Ask:
Multiple Problems
I have hypothyroidism, hypoparathyroidism, hypocalcemia, kidney disease, bursitis in right shoulder, lower back problems and osteoarthritis in both knees. I see a chiropractor every 2 weeks, and massage therapy every 2 weeks, plus shiatsu once a month. I find all of things is only helps temporarily. My physician forbids me to use anti inflamatory due to the kidney disease. Is there anything I can take to relieve the chronic pain I always have that won't harm the kidneys any further?
Thanks Sandra
Answer:
Multiple Problems
Your physician is right to protect your kidneys from the toxic effects of anti-inflammatory analgesics.
Acetaminophen is a kidney-safe analgetic. It does not have an anti-inflammatory effect, so it will probably not help as much as a true anti-inflammatory would, but it will relieve some of the pain. Check with your physician before starting any new drug. The normal maximum dose of acetaminophen is 1g four times daily, if there are no contraindications.
It's a good thing you are employing various strategies to relieve the pain. Consider adding a regular exercise regimen to strengthen your abdominal and back muscles as well as your thigh muscles to support your lower back and knees. If you are overweight, weight loss is a good way to relieve lower back and knee pain.
If the problem persists, talk to your physician about a referral to a physiatrist and/or a pain specialist - other, more potent medications exist, but these need to be tailored to the individual.