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NSAIDs after TKR?

Discussion in 'Knee Replacement Recovery Area' started by edk, Apr 20, 2008.

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  1. edk

    edk Senior

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    Preop I was taking a ton of naproxen a day. And when I got sent home from the hospital, the release instructions said only tylonol and Rx pain meds. I assumed it was because of the coumadin. My wife fell and broke a finger and the orthopod who treated her said NSAID's prevent bone healing so tylonol only. I did a bunch of web searching and it seems there is some data which suggests depending on the drug (naproxen/ibuprofen aren't so bad, some Rx NSAIDs are really bad) NSAID's can delay bone healing. I forgot to ask my doc when I did my post op visit if they're ok. Have any of your doc's cautioned against them? If so for how long.

    I sure feel better taking some naproxen sometime (and worry less about destroying my liver
    with tylonol)
     
  2. JenniferG

    JenniferG Supremo

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    My doc prescribed, gave me an RX slip, for ibuprophen with all my discharge stuff.
     
  3. edk

    edk Senior

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    I had a friend who's an ER doc tell me that by 8 weeks probably all the integration of the bone and prosthesis that is going to happen has happened. So I was figuring its OK.
     
  4. doug

    doug Forum Advisor

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    My Doc suggested rotating Tylenol, ibuprofen, and Naproxen.
    My personal preference is the Naproxen. Tylenol really hasn't done anything for me in years.
     
  5. beachcomber

    beachcomber Post-Grad

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    Tylenol has no anti-inflammatory properties--- analgesia only. I think overuse can damage the kidneys.
    Ibuprofen is an NSAID and may cause liver damage with long term use. Also apparently increases cardio/stroke risks.
    Naproxen is NSAID too, but has never been very effective for me. I take diclofenac (prescription NSAID), but couldn't say how much it helps since I still have arthritis symptoms...
     
  6. JenniferG

    JenniferG Supremo

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    But didn't they find that Ibuprophen may help push off ahltztimers type things. I liked the celebrex once it kicks in. But with my insurance it is very expensive.
     
  7. doug

    doug Forum Advisor

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    Kind of a "pick your poison" thing isn't it?
     
  8. Jamie

    Jamie Administrator

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    You're right, Doug. These days there are conflicting "studies" and "reports" regarding almost everything. It's very hard to make decisions. Sometimes I think it's best just not to know about all that and just take the least amount of anything to get the job done. Everything has a down side.
     
  9. JenniferG

    JenniferG Supremo

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    Alot of it is called Junk science. Means nothing in 6 months to a year from now. We'll all die from something at some point and I don't want to hurt til then. All I know is that ibuprophen is really the only thing that helps me whether knees, teeth or any other body part. Like Carolyn said, it is the anti-inflammatory properties, and most of what ever is wrong with me has to do with that. I'm generally an inflamed person! lol
     
  10. beachcomber

    beachcomber Post-Grad

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    I'm with you, Jen! Inflammation is my "game" lol

    Have you tried any of the "anti-inflammatory diets"? I have friends who swear by it.... I dunno. I tried it--- but it didn't keep me from needing a KR.... does that mean it doesn't work? Who knows? I am considering going back on it with my sore "other" knee all riled up. Can't hurt, I guess, and I lost weight on it... but it is very restrictive.
     
  11. doug

    doug Forum Advisor

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    Does the diet include tater tots, fried chicken and biscuits?? Guess I'll keep popping pills
     
  12. JenniferG

    JenniferG Supremo

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    No I haven't even heard of it, but the word restrictive scares me...lol
    Is it that no dairy/ gluten free thing? My sister keeps trying to convince me that I am allergic to dairy and soy because she is. And everything she has read says that bthat allergy shows/contributes with the inflamation issues. I have heard that tomates are nor good if you are arthritic/inflammed.
     
  13. beachcomber

    beachcomber Post-Grad

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    This particular book I have (written by a local naturopath) recommends:
    NO potatoes, tomatoes, citrus (These are considered most important for those with arthritis and I can handle eliminating them with few regrets)
    NO wheat or dairy (inconvenient and not sure I believe in these being bad for me)
    NO corn, sugar, pork, shellfish, non-organic eggs, peanut butter, coffee, and alcohol
    NO juices, caffeinated teas, soda, anything containing hygrogenated oils(THAT I can get on board with)
    NO processed foods and fried foods...

    Eat MORE cold-water, oily fish containing essential fatty acids (salmon, mackerel, halibut
    Pineapple (fresh)
    Fruits and vegetables not listed above
    Garlic, ginger, and turmeric ( curries.... yum)
    Nuts and seeds (except peanuts)
    Flaxseed oil, olive oil
    filtered water

    The idea is to follow it faithfully for a month, then gradually begin to add foods back in one at a time to see which ones trigger inflammation.

    I played around with it, lost some weight, but never followed it strictly. I do know people who swear it has changed their lives....
     
  14. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    How come almost every other thread in here ends with food!

    [​IMG]
     
  15. referee54

    referee54 Moderator

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    I am like Doug---Tylenol does nothing for me---advil and Aleve work the best. They do raise one's BP, though.

    Tim C.
     
  16. Jamie

    Jamie Administrator

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    Beach...that diet.....geeze, just kill me now!!! There are a lot of good things on that diet I'd be hard pressed to eliminate....tomatoes especially!!!
     
  17. 1jt@atime

    1jt@atime Forum Advisor

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    The diet would be hard to follow, especially when you are allergic to fish. I guess its drugs for me! Darn!
     
  18. doug

    doug Forum Advisor

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    Diet.....The dirtiest four letter word in the English language!!!
     
  19. JenniferG

    JenniferG Supremo

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    Allergic to fish, wow.
    That diet kinda sounds like the one I HAVE heard of.
    Could I do it, like you said maybe to some extent. Enough to actually establish if there were a trigger food, ??????????????????????????
     
  20. beachcomber

    beachcomber Post-Grad

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    The book suggests that even if you eliminate some of the worst offenders (potatoes, tomatoes, and citrus) that it will help.
    When I tried it, I can't say it "saved" me--- still had the KR, but I am thinking of playing around with it again. I am battling inflammation in both knees, so it can't hurt to try. Even if it reduces the inflammation by 10-25% it would help...better that than some of the medical options.....I know my rheumy is going to push for injections when I see her next week.
     
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