NSAID Use/PMR: Seems that I have PMR... - Bone Health and O...

Bone Health and Osteoporosis UK

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NSAID Use/PMR

glinda47 profile image
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Seems that I have PMR. ESR and CRP are at the high end of normal so rheum won't commit yet, but US scheduled for end of April. Started in thighs, then shoulders. I work out and have for decades so I thought it was from overuse, but the pain was different, ergo, saw the doc. I also noticed the usually pink corners of my eyes were filled with white/yellowish speckles. Anyone have this?

I find taking 1 Advil (200 mg) per day helps take the edge off, but I'm reluctant to take it as I take 1 baby aspirin a day for heart health per my cardio. He said I should not mix the two, but I didn't ask about such a small amount. I can't find anything online that addresses the consumption of this small amount per day. Does anyone have any knowledge or info about this?

Thank you.

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Southerngirl2787 profile image
Southerngirl2787

NSAIDS are bad for the bones...and baby aspirin is no longer recommended for average Cardic patients. Some may need to be on it, but my SIL who is a doctor, told me my brother was taken off the baby aspirin a day, he's had two heart attacks before 60, quad bypass, and a double bypass. My Rheumy pushes no NSAIDS, no aspirins due to the damage they can cause to bone health.

ROSModerator profile image
ROSModeratorPartner in reply toSoutherngirl2787

Thanks for sharing.

We have noticed some views expressed that aren't backed up by the research - saying medicines called NSAIDs (non steroidal anti inflammatory drugs) weaken bones. You may want to discuss this with your health care professional or a helpline for more information. The ROS Helpline is aimed at those living in the UK as information about care and treatment can often be country-specific. The International Osteoporosis Foundation has information about national societies in the USA . These might that might be useful for you osteoporosis.foundation/pat...

Southerngirl2787 profile image
Southerngirl2787 in reply toROSModerator

Here's one my neurosurgeon gave me, I have quite a few more. My Rheumy also told me do not take NSAIDS with severe OP.

aafp.org/pubs/afp/issues/20...

ROSModerator profile image
ROSModeratorPartner in reply toSoutherngirl2787

Thanks for sharing the link. We thought it might be helpful to clarify what we meant. Our helpline specialist nurses tell us there have been a few research studies, like the one that you are sharing, that show NSAIDs might delay healing after a fracture - perhaps that's what you meant. But other studies have shown no effect on healing. Experts in the UK have concluded that NSAIDs do not cause a healing problem and can be safely prescribed after a fracture. We hope this is useful. We appreciate how confusing it can be with all these research studies having different results ! You own health care professional will be able to advise whether NSAIDs are right for you.

Southerngirl2787 profile image
Southerngirl2787 in reply toROSModerator

My Neurosurgeon, Rheumatologist, and Endocrinologist did advise me not to take NSAIDS. I was in healthcare 30+ years, doing a lot of research, in the USA. I've read no less than 100 studies to prove them wrong, as sometimes NSAIDS work far better than anything else. I've found one study thus far in my searches, but it gives me no comfort that I should take them on a routine or consistent basis. Rheumatologist also routinely checks to make certain none of my doctors are giving excessive steroids, as all the injection mania has also created a new issue for OP patients. So far I've had 4 fusions, cervical and lumbar, 10+ spinal fractures, with 4 re-fracturing, 2 tibia nerve transfers, CTS surgery on both LT and RT due to nerve damage from parathyroid tumor. I have 8 failing discs as well, so keeping in touch with the latest research is vital to my health. This has been since 2014. Perhaps the opinions of the UK experts have a different angle than in the USA...I'm not certain.

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