CrossFit Discussion Board  

Go Back   CrossFit Discussion Board > In Sickness and In Health > Health and Medical Issues
CrossFit Home Forum Site Rules CrossFit FAQ Search Today's Posts Mark Forums Read

Health and Medical Issues For other than injuries

Reply
 
Thread Tools
Old 02-17-2014, 02:26 PM   #1
John Drohan
Member John Drohan is offline
 
John Drohan's Avatar
 
Profile:
Join Date: May 2013
Location: Greer  SC
Posts: 130
NSAID Usage

Greeting folks.

I'm approaching 46 years old and have been Crossfitting for about 13 months now. I work out on average 5 times a week and have been pleased with the results.

On the downside, my joints suffer from pretty serious soreness, both after a workout and the next day. Specifically, my knees suffer from patella-femoral pain syndrome, i.e runners knee.

I've done as much therapy as I can with respect to rolling and mobilization, but NOTHING compares to 600mg ibuprofen in the morning....(or if I'm feeling special, some prescription Diclofenac).

I've been told to avoid NSAID's as much as possible by the younger crowd who probably doesn't get as sore as I do. They claim it impedes the healing process. Research indicates that this may or may not be true.

On mornings I take the NSAID's, my knees literally feel like new and are pain free. Without it, the patella tendon under the knee feels tight and sore. I can get away with taking NSAIDs every other day to minimize reliance on it, but should I?

Anyone with thoughts on long-term health issues with a 600mg every other day dosage? Or if you can share your experience, that'd be cool too.
  Reply With Quote
Old 02-17-2014, 03:10 PM   #2
Brian Strump
Affiliate Brian Strump is offline
 
Brian Strump's Avatar
 
Profile:
Join Date: Sep 2009
Location: Charlotte  NC
Posts: 2,619
Re: NSAID Usage

NSAID's will not only decrease the proper healing cascade of chemicals, but also can result in gut issues.

On the other hand, if you continually roll and work mobility and your knees are still giving you a problem, then I will strongly suggest that your knee pain is NOT the result of poor mobility; but more likely some kind of stability or motor control issue.




Quote:
Originally Posted by John Drohan View Post
Greeting folks.

I'm approaching 46 years old and have been Crossfitting for about 13 months now. I work out on average 5 times a week and have been pleased with the results.

On the downside, my joints suffer from pretty serious soreness, both after a workout and the next day. Specifically, my knees suffer from patella-femoral pain syndrome, i.e runners knee.

I've done as much therapy as I can with respect to rolling and mobilization, but NOTHING compares to 600mg ibuprofen in the morning....(or if I'm feeling special, some prescription Diclofenac).

I've been told to avoid NSAID's as much as possible by the younger crowd who probably doesn't get as sore as I do. They claim it impedes the healing process. Research indicates that this may or may not be true.

On mornings I take the NSAID's, my knees literally feel like new and are pain free. Without it, the patella tendon under the knee feels tight and sore. I can get away with taking NSAIDs every other day to minimize reliance on it, but should I?

Anyone with thoughts on long-term health issues with a 600mg every other day dosage? Or if you can share your experience, that'd be cool too.
__________________
Brian Strump, D.C., FMS, NKT
www.crossfitsteelecreek.com/
  Reply With Quote
Old 02-17-2014, 06:27 PM   #3
John Drohan
Member John Drohan is offline
 
John Drohan's Avatar
 
Profile:
Join Date: May 2013
Location: Greer  SC
Posts: 130
Re: NSAID Usage

Quote:
Originally Posted by Brian Strump View Post
NSAID's will not only decrease the proper healing cascade of chemicals, but also can result in gut issues.

On the other hand, if you continually roll and work mobility and your knees are still giving you a problem, then I will strongly suggest that your knee pain is NOT the result of poor mobility; but more likely some kind of stability or motor control issue.
Brian, thanks for the reply. Yes, I would agree with your last statement. When I went for therapy last year, there were a host of issues with my lower body. Namely weak hips, tight hamstrings, etc. I've been slowly making progress with those things as well as trying to make sure my knees track correctly during any type of squat movement. Obviously, I'm not quite there yet.
  Reply With Quote
Old 02-17-2014, 08:51 PM   #4
Brian Strump
Affiliate Brian Strump is offline
 
Brian Strump's Avatar
 
Profile:
Join Date: Sep 2009
Location: Charlotte  NC
Posts: 2,619
Re: NSAID Usage

Quote:
Originally Posted by John Drohan View Post
Brian, thanks for the reply. Yes, I would agree with your last statement. When I went for therapy last year, there were a host of issues with my lower body. Namely weak hips, tight hamstrings, etc. I've been slowly making progress with those things as well as trying to make sure my knees track correctly during any type of squat movement. Obviously, I'm not quite there yet.
Keep working at it. We've got a handful of 60+ men at our affiliate keeping the youngsters on their toes.
__________________
Brian Strump, D.C., FMS, NKT
www.crossfitsteelecreek.com/
  Reply With Quote
Old 02-18-2014, 06:58 AM   #5
Mustafa Tahir
Member Mustafa Tahir is offline
 
Mustafa Tahir's Avatar
 
Profile:
Join Date: Feb 2014
Location: London  England
Posts: 34
Re: NSAID Usage

I would not use any NSAID for prolonged periods of time - short bursts at best. They can seriously damage the lining of your stomach and cause ulcers, so be very careful, and always take with some food.

(Source: I'm a qualified pharmacist)
__________________
http://www.jumpliftsprint.com. In the pursuit of athletic-aesthetics. Performance for soccer.
  Reply With Quote
Old 02-18-2014, 04:52 PM   #6
Will Seavey
Member Will Seavey is offline
 
Profile:
Join Date: Mar 2013
Location: Bangor  ME
Posts: 24
Re: NSAID Usage

I agree with Mustafa, another option would be to try to mix in an acetaminophen arthritis (extended release tabs) in the morning. Definitely friendlier than an nsaid. Use the nsaid off and on but try the acetaminophen for a period. Just don't mix it with other acetaminophen products.
  Reply With Quote
Old 02-19-2014, 10:42 AM   #7
John Drohan
Member John Drohan is offline
 
John Drohan's Avatar
 
Profile:
Join Date: May 2013
Location: Greer  SC
Posts: 130
Re: NSAID Usage

Quote:
Originally Posted by Mustafa Tahir View Post
I would not use any NSAID for prolonged periods of time - short bursts at best. They can seriously damage the lining of your stomach and cause ulcers, so be very careful, and always take with some food.

(Source: I'm a qualified pharmacist)
Mustafa, thanks for your reply as well. Would you say that the side effects you mention above are dosage dependent? If so, at what dosage would the danger of these side effects become most prevalent?

I'm seeing studies online that classify high dosage as 1800mg/day which seems like a TON to me. The minimum amount that seems to work for me is 600mg every other day and I'm wondering if the issues you mention above would still likely come into play.
  Reply With Quote
Old 02-19-2014, 10:43 AM   #8
John Drohan
Member John Drohan is offline
 
John Drohan's Avatar
 
Profile:
Join Date: May 2013
Location: Greer  SC
Posts: 130
Re: NSAID Usage

Quote:
Originally Posted by Will Seavey View Post
I agree with Mustafa, another option would be to try to mix in an acetaminophen arthritis (extended release tabs) in the morning. Definitely friendlier than an nsaid. Use the nsaid off and on but try the acetaminophen for a period. Just don't mix it with other acetaminophen products.
Will, I'm a bit more cautious when it comes to acetaminophen based on the dangers of liver damage. Add that to the fact that I'm known to "on occasion" have a few drinks now and again, and you have the main reason I've shied away from using that for pain management.
  Reply With Quote
Old 02-19-2014, 12:28 PM   #9
Brian Strump
Affiliate Brian Strump is offline
 
Brian Strump's Avatar
 
Profile:
Join Date: Sep 2009
Location: Charlotte  NC
Posts: 2,619
Re: NSAID Usage

It's not just daily dosage, but long term. The bottle specifically, usually states if you still have problems after 7-10 days, consult your physician. There's a reason for that.
__________________
Brian Strump, D.C., FMS, NKT
www.crossfitsteelecreek.com/
  Reply With Quote
Old 02-19-2014, 03:03 PM   #10
Mustafa Tahir
Member Mustafa Tahir is offline
 
Mustafa Tahir's Avatar
 
Profile:
Join Date: Feb 2014
Location: London  England
Posts: 34
Re: NSAID Usage

Quote:
Originally Posted by John Drohan View Post
Mustafa, thanks for your reply as well. Would you say that the side effects you mention above are dosage dependent? If so, at what dosage would the danger of these side effects become most prevalent?

I'm seeing studies online that classify high dosage as 1800mg/day which seems like a TON to me. The minimum amount that seems to work for me is 600mg every other day and I'm wondering if the issues you mention above would still likely come into play.

Everybody is difficult, and generally, ibuprofen at the dose you're taking it is safe. But when you're taking it on a long term basis, it's effect becomes cumulative. You need to get the main problems addressed, as I'm certain you will know already.

NSAIDs are short term solutions at best. Paracetamol can of course problematic for the liver, so I wouldn't take that as a long term solution either.
__________________
http://www.jumpliftsprint.com. In the pursuit of athletic-aesthetics. Performance for soccer.
  Reply With Quote
Reply


Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Creatine usage Brian Blaston Nutrition 2 03-05-2012 10:45 PM
left/right usage Matt D Miller Fitness 7 11-11-2011 06:57 PM
NSAID's affect on healing process James Mazzarisi Health and Medical Issues 1 04-24-2009 08:35 AM
Medication usage Ryan Whitenack Health and Medical Issues 6 12-31-2007 01:35 AM
Limited Leg Usage Brian Pitreau Injuries 4 09-25-2007 08:30 PM


All times are GMT -7. The time now is 05:25 PM.


CrossFit is a registered trademark of CrossFit Inc.