes. Id for sure talk with your surgeon about their recommendations as far as pain relief goes. I do know that taking too much of either NSAIDS or acetominphen isnt a good thing, but I cant say for sure just exactly how much is too much. Do you see a rheumatologist for your arthritis? They might be able to help you.
Ive discovered what also has helped me is participating in a deep water aerobics program through my local parks and rec department. Absolutely no weight bearing because we are in the deep part of the pool, but I am able to work out the muscles around my knees to get them stronger so they can help stabilize them as much as possible.
Your liver is going through a workout right now during weight loss, so you may want to get medical advice as far as what to take to help you with your pain. I wish you luck
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Post by frankie on Dec 22, 2011 14:56:33 GMT -5
Slow down on the tylenol and switch up with Aleve or ibuprofen. I was taking tylenol for a headache that I had for a week and when I had my labs done my liver function test was way high!
Frankie
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Post by Sandra C. on Dec 22, 2011 22:14:37 GMT -5
I too have pain from hip arthritis, and knee issues since I fell off a ladder last year. Every step felt like broken glass in my hip. Couldn't get the mail, or walk my dog without pain. my internist gave me a list of exercises to strengthen my knees, all easy to do, non weight bearing floor exercises and sitting on the edge of a table lifting leg with something hanging off foot, like a bag or purse for added weight. Once I had lost 60 lbs I was able to walk longer around the padded indoor track at our gym. I found Rebok sneakers with air soles called "Simply Tone", at Kohls. You could search for them on line. They have really helped me begin my exercise post surgery, with walking slowly. Now 2 months into my exercise program, I can walk as fast as I can, great for cardio,up to 4 miles, pain free. Getting moving will strengthen the muscles around the joints, the cause of the pain may not go away, but it will feel better, and you will reap the benefits of endorphins from exercising, increasing good moods, and general well being. I thought my hip pain was all cured, since no pain at all last week at the gym, but this week not exercising on our vacation, I feel the old pain has returned. Back to the gym on monday for me!!
I was told by my surgeon not to take ibuprofen, motrin or NSAIDs like Aleve or aspirin(technically an NSAID). Tylenol was ok for me they advised, but we didn't discuss how much to take. This is something you should ask your doctor, who can monitor the effects of using it continually, and consider what other meds you may be taking including non prescription over the counter types. Be sure not to drink alcohol while taking Tylenol, they are both processed by the liver. Ask your doc to explain in more detail the cautions you should take with tylenol. I always ask my docs about medications, prescriptions and over the counter meds, many are not allowed to be combined. Newly switched D.Sers have special internal considerations, especially while still healing. Only take the advice of specialists in this case. ;-)
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Post by Sandra C. on Dec 22, 2011 22:31:46 GMT -5
Strengthening exercises:
i began my gym work out program with the help of a personal trainer 2 times a week, who has experience working with bariatric surgery recovery people At Bronson Hospital gym in Kalamazoo. She is instrumental in teaching me the correct way to use the weight machines, for strengthening, cautious about not over doing with my pains. The cost may seem high but necessary to learn the machines, eventually i will be able to do it all on my own. Posture correction of my curled shoulders from recovering from my 2 major surgeries in 6 months is necessary for using the correct muscles while exercising. Many of our exercises are involving stretching and floor strength moves which can be done at home. I have more confidence having worked with a trainer. she is very encouraging, and sees the transformation from day one to now, in 2 months. I am very happy to feel so energized going to the gym 5 days a week, working out 2 1/2 hrs. I have the trainer 2 hrs a week. Recumbent bike and water walking in the shallow lap pool was suggested by the gym when I first began recovery exercises. Clear any exercise program with your doctor first before beginning. ;-)
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Post by abright0 on Dec 22, 2011 22:41:48 GMT -5
I had liver damage from being over weight and had to stop all Tylenol. Obviously no nsaids either, so I see a pain doctor and take oxycodone for my arthritis.
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Post by msbatt on Dec 24, 2011 13:28:34 GMT -5
Folks, DSers can take NSAIDs. I went home from the hospital taking Bextra (a Cox-II inhibitor NSAID) for pain. My arthritis was KILLING me, so my surgeon allowed me to take one Aleve a day instead, for the first month. Since then, I take NSAIDs 'as needed'---which in my case is every day.
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Post by Sandra C. on Dec 26, 2011 0:02:09 GMT -5
I'm happy to hear this about Nsaids. Maybe I was told not to because of my reflux- GERD. I could really use them for my arthritis hip, and found on line it may help postpone the onset of Alzheimers if taken regularly. I'll ask again if I can use it now. Thanks!!
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Post by abright0 on Dec 26, 2011 0:05:36 GMT -5
I was told that I could go back on nsaids after a year.
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Post by sherbearmama on Dec 26, 2011 0:59:14 GMT -5
When I got home from the hospital I had a really bad head ache. The doc said taking Tylenol was totally fine. I'm not sure how good it would be for a DSr to take it on a regular basis though. I'm going to email my surgeon about NSAIDS to see when I can start taking those as well. Great topic Pktwatch.
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Post by ratkity on Dec 26, 2011 9:00:34 GMT -5
I was told that I could go back on nsaids after a year. This is the best and shortest answer about NSAIDS. About Tylenol: The FDA has tylenol black boxed because it binds irreversibly to your liver (and then the cells die, and then your enzymes go up as your liver repairs itself). How much is safe? I've been following the recommendations closely in the medical community. Right now, it's unofficially 2x500mg tablets a day. That's not a whole lot, especially when it rarely helps arthritis. Someone mentioned Bextra - that was taken off the market due to organ and heart damage. Celebrex is still on the market (same mode of action - cox2 inhibitor). My doctor lets me take 2 ibuprofen in an emergency if I take a 30mg prevacid at the same time and then eat a little bit of mushy food after. I have severe arthritis in my right hip and I won't even go into the fibroid pain of my stupid cycle. My pouch is smaller than most. Your doctor's allowance may be greater. Take care!! Hugs, Ratkity edited cuz of wrong prevacid amt - 30mg! |
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