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Suggest Treatment For Painful And Stiff RA

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Posted on Wed, 8 Nov 2017
Question: my 88 year old mother has painful & stiffing RA mainly in her hip. anything better than nsai's and are there any good rubs ?
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Answered by Dr. Michelle Gibson James (50 minutes later)
Brief Answer:
voltaren gel, capsaicin-- these can be used 4 times a day

Detailed Answer:
HI, thanks for using healthcare magic

There are some topical options such as voltaren gel or capsaicin. These can be applied up to 4 times daily.

There are NSAIDS that are safer for the stomach such as celebrex. A combination of the nsaids and the tylenol can be used to see if the two types of meds working together might be helpful.

Other than the NSAIDs and tylenol, the other pain medication options would be the opiates such as codeine, tramadol, hydrocodone, oxycodone etc.

Physiotherapy, to strengthen the muscles around the joints can also be helpful as well

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (20 hours later)
any suggestion on safe but effective Physiotherapy. pain is mainly hip and back

any opionions on a chiropractor at her age and weakened bones ??
doctor
Answered by Dr. Michelle Gibson James (8 hours later)
Brief Answer:
trained physiotherapist would be better than chiropractor

Detailed Answer:
Hi

Sorry about the delayed reply

Physiotherapy to strengthen the muscles in the joints may be the better option compared to a chiropractor at this stage.

Physio is done by a trained physiotherapist. It is possible that she may only need to attend a few sessions then the physiotherapist can show her exercises that can be done at home.
It would be best to be seen by a physiotherapist before doing any exercises because a physical assessment is needed first to determine what would be the best regimen
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16810 Questions

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Suggest Treatment For Painful And Stiff RA

Brief Answer: voltaren gel, capsaicin-- these can be used 4 times a day Detailed Answer: HI, thanks for using healthcare magic There are some topical options such as voltaren gel or capsaicin. These can be applied up to 4 times daily. There are NSAIDS that are safer for the stomach such as celebrex. A combination of the nsaids and the tylenol can be used to see if the two types of meds working together might be helpful. Other than the NSAIDs and tylenol, the other pain medication options would be the opiates such as codeine, tramadol, hydrocodone, oxycodone etc. Physiotherapy, to strengthen the muscles around the joints can also be helpful as well I hope this helps, feel free to ask any other questions