1 / 8

Dr Pete Rose

Dr Pete Rose . Medical Therapy. Medical Therapy. Supplements Over-the-counter medicines Prescription medicines Injection therapy. Supplements. Little scientific evidence for/against products Not subject to FDA regulations

hayley
Download Presentation

Dr Pete Rose

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Dr Pete Rose Medical Therapy

  2. Medical Therapy • Supplements • Over-the-counter medicines • Prescription medicines • Injection therapy

  3. Supplements • Little scientific evidence for/against products • Not subject to FDA regulations • Reasonable evidence for glucosamine / chondroitin helping with arthritic symptoms • No evidence for other compounds

  4. OTC Medicines • Tylenol • NSAIDs – Ibuprofen (Advil) and Naprosyn (Aleve) • Equally effective in all major studies • Quite safe when taken with supervision • Stomach ulcers • Kidney trouble

  5. Prescription Medicines • Prescription NSAIDs • Celebrex, Mobic, etc • No better than ibuprofen or naprosyn in comparable doses • Benefits for select patients • Primary benefit is convenience • Cardiovascular risks unknown

  6. Prescription Medicines - Opiates • Synthetic derivatives of morphine • Effective • But… tolerance building and habit forming • Frequent depression and side effects • Used very selectively and carefully under specialty supervision

  7. Physical Therapy • Important aspect of joint care in SS • Particularly important before and after any surgery

  8. Injection Therapy • Injection of cortisone or hyaluronic acid derivatives • Effective in ~2/3rds patients • Effect often fades • Safe for up to 3-4 times/year

More Related