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Comprehensive Overview of Joint Health Treatments: Supplements, Medications, and Therapies

This guide explores the various options for managing joint health, including medical therapies, supplements, over-the-counter (OTC) medications, prescription medicines, and injection therapies. It highlights the reasonable effectiveness of glucosamine and chondroitin for arthritic symptoms, the equivalence of OTC pain relievers like Ibuprofen and Naprosyn, and the selective use of prescription opiates. Additionally, it underscores the importance of physical therapy in joint care and outlines the effectiveness and safety of injection therapies. Overall, this resource provides a balanced view of joint treatment options.

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Comprehensive Overview of Joint Health Treatments: Supplements, Medications, and Therapies

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  1. Dr Pete Rose Medical Therapy

  2. Medical Therapy • Supplements • Over-the-counter medicines • Prescription medicines • Injection therapy

  3. Supplements • Little scientific evidence for/against products • Not subject to FDA regulations • Reasonable evidence for glucosamine / chondroitin helping with arthritic symptoms • No evidence for other compounds

  4. OTC Medicines • Tylenol • NSAIDs – Ibuprofen (Advil) and Naprosyn (Aleve) • Equally effective in all major studies • Quite safe when taken with supervision • Stomach ulcers • Kidney trouble

  5. Prescription Medicines • Prescription NSAIDs • Celebrex, Mobic, etc • No better than ibuprofen or naprosyn in comparable doses • Benefits for select patients • Primary benefit is convenience • Cardiovascular risks unknown

  6. Prescription Medicines - Opiates • Synthetic derivatives of morphine • Effective • But… tolerance building and habit forming • Frequent depression and side effects • Used very selectively and carefully under specialty supervision

  7. Physical Therapy • Important aspect of joint care in SS • Particularly important before and after any surgery

  8. Injection Therapy • Injection of cortisone or hyaluronic acid derivatives • Effective in ~2/3rds patients • Effect often fades • Safe for up to 3-4 times/year

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