I work for a marketing company that is working with the Arthritis Foundation and the Ad council to make people with Osteoarthritis more aware that staying active is the best way to prevent/treat OA associated joint pain. Moving is the best medicine!
There is a great site here with some very entertaining and informative PSAs: Fightarthritispain.org
I have so much pain with one leg, I did not realize ****il films of both) how bad they both are. I had been very active up until seven years ago, so with the added weight, the pain, I have actually cried a couple of times before heading out to exercise. I push myself to swim & walk, only to feel so debilitated after, I can barely take the pain just sitting.
Instinctively I know I have to keep moving, but I disagree it gives 100% results - just the opposite.
Brenda : )~
Have you tried the Lidoderm pain patches? Very good for localized pain. I also use a cream called keprocaine.
Nope, RNY, for a number of reasons, I actually do need to limit absorption. I have chronic constipation and my body holds onto EVERYTHING until completely used up. I am looking forward to "voiding solid waste" more than once every OTHER day (sometimes three days without elimination). Sounds blunt, but I have done a lot of research - I have a lot of medical factors against me, including too much iron in my blood.
I have tried Lidoderm, nitroglycerin (for improved blood flow to affected area), Keprocaine, ketoprofen, currently Volatren... My "****tail" of 800 mg IB with THREE Extra Strength Tylenol chasers, Oxycodone (my FAVORITE), Tramadol, Nabumetone, I know I am forgetting a few, but you get the idea ;)
The two latest Tramadol & Nabumetone is my attempt to find some relief without going the "hardcore" route. Oxycodone is fabulous for me -- actually like "speed", but I want to keep away from true Opiates -- hence Tramadol. The pain is incredible, but until I lose a significant amount of weight, I am trying to find something to make movement tolerable. I also take Chondroitan, MSM, and Glucosamine. I probably have the most expensive pee of any of my friends, but I am willing to take anything to make my situation better -- well, actually, NOT anything - I won't use illicit drugs or alcohol to bring relief ;)
I have had an Upper GI to make sure there is no damage from the YEARS of NSAID use, and I don't even have a hiatil hernia. When I busted up my leg, I had it casted twice, given lifts for my shoes, outfitted myself with superior foot ware, but I have gotten fatter & the pain grows worse. I have seen four specialists, the prognosis - 95% FAILURE rate for surgery. This, even IF I lost all my weight. But, I keep trying to move forward.
There are days all I want to do is cry. I feel like giving up some moments, just to pick myself up, dust myself off, and tell myself to be a "big girl". My primary doctor says she doesn't know how I do it, I just laugh -- "I take pain well!" Both times I was in labor, I had nurses tell me I couldn't be -- until I was examined -- showing I was dilated to 6 cm!!! After seven years of constant pain, I am just feeling tired of the battle.
Thanks for the reply!!! Yup, I have tried a lot. Guess I am stubborn :)~
Brenda : )~
I am SO sorry you're in such pain. I have a lot of chronic pain myself, but not as bad as yours. I will say that losing weight certainly HELPED, but I still take double the 'recommended' dose of NSAIDs and Tramadol every day. (Double NSAIDs, not Tramadol.) The first 75-80 pounds did the most good, but every pound since has helped, too. I'm still putting off hacing both my knees replaced---they tell me the longer I can hold out the better, since the replacement knees have a limited lifespan and I'm only 52. At this point, my feet are really giving me more pain than my knees, and there's nothing they can do about that.
I turn 43 next month, so I feel as you do, need to take the weight down significantly, to relieve some of the pain. I realize that even having my body under compression all my life may have strengthened my bones & muscles, but the joints really aren't built to carry this much weight. Too bad I did not get serious sooner.
HUGS to you MsBatt! I am sorry about your constant pain, too. Sucks, and no one can see it with the naked eye, so I just try to grin & bear it. Sadly, it is the one co-morbidity that cannot be denied that is substantially caused by the weight alone. Diabetes and high blood pressure (etc.) can happen to average, "normal" weight folks, but it is seriously a matter of time when joints eventually wear out. I spent DECADES with my head in the sand -- I had been "healthy," strong, and fat. Time showed my arrogance. Hindsight is a powerful thing. Optimism is also powerful...
B : )~
Lowering the absorption does make the body less efficient, and the DS does that more than the RNY does. Most DSers have 2 BMs a day---but most of us have them first thing in the AM, so it's not like we're on the toilet all day. (*grin*)
No one really knows exactly how much malabsorption of protein and complex carbs there is with any form of WLS, and I'm not certain there's an accurate way to test it. The fat per centages I mentioned were pretty easy to do, with a fecal fat test. (This is sometimes done on 'normal' people for various reasons.) It's estimated that DSers only absorb about half the protein and about 60% of the complex carbs we eat, but the RNYers seem to absorb more than we do, having less bypassed. The protein 'goals' DSers shoot for are 100 grams a day, minimum, while the RNYers shoot for 60 grams. A 'normal' healthy women should get about 50-60 grams, so---I take that to mean that the RNYers are absorbing nearly all the protein they eat, or at least their doctors think so. (*grin*)
Sometimes my pain IS visible to the naked eye---or it should be, when I'm hobbling across the parking lot. (*grin*) Sometimes I can walk normally, but sometimes I look like Chester from Gunsmoke.
Hang onto the optimism! And seriously, do come visit the DS board, and www.dsfacts.com
You may still decide the RNY is best for you, but make certain you know ALL the facts about both it and the DS before you go under the knife. There's a ****load (pun intended) of misinformation out there about the DS, and sadly a lot of it comes from medical 'professionals' who simply don't know the facts. Even more sadly, some of it comes from WL surgeons who don't have the skills to do the DS, or the inclination to learn.
I will say that the DS is NOT for everyone. It DOES require life-long diligence in taking vitamins and supplements, and getting regular lab work. (Of course, the RNY does, too, but it'll take you longer to die from neglect with the RNY. *grin*) And since it's less well-known, each of us has to be our own health-care advocate---but it sounds to me like you'd be ideal DS material.