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Diagnosed with periarthritis. Treatment? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User:my mother who is 64 years old (a diabetic) is diagnosed with peri arthritis.. is there any other treatment for relief from pain other than analgesics
Doctor:The options of treatment depend on the duration of treatment, the severity of the problem and its cause.
Doctor:Can you give me some more details about the problem like
Doctor:since when is she suffering from pain?
User:cause-not known, may be diabetes, severity- intermittent pain in the right upper arm , duration-suffering for the past 3 months
User:severe pain felt during nights
Doctor:Let me brief you.
Doctor:Periarthritis occurs due to inflammatory changes of the supports of the joint and the surrounding structures.
Doctor:The most commonly prescribed medication is
Doctor:antiinflammatory agents.
Doctor:Non steroidal antiinflammatory agent which is commonly known as analgesics/pain killer is the most widely used treatment.
Doctor:In addition to bringing the pain down it helps in preventing inflammation.
User:she has been given ketarol
Doctor:Other treatment options are steroids
Doctor:both injectable, topical as well as oral.
Doctor:In addition to these warm compresses and physiotherapy can be tried too.
User:she has been injected once on her shoulders last year..may be the same one u r talking about.. is the drug ketarol ok
Doctor:Ketarol is an opioiod analgesic.
Doctor:It is a good pain reducer.
Doctor:It also has some antiinflammatory action.
User:any antiinflammatory analgesic u can suggest
Doctor:She can use it briefly as suggested.
User:i remeber her doctor saying something regarding calcification. does it have something to do with her shelcal 250 which she takes on a daily basis
Doctor:*ketarol is not opioid, it is a non steroidal antiinflammatory drug (NSAID) which is the commonly used medication in the treatment of periarthritis.
Doctor:She can continue the same, it's the best for her current problem.
Doctor:I believe what your taking is localized calcium deposition.
Doctor:Localized calcium deposition is probably secondary to chronic inflammatory changes that has occured.
User:what i want to know is should she avoid taking calcium as her problem is due to calcium deposits in that area
Doctor:It is not influenced by the calcium medication she is taking.
User:the injection that she took last year gave a good relief. should she take that once again
Doctor:Yes, local steroid injections have better mode of action than oral ketarol,
Doctor:but there are other side effects such as
User:thank u very much
Doctor:infection, increased chances of calcium deposition, etc
Doctor:which can occur here.
Doctor:It seems you have moved out of the chat window.
Doctor:Please login again if you have any medical query.
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