So...I’ve seen several doctors now about the MRI confirmed arthritis in my hips. I go hard at everything I do so no surprise I’ve got wear and tear in my joints.

When it gets inflamed its pretty painful.

I’ve seen a walk in clinic doc, my family doc, and a sports doc.

They all want me to take pain killers (naproxen-esomeprazole). Not for a short period either. They want me to take it for 1-2 months to confirm that my pain comes from arthritis and not a labrum tear. If it’s arthritis then they say it may mean steroid injections or taking pain killers for life.

I’ve ignored their advice cause I think they are taking the easy route and not helping me treat it - eg recommending exercise/rehab.

But my question is this:

- Is taking pain killers for arthritis pain and exercising bad? From
What I’ve read pain killers and exercising is a bad combo because it can make you believe you are more mobile than you are and lead to further injury. I’ve also read about pain killers actually making recovery from training worse (eg affecting your bodies ability to repair damaged tissue from a workout).

- I’ve tried the pain killers they gave me for a few days and they work wonders. I do feel more flexible and can move without pain. But I don’t want to be addicted to that shit.

Anyway, just want to know what you guys think about taking the painkillers and if I do take them if I can exercise with them...keeping in mind that I’m not talking gentle exercise. Eg sprinting in sports, resistance training, etc.

Docs in real life were useless so turning to you guys.

Looking forward to input from our guru members like Cloudkicker!

Thanks bros

This post was edited by PartyInMyPants on Jul 18 2018 11:05pm

Eg cloudkicker? I think u meant eg excusemem8

cloudkicker gonna fuk you up for that comment, all doctors are gods because theyve studied for 10000 years. they can never be wrong and always go about diagnosing and treating you correctly.

Hahaha. I think we wish they were gods so we’d always be treated correctly

Cloudy here,

Hey man, jargon jargon jargon, atg squats no sleeves, hmm you better go see a Dr to have a look

Lol.

Tommy says you a specialist? Any advice for me plz :)?

NSAIDs (naproxen, the other pill is a PPI - acid reducer bc NSAIDs also cause GERD - reduce gastric mucosal barrier as a secondary effect) reduce inflammation which is important for the healing process in your muscles but also painful hence why your hip arthritis is relieved by the pill

NSAIDs have virtually no addiction potential...they are not opiates

2months is a standard course for an injury like this...they want to see if you progress or degress after this timeline and from there they will decide whether to spend the money on imaging for you (mri/xr)
If it’s helping run the course...and the fact that it is helping most likely means they won’t do any imaging and will eventually just tell you to take the naproxen as needed or like you said give you a steroid injection which will provide temporary relief (on the scale of months but eventually decrease in effectiveness over time)
Also chronic inflammation of your sacroiliac joint will eventually progress to the need for a hip replacement most likely

Best sort of exercises are low impact ones

This post was edited by Bubbler on Jul 20 2018 04:54am

LOL

As someone else mentioned, those aren’t opiates and have no real potential for physical addiction. Psychologically, maybe.. but an extremely long shot.

Older doctors are more likely to prescribe medicine and say don’t strain the muscles or work around the injury. Newer, younger doctors (the ones I follow all lift) and say throw this train of thought out the window. They show how strengthening the affected muscles, stretching, etc. is more beneficial.

Being thrown on opiates long term is retarded. Once people become physically addicted, aches and pains becomes 100x worse when you don’t take said opiate and start physically withdrawing. Half the time people aren’t even experiencing pain from the original injury, but the effects of prolonged opiate use.

there is no rehabing arthritis. arthritis is inflammation in the cartilaginous sliding tissues of the joint. the articulations are wearing down abnormally and hotspots of inflammation are the product of tissues experiencing loading that dont normally. arthritis will wax and wane as you introduce irritating stimuli (ie. moving with bad mechanics). i dont know about their diagnostic method of painkillers to R/O labral tear vs arthritis, they are very highly trained professionals though.

your pain comes from bad joint mechanics +/- genetic factors in the first place. i dont think pain killers will necessarily make you feel more flexible than you are (leading to injury), but i think that painkillers will muffle acute pain signalling that normally tells you when you're overstressing a tissue. for example, someone who normally gets patellar tendonitis from off axis patellar loading/valgus knee force may experience reduced pain signalling and continue to load in a dysfunctional/injurious way leading to chronic injury.

i know of suggestions that NSAIDs may alter immune mediated repair signalling in muscle tissue post exercise but i dont think the evidence is strong enough to convince anybody to avoid mixing NSAIDs and exercise under normal circumstances, at this point in time. i could be wrong here

i personally just hate taking medication and try to avoid it if possible. i especially avoid pain killers of any kind just because im not a bitch and i dont like side effects for the sake of comfort.



chronic SI inflammation --> ball-and-socket joint replacement?..

This post was edited by cloudkicker on Aug 1 2018 06:12am