This highlights a disease that is largely preventable by simple weight loss. It is well known that most hypertensives, people with high blood pressure, would have the problem completely cured if they got down to their ideal weight, a BMI in the low 20s in general.
Good old aspirin is just as effective as newer, expensive drugs at preventing blood clots after hip or knee replacement, a new clinical trial suggests.
First some background. Ibuprofen (Advil, Motrin) is a Non-steroidal anti-inflammatory drug. The side effects of these drugs have been estimated to cause over 16,000 DEATHS every year in the United States in a New England Journal of Medicine Study (the world’s leading medical journal). They cause bleeding ulcers that are sometimes fatal, kidney problems, liver problems, reduced sperm count and a litany of other problems.
I avoid nonsteroidal inflammatory drugs (NSAIDs) because they impair healing. Now a new study from a prestigious journal shows that two of the most common, ibuprofen (advil, motrin) and Celexobid (Celebrex)greatly increased the failure rate after surgical rotator cuff repair. Ibuprofen increased it 75% and Celebrex increased it nine-fold!, i.e. more than 900%!!
Topical ice or cold pads are our preferred methods to relieve pain after surgery or after PRP or stem cell injections: but never directly on the skin.
As the accompanying picture shows, when ice is applied directly to the skin a burn can result. This patient injured her knee and applied ice directly to the skin. A mild burn resulted. She then bumped her knee resulting in a superficial skin breakdown. Her skin is healing well but we counsel our patients that ice should always be applied over a cloth.