NSAIDs - was: Incapacitating Injury

Discussion in 'General Fitness' started by Wsr, Sep 13, 2003.

  1. Wsr

    Wsr Guest

    X-No-Archive: Yes

    >> If I came to you with this problem would you tell me to just stop running and maybe an NSAID and
    >> nothing else?

    >No! Not at all! That would be cruel. I am not a big believer in
    NSAIDs in
    >the first place. They are great pain pills, and they are
    antiinflammatory in
    >theory in a test tube, but whether they contribute to wound healing
    is still
    >a matter of debate. I would certainly meet your pain needs, but I
    would not
    >necessarily force an NSAID upon you if you were feeling ok or didn't
    >one. And I certainly wouldn't use a wastefully expensive one when
    >generic and very powerful Ibuprofen would do.

    OK, I'd love it if anybody could clarify inflammation theory for me.

    Several times now, for several different things, I have had doctors offer me prescription
    anti-inflammatory meds. Generally, I am resistant, and the conversation usually goes like this:

    Me: will this promote healing, or will it just make me feel better?

    Doc: it reduces inflammation

    Mf: will it reduce the overall time it takes until it is really healed?

    Doc: it reduces inflammation.

    Mg: ok, if it feels better and I go running, am I doing harm? In short, am I masking pain?

    Doc: NSAIDs don't mask pain. They reduce inflammation.

    Mh: can I just take some Ibuprofen instead? (cheaper, and doesn't have "death" listed as a side
    effect on the package insert)

    Doc: the prescription is better

    Mi: why

    Doc: more powerful, longer lasting.

    Mj: I prefer shorter lasting – I'd rather just take something when I max out my pain threshold.
    Short of that, I feel that pain is usually bearable and has the benefit of keeping me from doing
    stupid things (a real likelihood).

    Doc: longer lasting is better. You'd have to take Ibuprofen every 4 hours to get the same effect.

    Mk: and, besides pain management, what is that effect?

    Doc: it reduces inflammation.

    Ml: and why is inflammation bad?

    Doc: it causes pain.

    Mm: does the presence of inflammation or pain change the rate of healing?

    . . . ad nauseam . . .

    (I've also had non-doctors explain to me that there is an escalating cycle between friction /
    irritation and inflammation and pain, such that by reducing the inflammation, friction is reduced,
    and thus no new inflammation is caused from the friction from the inflammation. In short, the
    presence of inflammation causes more inflammation. This makes an iota of sense, and would support
    the healing properties of reducing inflammation, but I'm not sure if it's based in science.)

    - wsr

  2. Bill Rodgers

    Bill Rodgers Guest

    >X-No-Archive: Yes
    >>> If I came to you wit <snip>

    I'm going to get a six pack of Black N Tan to wash down my Vioxx and 4 or 5 Lasix, and enjoy reading
    the rest of this.

    Bill R.