4

votes

Alternatives to NSAIDS?

Answered on September 12, 2014
Created August 22, 2011 at 1:19 PM

After years of prescription and OTC NSAID use, I gave them up about 8 months ago when I changed my diet to Paleo (with some high fat dairy.) Correcting a Vitamin D deficiency and beginning to take Naturethroid diminished a lot of my pain. I was hit by a car, years ago, and have some spinal, knee and shoulder issues. However, now I'm feeling better, I'm lifting and doing a lot of walking and some nights it seems impossible to sleep because of the pain.

Any suggestions for alternatives?

69a2a5deb24d5b8d3aae3d9652fac564

(1020)

on August 28, 2011
at 08:18 PM

I'm glad you found a good chiro! Now hold on to him! And I'm even more glad to here you're making progress with your pain. I think that many folks in conventional medicine see chiropractic as quackery, but there are many who don't. Just as in conventional medicine, there are good and bad practitioners. In my case, it was an orthopedic MD, who referred me to HIS Chiropractor. So, I felt pretty confident. Good luck to you!

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 28, 2011
at 02:41 PM

@Japsican I finally found a brilliant chiropractor and he has been immensely helpful. I've gotten much stronger since I started weightlifting and my back has much improved but not so much the knees. (I'm in my 50's and the hardware in one of them may have something to do with it.)I been trying get a deep tissue massage once a month and I have developed a close and painful relationship with my foam roller and lacrosse ball. No MTPT practitioners in my area. @Terry I get b/w done next month but I may move it up if this persists.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on August 27, 2011
at 02:21 PM

Plus one.......

0dbd7154d909b97fe774d1655754f195

(16131)

on August 27, 2011
at 01:00 AM

Meredith Harbour Yetter - search for that. Or use the link in my profile on Paleohacks - just click my name and the link is there. (GOODY We would love for you to chat with us! We are like 50 strong!!!)

149af6e19a06675614dfbb6838a7d7c0

(3202)

on August 26, 2011
at 11:25 PM

Meredith, how do I find you on Facebook. Once I am there I promise to get smarter with my computer tech.

0dbd7154d909b97fe774d1655754f195

(16131)

on August 26, 2011
at 03:13 PM

Oh, FB is Facebook - my link is in my profile.

0dbd7154d909b97fe774d1655754f195

(16131)

on August 26, 2011
at 02:52 PM

It's just a bunch of folks (hackers and other online personalities like Mat Lalonde and Miss. Stumptuous) talking paleo, health, politics, gossip, reading books together. Just more "discussy."

149af6e19a06675614dfbb6838a7d7c0

(3202)

on August 25, 2011
at 09:05 PM

Looked at the product. it looks ok...I will see if it has been tested by Consumer Labs. I would add black pepper at the same time you take these. The peperine in black pepper willl bump up the effectiveness. Problem is, these are so expensive. Curry powder is so inexpensive. 4 cups a day and you will do more to help inflam than these expensive pills. + it is one more way to get some heavu cream. What is your FB discussion group?

0dbd7154d909b97fe774d1655754f195

(16131)

on August 25, 2011
at 04:10 AM

I take Turmeric myself - I have been considering Zyflamend for my aches - are you familiar with this at all? http://www.newchapter.com/zyflamend/zyflamend#supplement-facts PS having you are part of our little FB discussion group would be fascinating - for US!

07ca188c8dac3a17f629dd87198d2098

(7970)

on August 22, 2011
at 08:10 PM

A low dose is the only dose I've found in the supplements I've been able to buy - it seems fairly standard - one pill of 525 mg. I might try lowering the dose and see if it's as effective, but I'd sure hate to have my pain come back in full force.

7dc950fc76a046048e683d2a27dced37

on August 22, 2011
at 06:46 PM

Thanks! I haven't done my BBS workout since I've been back, but like you, definitely noticed that the workout helped.

32123f4f25bdf6a7b70c9c2a719386ed

(396)

on August 22, 2011
at 05:04 PM

Have you been optimised on the naturthroid? Have you had levels of free T4 and T3 as well as reverse T3 checked. Pain is my first clue that I need an adjustment in medication.

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:22 PM

Enjoyed your tweets from AHS! I have to go back and listen to that podcast again to check the dosage. I take DLPA most mornings. I had sciatica first in one leg and then the other for the last 3-4 years. I swear by deadlifting! Probably not recommended treatment but it was the only thing that worked. Good luck!

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:21 PM

Enjoyed your tweets from AHS! I have to go back and listen to that podcast again to check the dosage. I take DLPA most mornings. I had sciatica first in one leg and then the other for the last 3-4 years. I swear my deadlifting! Probably not recommended treatment but it was the only thing that worked. Good luck!

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:14 PM

What is a low dose? I have absolutely no problems with the placebo effect :)

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:12 PM

Should have mentioned it. I do take some fish oil though mostly I've eliminated omega 6's by not eating vegetable oil or nuts. And I have taken curcumin daily for 6 months but didn't notice a difference.

8e75344356f4a455185ee52da0b90bf2

on August 22, 2011
at 01:48 PM

This. I have shredded minisci in both knees and osteoarthritis. I wanted to drop ALL the drugs when I went Paleo 4 years ago. I have been searching for alternatives but when the pain is so severe that I can't walk w/out my cane or sleep then I've had to turn back to the ibuprofen. :(

E7a462d6e99fec7e8f0ddda11b34a770

(1638)

on August 22, 2011
at 01:32 PM

Probably should add that my pain is chronic like yours, but comes from pretty severe osteoarthritis in fingers and knees, some less in feet, elbows, mid-spine.

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14 Answers

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4
69a2a5deb24d5b8d3aae3d9652fac564

(1020)

on August 22, 2011
at 04:13 PM

RICE: Rest, Ice, Compression, Elevation for acute inflammation. It's the first intervention one should perform for any type of pain before moving to meds or supplements.

For chronic pain, warm compress and ROM exercises. Strenghten all associated accessory muscles invovled in the injured sight. If it's your lower back, then core strengthening and ROM is a MUST. For lower back muscluar pain, tighten your abdominal muscles as if you're about to get punched in the stomach. This can relieve some of the pain in the area.

I agree with Vitamin D repleteness.

Another thought is some Miofascial Trigger Point Therapy. Different from acupuncture, it's a dry needling technique that seems to have quite a bunch of evidence-based research supporting it. There's a handful of practitioners on Wolf's Paleo Physician's Network. I will say this, there's a few PTs at my hospital that are certified in this therapy, and they've had lots of success with it.

Depending on how you feel about Chiropractors, that might be a good option. I'd find one that is steeped in science, perhaps a paleo-friendly DC. A good chiropractor is worth his weight in gold.

32123f4f25bdf6a7b70c9c2a719386ed

(396)

on August 22, 2011
at 05:04 PM

Have you been optimised on the naturthroid? Have you had levels of free T4 and T3 as well as reverse T3 checked. Pain is my first clue that I need an adjustment in medication.

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 28, 2011
at 02:41 PM

@Japsican I finally found a brilliant chiropractor and he has been immensely helpful. I've gotten much stronger since I started weightlifting and my back has much improved but not so much the knees. (I'm in my 50's and the hardware in one of them may have something to do with it.)I been trying get a deep tissue massage once a month and I have developed a close and painful relationship with my foam roller and lacrosse ball. No MTPT practitioners in my area. @Terry I get b/w done next month but I may move it up if this persists.

69a2a5deb24d5b8d3aae3d9652fac564

(1020)

on August 28, 2011
at 08:18 PM

I'm glad you found a good chiro! Now hold on to him! And I'm even more glad to here you're making progress with your pain. I think that many folks in conventional medicine see chiropractic as quackery, but there are many who don't. Just as in conventional medicine, there are good and bad practitioners. In my case, it was an orthopedic MD, who referred me to HIS Chiropractor. So, I felt pretty confident. Good luck to you!

5
149af6e19a06675614dfbb6838a7d7c0

on August 24, 2011
at 05:20 PM

Turmeric (include Peperine from black pepper, makes it much stronger) Turmeric is a Cox 2 inhibiter] like Vioxx and Celebrex without the downside. You can't take too much. Forget the pills. I haven't found a black peppper Turmeric combo. Just make a tea. Tea- 1 tsp to 1 TBL spoon of turmeric, or better use a currey blend. They contain black pepper and Ginger (also a Cox 2 inhibiter). Stir in hot water or tea, add heavy cream. This tastes like a creamy currey soup. Add pinch of sea salt. It is not rocket science, don't worry about the dose or mix just get it in.

Now experiment with other blends for taste. Do 2 or 3 or 4 cups per day depending on how much pain relief you need.

I second the white willow. The original aspirin without the gastric upset.

Lobelia tincture, Kava and Valerian for relaxation. Get Gaia or Herb Farm from Whole Foods on the web. They are strong. Take melatonin with camomile, passion flower, hops, magnesium, valerian, lobelia (small dose of this, it is called puke weed...start with 3-4 drops of tincture for lobelia to find your dose) ...come to California, see a medical marijuana doc, get a card and take hoe a supply of stash to help with your pain. If you fly, get it in lollipops or jolly ranchers ...sorry about the sugar.

149af6e19a06675614dfbb6838a7d7c0

(3202)

on August 25, 2011
at 09:05 PM

Looked at the product. it looks ok...I will see if it has been tested by Consumer Labs. I would add black pepper at the same time you take these. The peperine in black pepper willl bump up the effectiveness. Problem is, these are so expensive. Curry powder is so inexpensive. 4 cups a day and you will do more to help inflam than these expensive pills. + it is one more way to get some heavu cream. What is your FB discussion group?

0dbd7154d909b97fe774d1655754f195

(16131)

on August 25, 2011
at 04:10 AM

I take Turmeric myself - I have been considering Zyflamend for my aches - are you familiar with this at all? http://www.newchapter.com/zyflamend/zyflamend#supplement-facts PS having you are part of our little FB discussion group would be fascinating - for US!

0dbd7154d909b97fe774d1655754f195

(16131)

on August 26, 2011
at 02:52 PM

It's just a bunch of folks (hackers and other online personalities like Mat Lalonde and Miss. Stumptuous) talking paleo, health, politics, gossip, reading books together. Just more "discussy."

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on August 27, 2011
at 02:21 PM

Plus one.......

149af6e19a06675614dfbb6838a7d7c0

(3202)

on August 26, 2011
at 11:25 PM

Meredith, how do I find you on Facebook. Once I am there I promise to get smarter with my computer tech.

0dbd7154d909b97fe774d1655754f195

(16131)

on August 26, 2011
at 03:13 PM

Oh, FB is Facebook - my link is in my profile.

0dbd7154d909b97fe774d1655754f195

(16131)

on August 27, 2011
at 01:00 AM

Meredith Harbour Yetter - search for that. Or use the link in my profile on Paleohacks - just click my name and the link is there. (GOODY We would love for you to chat with us! We are like 50 strong!!!)

2
77877f762c40637911396daa19b53094

(78467)

on September 01, 2011
at 09:55 AM

DHA/EPA, at least 2g per day (usually 1 tablespoon of high grade fish oil). Its Cox-1/Cox-2 inhibitor. You may want to supplement such big amounts of PUFA with mixed tocopherols (for instance 200 IU)

Magnesium

Vitamin C 2-4g per day might be helpful in your case.

2
E7a462d6e99fec7e8f0ddda11b34a770

(1638)

on August 22, 2011
at 01:30 PM

I'm looking for some myself, but have had some luck w/fish oil and turmeric.

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:12 PM

Should have mentioned it. I do take some fish oil though mostly I've eliminated omega 6's by not eating vegetable oil or nuts. And I have taken curcumin daily for 6 months but didn't notice a difference.

8e75344356f4a455185ee52da0b90bf2

on August 22, 2011
at 01:48 PM

This. I have shredded minisci in both knees and osteoarthritis. I wanted to drop ALL the drugs when I went Paleo 4 years ago. I have been searching for alternatives but when the pain is so severe that I can't walk w/out my cane or sleep then I've had to turn back to the ibuprofen. :(

E7a462d6e99fec7e8f0ddda11b34a770

(1638)

on August 22, 2011
at 01:32 PM

Probably should add that my pain is chronic like yours, but comes from pretty severe osteoarthritis in fingers and knees, some less in feet, elbows, mid-spine.

1
86a7abe4a54c4dc15ea44bacef00c5a8

on August 24, 2011
at 03:09 AM

I agree with Turmeric for inflammation. Over time, it can lower CRP levels as well. For acute pain, you could try white willow bark and/or herbaprofen, a tincture with a combination of herbs. When my husband has back pain or sciatic pain, the herbaprofen helps more than Lortab. For me, the herbaprofen is especially helpful for joint and muscle pain. Kava Kava can also help your muscles relax in order to sleep better.

You might also look into working with a cranial-sacral specialist. Some PT's and Massage therapists are trained in it.

1
C56baa1b4f39839c018180bf63226f7d

on August 22, 2011
at 05:54 PM

Dr. Eades swears by krill oil, as being eve better for inflammation than fish oil. Both are high in O3s, but krill oil capsules can cause fewer "fish burps" -- in fact, it's a good metric as to whether you're getting the real stuff rather than fish oil that's been mislabeled as krill. There's only one company out there doing any real krill harvest for oil, Neptune, so you will often see supplement bottles labeled Neptune Krill Oil or NKO.

1
07ca188c8dac3a17f629dd87198d2098

(7970)

on August 22, 2011
at 01:52 PM

I've found a lot of success with Devil's Claw. I've got chronic back pain that's lessened considerably by taking a low dose of Devil's Claw 3x/day.

It might be placebo, but I went for a week without it over the summer and my pain came back up quite noticeably.

07ca188c8dac3a17f629dd87198d2098

(7970)

on August 22, 2011
at 08:10 PM

A low dose is the only dose I've found in the supplements I've been able to buy - it seems fairly standard - one pill of 525 mg. I might try lowering the dose and see if it's as effective, but I'd sure hate to have my pain come back in full force.

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:14 PM

What is a low dose? I have absolutely no problems with the placebo effect :)

0
8c2d9e2db306fbe72d857fcea4ee8778

on August 27, 2011
at 04:24 AM

I am in your shoes; I empathize.

There are no good options, but you might wish to play around with

1) acetaminophen 2) tramadol (highly addictive, be forewarned) 3) An SSRI or an SNRI (SNRIs are probably better for pain but notoriously difficult to get off of; of the SSRIs, fluoxetine is easiest to quit) 4) Gabapentin or Pregabalin 5) MSM 6) hyaluronan injections 7) surgery 8) cortisone injections 9) facet joint nerve ablations

0
86a7abe4a54c4dc15ea44bacef00c5a8

on August 24, 2011
at 03:30 AM

I agree with Turmeric for inflammation. Over time, it can lower CRP levels as well. For acute pain, you could try white willow bark and/or herbaprofen, a tincture with a combination of herbs. When my husband has back pain or sciatic pain, the herbaprofen helps more than Lortab. For me, the herbaprofen is especially helpful for joint and muscle pain.

You might also look into working with a cranial-sacral specialist. Some PT's and Massage therapists are trained in it.

0
8949bf87b0e0aefcad10f29975e4fa2b

(8989)

on August 23, 2011
at 04:47 PM

Try some ginger and/or holy basil.

0
Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on August 22, 2011
at 03:08 PM

In my experience I use RX grade omega three's to replace NSAIDs. I just tweeted a big story in Gastroenterology that came out about NSAIDs......looks likethey are the major cause of diverticulitis now.....big news.

0
77877f762c40637911396daa19b53094

(78467)

on August 22, 2011
at 02:14 PM

Look around Dr. Ayers' site: http://coolinginflammation.blogspot.com/

He recommends (and explains why it works) using topical applications of caster oil or Vicks Vapor Rub for joint, skeletal pain. It works for me but I was never hit by a car!

0
7dc950fc76a046048e683d2a27dced37

on August 22, 2011
at 02:13 PM

Robb Wolf suggested DLPA for chronic pain on one of his recent podcasts (around the 56:00 mark). I've been trying this and fish oil for sciatica that flared up big time after AHS; no major relief yet, but I'm keeping my fingers crossed!

Update, 8/26: Another option to help resolve inflammation is proteolytic enzymes. I'm gonna give them a try; sounds compelling!

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:22 PM

Enjoyed your tweets from AHS! I have to go back and listen to that podcast again to check the dosage. I take DLPA most mornings. I had sciatica first in one leg and then the other for the last 3-4 years. I swear by deadlifting! Probably not recommended treatment but it was the only thing that worked. Good luck!

7dc950fc76a046048e683d2a27dced37

on August 22, 2011
at 06:46 PM

Thanks! I haven't done my BBS workout since I've been back, but like you, definitely noticed that the workout helped.

020053fd576e93d1d8fa20bfb10979b9

(410)

on August 22, 2011
at 03:21 PM

Enjoyed your tweets from AHS! I have to go back and listen to that podcast again to check the dosage. I take DLPA most mornings. I had sciatica first in one leg and then the other for the last 3-4 years. I swear my deadlifting! Probably not recommended treatment but it was the only thing that worked. Good luck!

-1
E1160dbafb2bb434ea5bf1f885501f56

on May 15, 2013
at 02:00 PM

The paleo diet is great and when followed will help control the inflammation. But if you are looking for an NSAID alternative, AminoActiv is the safe alternative.

It is clinically known that NSAID side effects include stomach bleeding and kidney toxicity. Other NSAID side effects include impeding protein synthesis, repair of tendons and ligaments, and bone recalcification. NSAIDs also increase oxidative stress in the body.

Safety and necropsy studies performed at a major university medical center have demonstrated that AminoActiv has no toxic side effects. Its mechanism of action (MOA) does not inhibit cyclooxegenase enzymes ??? so unlike most popular NSAIDs, AminoActiv is not a COX inhibitor.

Also, studies show that AminoActiv delivers the same dose-related anti-inflammation properties as a major NSAID (Ibuprofen). As an effective alternative to Ibuprofen, AminoActiv avoids the Ibuprofen side effects.

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