Recent Posts
Topic: RE: my first post ,, sorry wrong
nathsmommy: I bet you mean osteoarthritis rather than osteoporosis. Osteoporosis is something totally different. It is due to loss of calcium from bones. It is a "silent disease" meaning that there is absolutely no pain until you break your bones.
Osteoarthritis (also called degenerative joint disease) more commonly would cause back and knee pains. There are numerous therapies available to include systemic and topical medications, exercise, cortisone injections, hyaluronic acid injections (the "chicken" shots noted above) as well. The best person to treat it nonsurgically would be a rheumatologist of which there are many in the Baltimore area. Just ask your doctor for a referral. (An orthopedist is best when you actually need surgery done, so it is best to start with a rheumatologist).
Good luck!
Osteoarthritis (also called degenerative joint disease) more commonly would cause back and knee pains. There are numerous therapies available to include systemic and topical medications, exercise, cortisone injections, hyaluronic acid injections (the "chicken" shots noted above) as well. The best person to treat it nonsurgically would be a rheumatologist of which there are many in the Baltimore area. Just ask your doctor for a referral. (An orthopedist is best when you actually need surgery done, so it is best to start with a rheumatologist).
Good luck!
Don
Topic: RE: my first post ,, sorry wrong
Highest weight 406, Surgery weight 350
I have had osteoathritis for years, basically the joints are worn out.
I have had cortisone shots, "chicken" shots and pain medications. None of which have done much good.
For my knees and shoulders the doctor said I should have joint replacements, which I guess I am going to start with my shoulder in November and see if that works, if it does, I guess it is on to the knees.
I have had cortisone shots, "chicken" shots and pain medications. None of which have done much good.
For my knees and shoulders the doctor said I should have joint replacements, which I guess I am going to start with my shoulder in November and see if that works, if it does, I guess it is on to the knees.
Highest weight 406, Surgery weight 350
Topic: RE: have you ever heardo f????
nath: Ask your doctor for the correct spelling, this word sounds like a morph of several different arthritis words. Could it be perhaps, osteoarthritis or osteoarthrosis?
Don
Topic: my first post ,, sorry wrong
my first post was wrong when i ask about arthorosis that is not at all what meant lol.i have osteoporosis? in my back neck and knee what do they do for it? i have had injections in my knee ,,didnt help at all .thanks for your help everyone :)
Topic: RE: How Much Has WLS helped w Joint and Back Pain
Hi I totally understand your situation. My orthopedic /neurosurgeon recommends weight loss surgery before a final decision on serious back surgery for spondylolesthesis and spinal stenosis. The surgery I have chosen is new, incisionless, same day but there may be a problem with nsaids, so it is being delayed. Probably need to see a pain management doc to see if there is something that works other than a whole lot of Ibuprofen. Arthotec works but seems to have some allergic reactions with me. It does help with the pain, however. It is a vicious circle. Pain prevents you from being active and you need to be active to help with weight loss.. Your rambling makes perfect sense for anyone with similar problems.
Topic: have you ever heardo f????
arthritirosis? i have it in my knee and back is there any cure ? i had injections in my knees ,but they didnt work thank you all
Topic: RE: Barrett's Esophagus
bankokbob: A particular type of gastric polyp called "fundic gland polyps" have been associated with proton pump inhibitors such as Prilosec and Nexium. To my knowledge, I am not aware of their being seen more commonly with one type of PPI vs another type, so taking Nexium vs Prilosec probably wouldn't matter.
I'm just wondering why you haven't considered RNY. It practically eradicates GERD in patients who get it done as per my surgeon (I had severed GERD and hiatal hernia, and now it is gone!) If you get rid of the GERD, you markedly decrease the risk of your Barrett's progressing to esophageal cancer. I'd probably go for RNY instead of vertical sleeve gastrectomy if I were in your shoes.
I'm just wondering why you haven't considered RNY. It practically eradicates GERD in patients who get it done as per my surgeon (I had severed GERD and hiatal hernia, and now it is gone!) If you get rid of the GERD, you markedly decrease the risk of your Barrett's progressing to esophageal cancer. I'd probably go for RNY instead of vertical sleeve gastrectomy if I were in your shoes.
Don
Topic: RE: RA questions
Stacey:
The main problem with RA and WLS are that the meds required to treat RA (steroids, immunosuppressants) is that they will increase the risk of postoperative complications such as infection and healing. However, major surgeries are done all the time on RA patients (while appropriately holding their meds around the time of surgery), and the majority do have good outcomes. If you understand that you would have this increased potential for postoperative complications and are willing to accept those risks, you can improve your chances of getting the surgery done by approaching an excellent WLS surgeon who will do it laparoscopically, and point blank let him or her know at the onset that you realize your potential for complications will be increased, but that you are willing to accept those risks if the surgery is your only option left to lose weight and therefore improve your other comorbid conditions.
Good luck.
The main problem with RA and WLS are that the meds required to treat RA (steroids, immunosuppressants) is that they will increase the risk of postoperative complications such as infection and healing. However, major surgeries are done all the time on RA patients (while appropriately holding their meds around the time of surgery), and the majority do have good outcomes. If you understand that you would have this increased potential for postoperative complications and are willing to accept those risks, you can improve your chances of getting the surgery done by approaching an excellent WLS surgeon who will do it laparoscopically, and point blank let him or her know at the onset that you realize your potential for complications will be increased, but that you are willing to accept those risks if the surgery is your only option left to lose weight and therefore improve your other comorbid conditions.
Good luck.
Don
Topic: RE: RA after RNY X-post
Amy: Sorry to hear about your troubles. One little correction, RA is actually not due to a suppressed immune system. It is actually just the opposite. The immune system is actually over-active, attacking the joints.
Immunosuppressant therapy is required to control true RA. The drug of choice is methotrexate. If methotrexate can't be used (such as if you are wanting to get pregnant) then another med such as sulfasalazine should be used. If these meds don't control it, then the drugs of choice are TNF inhibitors such as Humira, Enbrel, and Remicade.
Prednisone is often used as "bridge therapy" where it is used in small doses initially while waiting for methotrexate or TNF inhibitors get the disease under control.
Good luck!
Immunosuppressant therapy is required to control true RA. The drug of choice is methotrexate. If methotrexate can't be used (such as if you are wanting to get pregnant) then another med such as sulfasalazine should be used. If these meds don't control it, then the drugs of choice are TNF inhibitors such as Humira, Enbrel, and Remicade.
Prednisone is often used as "bridge therapy" where it is used in small doses initially while waiting for methotrexate or TNF inhibitors get the disease under control.
Good luck!
Don
Topic: RE: RA questions
Was anyone diagnosed with "RA" BEFORE their WLS surgery? I can't find a DR. that will give me WLS since I have RA. HELP???
Most Active
Recent Topics
