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Pain pills #274103
04/20/16 02:50 PM
04/20/16 02:50 PM
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sdot Online OP
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If you are not looking for opiates for pain control, what else may be recommended as a prescription?

Re: Pain pills [Re: sdot] #274106
04/20/16 03:25 PM
04/20/16 03:25 PM
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There are perscription NSAIDs that are stronger, last all day, and some that are easier on the GI tract than over the counter ones. Google NSAID's for the list. There are also biologics, depending on how your disease manifests. There are also meds for nerve pain, and muscle pain/inflamation. As well as nerve blocks, cortisone, steriods.

For myself, I've had my Remicade doseage increased 3 times after failing enbrel and humeria. I also take methotrexate and prednasone. That combination seems to be working for me presently. I also take meloxicam for joint pain and bursitis, and I take gabapetin for neck pain. These two drugs are god sends for me. I went from a pain scale of 7-9 to a 0-4 overnight.

A lot of people, especially the younger crowd have a lot of luck with physical therapy, exercise, acupuncture and chiropractors as well. A lot of people have luck with diet changes.

For me it was trying out different meds over a two year period to see what worked best for me.

When I was young there wasn't a lot of options out there. Now that I am older and have damage the med options have really helped.

My breakthroughs happened when I got a Rheumatologist & primary care dr I liked. The other big break through happened when I went to my local university's pain clinic. They are familiar with treating people with cancers, arthritis, and surgeries.

I hated Opiates. I found the side effects awful. So I am really relieved there were other options for me.

At the end of the month I am going to get RFA done on my neck where it is fusing. It stands for Radiofrequency ablation. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals. The dr thinks I'll be a good candidate for it, and then I can get off some of the other meds.


25 yr+ with significant and aggressive A.S.,fibromyalgia, and scoliosis. Currently on Cosentyx, advil, gabapetin, mobic, voltaren gel, tylenol, prednasone, low dose naltrexone.
Re: Pain pills [Re: sdot] #274110
04/20/16 04:02 PM
04/20/16 04:02 PM
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I am on a anti-TNF right now, but it has only been my first injection and I am waiting for it to kick in, I find the naproxen helps little it seems.

I am working on the diet and exercise, just trying to deal with the fact of having AS which seems to be my biggest problem.

Re: Pain pills [Re: sdot] #274112
04/20/16 04:59 PM
04/20/16 04:59 PM
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Indomethacin seems to help take the edge off for me while I wait to start on a TNF blocker.


POTS (dx 2004), AS (dx 3/2016), hEDS (4/2016) and other stuff. HLA B27+ with family history of AS. Enbrel and Indomethacin since 6/2016.
Re: Pain pills [Re: sdot] #274113
04/20/16 05:41 PM
04/20/16 05:41 PM
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I find the naproxen to be not that bad but anything that can eliminate the pain more would be great.

Re: Pain pills [Re: sdot] #282163
11/29/18 07:24 AM
11/29/18 07:24 AM
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How was your ablation?

Re: Pain pills [Re: sdot] #282166
11/29/18 03:59 PM
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achala Online
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Meloxicam for bursitis? Would it work for pain or for the swelling as well? How is that different from naproxen?
Asking because struggling with Achilles insertion bursitis.


diagnosed with AS April 2018, starting with cervical pain/stiffness; Aug 2018 enthesitis/bursitis left Achilles
diagnosed with iridociclitis Nov 2017 (4 flares so far) - bilteral, DES
Eosinophilic Gastritis
Signs of inflammations/erosions on MRI`s for axial and Achilles/calcaneus + bursitis
Naproxen (occasionally), Sulfasalazine 3000 mg per day
Supplements: vit A&D, reishi mushrooms, fish oil/probiotic/ Mediterranean NSD
plenty of swimming
Re: Pain pills [Re: achala] #282173
11/29/18 09:21 PM
11/29/18 09:21 PM
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Originally Posted by achala
Meloxicam for bursitis? Would it work for pain or for the swelling as well? How is that different from naproxen?
Asking because struggling with Achilles insertion bursitis.

Meloxicam and naproxen are both NSAIDs. There are a number of different NSAIDs, and they all have anti-inflammatory and analgesic qualities. We are all different in how we respond to the different NSAIDs, so there is often a bit of trial and error in finding the NSAID that works best for you.


Ginny - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)
Re: Pain pills [Re: sdot] #282174
11/29/18 09:30 PM
11/29/18 09:30 PM
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achala Online
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There are no let’s say 10 different profiles for which smth does and does not work?
Let’s say 1 guy has iritis + axial AS + bursitis and for this guy is meloxicam (if he can take it) or naproxen?
Because I suppose from what I experienced so far time passing does prohibits us from the endulgence of tasting?
Same for biologic how do we narrow the trial?

Last edited by achala; 11/29/18 09:32 PM.

diagnosed with AS April 2018, starting with cervical pain/stiffness; Aug 2018 enthesitis/bursitis left Achilles
diagnosed with iridociclitis Nov 2017 (4 flares so far) - bilteral, DES
Eosinophilic Gastritis
Signs of inflammations/erosions on MRI`s for axial and Achilles/calcaneus + bursitis
Naproxen (occasionally), Sulfasalazine 3000 mg per day
Supplements: vit A&D, reishi mushrooms, fish oil/probiotic/ Mediterranean NSD
plenty of swimming

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