If you have arthritis pain and reach for a Tylenol for relief, you may be doing yourself a disservice. Show
According to a recent study, Tylenol is only a little bit better than a placebo for treating arthritis pain in the hip or knee. It also doesn’t do much to improve joint function. The study, conducted by researchers in Switzerland, found that nonsteroidal anti-inflammatory drugs (NSAIDs), such as Advil or Motrin, are better for temporarily relief of osteoarthritis pain. Researchers reviewed more than 70 clinical trials that took place over a 35-year period and involved 58,000 patients. They examined how well different doses of acetaminophen, the class of drug to which Tylenol belongs, worked to relieve arthritis pain compared to seven different NSAIDs. They found that diclofenac, a type of NSAID that treats pain, migraine and arthritis, was the most effective drug for osteoarthritis pain. However, patients should use diclofenac and other NSAIDs with caution because these pain relievers may increase the risk for heart attack or stroke. Osteoarthritis, which affects 27 million people every year, is a chronic condition that breaks down cartilage and causes joint inflammation, making it difficult for a person to walk or perform routine activity. The condition can affect any joint, but typically occurs in the knees, hips, neck and lower back. Osteoarthritis also is referred to as degenerative joint disease, which is fitting because the disease is most common among people over the age of 65. According to the Arthritis Foundation, about 50 percent of adults will develop osteoarthritis in their knee at some point in their lives, while 25 percent will develop symptoms in their hips by the time they are 85. Common symptoms include pain, stiffness and swelling, which is why many people seek over-the-counter medications to manage the condition. But as the study suggests, Tylenol isn’t the best option. Acetaminophen isn’t meant to treat inflammation. These drugs treat various aches (headache, muscle ache and toothache) and reduce fever, but they aren’t anti-inflammatory. Acetaminophen pain relievers also can damage your liver if they are overused. The makers of Tylenol disagreed with the study’s findings, saying that more than 150 studies have shown that it is effective for treating pain. Still, researchers are urging patients to use NSAIDs to better control osteoarthritis pain and to reduce the dependence on acetaminophen for pain relief. They said even powerful narcotics like Vicodin and Percocet aren’t as effective in treating osteoarthritis pain as NSAIDs like ibuprofen. However, NSAIDs do come with certain side effects, such as stomach issues and potential heart problems or kidney damage with overuse. If you have mild pain, these over-the-counter medications may be effective for providing short-term relief. However, if your pain is severe and constant, it may be time to see a doctor and get specialized treatment. Physical and occupational therapy to strengthen your joint muscles may be effective, and reduce stress that can worsen joint inflammation. Limited yoga may be helpful to improve movement, but precautions must be taken to avoid putting joints in extreme positions. For severe cases, cortisone injections, bone realignment or joint replacement may be the best options, but consult your doctor first to find out what the best treatment is for your particular case. Pain relievers are a temporary stopgap and you shouldn’t have to live in constant pain. If osteoarthritis is affecting your quality of life, don’t hesitate to get help. Pain is one of the most commonly reported symptoms of arthritis. Several over-the-counter and prescription medicines can help, as can self-care strategies and alternative treatments. Chronic arthritis pain affects 1 in 4 people in the United States. This pain can be severe and located in the joints. Several medicines can manage arthritis pain. The best treatment depends on various factors, including:
This article explores the best approaches to arthritis pain and other symptoms, including medications, home remedies, lifestyle changes, and alternative treatments. Some of the medications we discuss can cause an allergic reaction, which can be severe. For someone with arthritis, pain and stiffness in the joints can make moving difficult. Medicines aim to manage pain, prevent joint damage, and maintain or improve mobility. These drugs may be available over-the-counter (OTC) or by prescription. Most of the medications are oral, but people can apply or inject others to the skin. A person can buy these at grocery stores and pharmacies without a prescription. These are generally safe, but having certain health conditions or taking other medications can make them less safe. AcetaminophenAcetaminophen (Tylenol) treats fevers and mild-to-moderate pain. It works by reducing the production of prostaglandins, compounds made from fats that can increase sensitivity to pain. A person may be choosing between Tylenol and a nonsteroidal anti-inflammatory drug (NSAID) such as Motrin or Advil. Arthritis usually causes inflammation in the joints, and NSAIDs combat inflammation, while acetaminophen does not. For adults, doctors warn against taking more than 4 grams of acetaminophen per day to prevent an overdose. Many medicines contain acetaminophen, so is crucial to check all drug labels carefully and stay below this limit. Acetaminophen is safe for pregnant people and children, but during pregnancy, take the lowest effective dose for the shortest necessary amount of time. This is to prevent rare but serious complications. This drug can also cause serious adverse effects, including:
Anyone experiencing shortness of breath or nausea and vomiting needs urgent medical attention. NSAIDsNSAIDs are considered one of the most effective OTC drugs for pain stemming from osteoarthritis, which causes inflammation. These drugs reduce pain, stiffness, and swelling from arthritis. A common examples of NSAIDs include ibuprofen (Advil, Motrin). Side effects can include:
NSAIDs also put a person at a higher risk of stroke, heart attack, and renal damage. A person should only use these drugs when needed. If this is on a daily basis, doctors prescribe proton pump inhibitors or H2 blockers to prevent gastrointestinal problems stemming from NSAID use. To avoid complications, people who are pregnant, breastfeeding, or over 65, or who have other ongoing health conditions, should speak with a healthcare professional before taking these medications. AspirinNon-prescription aspirin can treat mild to moderate pain. It is a unique type of NSAID because it prevents the formation of blood clots. Taking ibuprofen within several hours after taking aspirin may interfere with aspirin’s cardiovascular benefits, and it can increase the risk of side effects. Read more about possible side effects of mixing these NSAIDs. TopicalMedicated creams, gels, liquids or patches may help people when arthritis only affects the small joints, such as those in the fingers. These products may contain NSAIDs, capsaicin, an anesthetic called lidocaine, menthol, camphor, or a combination. Topical NSAIDs may work for people who cannot take these drugs orally because the body absorbs less through the skin. Doctors consider topical NSAIDs to be safer in the management of arthritis. Read more about precautions to take with oral NSAIDs. For some people, treating arthritis also requires medications that a doctor prescribes. Prescription NSAIDsThese are more potent than those available OTC. Examples of prescription NSAIDs are:
Prescription opioidsDoctors only prescribe opioids when other, safer pain relievers do not work. These drugs can help ease persistent, moderate-to-severe pain otherwise limits the quality of life. It is crucial to take the lowest effective dosage for the shortest effective period of time. Examples of opioid medications include oxycodone, codeine, and tramadol. Opioids can have serious risks, including overdose and addiction, and they are not appropriate for everyone. An overdose can be fatal, and long-term use can increase the risk of addiction and withdrawal. The doctor will describe the risks, possible benefits, and alternatives. Opioids may also cause side effects, including:
Working with the doctor to establish goals and guidelines for safe use is key. An opioid pain agreement consent form may be a good idea before the treatment begins. SteroidsSteroids reduce the activity of the immune system to lower inflammation. They are fast-acting, which makes them useful as an initial treatment before other medications take effect. It is important to note that steroids do not treat all causes of pain, only inflammatory disorders. Doctors prescribe steroids as oral or injected medications. Steroid injections can cause infections, bleeding, skin discoloration, an allergic reaction, and tendon damage. Corticosteroids are best for short-term use, if possible, because they can have a number of side effects. Long-term use of any steroids can cause:
Glucocorticoids are a type of corticosteroids, and they can cause avascular bone necrosis. They can also play a role in the development non-alcohol-related fatty liver disease. InjectionsHyaluronan, or hyaluronic acid, is a fluid that cushions and lubricates the joints. Doctors can inject it to treat osteoarthritis in the knee. Studies, such as research from 2015, have concluded that hyaluronic acid can help manage this condition by reducing pain and improving joint function. However, the effects may only be moderate and short term. AntidepressantsDoctors may prescribe antidepressants to manage chronic pain due to osteoarthritis. Antidepressants can cause side effects, including:
Read more about side effects of antidepressants. The following approaches may help reduce the symptoms of arthritis: ExerciseRegular physical activity may reduce joint stiffness and pain and improve mobility for people with arthritis. A person might try low-impact exercises, such as:
SupplementsAccording to the Arthritis Foundation, some vitamins and supplements can help with arthritis symptoms. Although studies have found mixed results, glucosamine and chondroitin may relieve joint pain and help maintain cartilage structure. Another option is curcumin. This is the active ingredient in turmeric. Its anti-inflammatory properties mimic the effects of ibuprofen, but without the side effects. Read more about the best supplements for arthritis here. Maintaining a moderate weightHaving extra weight can place added stress on weight-bearing joints, such as the knees and hips. For some people who are overweight, losing 1 pound (lb) can relieve of pressure on the knees. This can reduce pain and help improve function and mobility. Heat and coldCold compresses can soothe painful, swollen joints. And adding heat therapy to a morning routine can help loosen the joints and reduce muscle spasms and stiffness. Assistive devicesCrutches, a cane, or a walker can help relieve pressure on the joints, preventing overuse and promoting healing. These can also help improve balance and prevent falls for people with arthritis. Adaptive equipmentUsing dressing aids, grabbers, and other long-handled equipment can reduce straining and help people with limited mobility. Learn more about the best home remedies for arthritis here. Several promising alternative treatments are available for people with arthritis. But limited studies support their effectiveness.
Read more about fish oil for arthritis. While arthritis has no cure, a range of medications and self-care strategies can help manage symptoms and reduce the likelihood of flare-ups. Treating arthritis involves managing pain, maintaining or improving function and mobility, and delaying joint damage. The best approach involves a mix of medications and alternative therapies, including self-care strategies. A healthcare professional will consider the severity of arthritis and a range of factors specific to each person before they recommend a course of action. What is the best painkiller for arthritis?Pain relief medicines. Paracetamol. If you have pain caused by osteoarthritis, a GP may suggest taking paracetamol to begin with. ... . Non-steroidal anti-inflammatory drugs (NSAIDs) ... . Opioids. ... . Capsaicin cream. ... . Steroid injections.. Does Tylenol reduce arthritis inflammation?Acetaminophen isn't meant to treat inflammation. These drugs treat various aches (headache, muscle ache and toothache) and reduce fever, but they aren't anti-inflammatory. Acetaminophen pain relievers also can damage your liver if they are overused.
What are three of the newest drugs for arthritis pain?These include anakinra and canakinumab, which block IL-1, another immune system protein involved in inflammation. IL-17 inhibitors and IL-12/23 inhibitors. These drugs are useful in the treatment of psoriatic arthritis and ankylosing spondylitis. They include secukinumab, ixekizumab, and ustekinumab.
What do most doctors prescribe for arthritis?Commonly used arthritis medications include:. NSAIDs . Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation. ... . Counterirritants. ... . Steroids. ... . Disease-modifying antirheumatic drugs (DMARDs).. |
Which is better for arthritis pain tylenol or ibuprofen
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