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Suggest medication for severe pain when diagnosed with osteoporosis

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Posted on Mon, 5 Dec 2016
Question: Looking for a an arthritis drug for joint damage (severe bilat shoulder, mod severe bilat knee, hx bilat hip replacement) DX w/ stage 3 Renal CKD asymp but elvat Creat. No NSAID. What's left? Thanks .
doctor
Answered by Dr. Mahaveer Patil (4 hours later)
Brief Answer:
Safer drugs are recommended

Detailed Answer:
Hi,

Hope this message finds you in good health.

Thank you for posting the question.

At your age,osteoporosis is often the root cause of arthritis. Our bones are meant for load bearing of the body and weaker bones often are unable to do that. This in turn increases the load on the joints causing the cartilage damage and eventually,arthritis.

You seem to have stage 2-3 arthritis in major joints of the body.

As far as pain is concerned, you can take analgesics like tramadol,etodolac or piroxicam which are reportedly much safer and are renal-friendly.
AVOID NSAIDs.

To avoid further damage to the cartilage in the joints, glucosamine,MSM,diacerin ,vitamin D3 and calcium tablets should be taken for approximately 6-8 months.

This will help in cartilage regeneration and strengthening of bones.

I hope this answer was useful.

For any further questions or doubts,you can get back to me anytime.

Thank you.

Kind regards.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Mahaveer Patil (1 hour later)
Thank you, Doctor. Am on calcium and Vitamin D, w/ MVI and some B supp. Can add Glucosomene but do believe it takes a while to work. will hold the Meloxicaam . 34 years of hospital nursing tough on joints. Thanks again.
doctor
Answered by Dr. Mahaveer Patil (4 hours later)
Brief Answer:
Query answered

Detailed Answer:
Hi,

Welcome back.

You are right, Glucosamine takes a while to show its effects,usually- 2-3 months .

But its worth taking considering the beneficial effects that it provides.

Thanks.

Take care.

Wish you a speedy recovery.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Mahaveer Patil

Orthopaedic Surgeon

Practicing since :2002

Answered : 1209 Questions

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Suggest medication for severe pain when diagnosed with osteoporosis

Brief Answer: Safer drugs are recommended Detailed Answer: Hi, Hope this message finds you in good health. Thank you for posting the question. At your age,osteoporosis is often the root cause of arthritis. Our bones are meant for load bearing of the body and weaker bones often are unable to do that. This in turn increases the load on the joints causing the cartilage damage and eventually,arthritis. You seem to have stage 2-3 arthritis in major joints of the body. As far as pain is concerned, you can take analgesics like tramadol,etodolac or piroxicam which are reportedly much safer and are renal-friendly. AVOID NSAIDs. To avoid further damage to the cartilage in the joints, glucosamine,MSM,diacerin ,vitamin D3 and calcium tablets should be taken for approximately 6-8 months. This will help in cartilage regeneration and strengthening of bones. I hope this answer was useful. For any further questions or doubts,you can get back to me anytime. Thank you. Kind regards.