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TYLENOL ISN’T AN EFFECTIVE TREATMENT FOR ARTHRITIS PAIN

May 14, 2016
6687 views

If you have arthritis pain and reach for a Tylenol for relief, you may be doing
yourself a disservice.

According to a recent study, Tylenol is only a little bit better than a placebo
for treating arthritis pain in the hip or knee. It also doesn’t do much to
improve joint function.

The study, conducted by researchers in Switzerland, found that nonsteroidal
anti-inflammatory drugs (NSAIDs), such as Advil or Motrin, are better for
temporarily relief of osteoarthritis pain.

Researchers reviewed more than 70 clinical trials that took place over a 35-year
period and involved 58,000 patients. They examined how well different doses of
acetaminophen, the class of drug to which Tylenol belongs, worked to relieve
arthritis pain compared to seven different NSAIDs. They found that diclofenac, a
type of NSAID that treats pain, migraine and arthritis, was the most effective
drug for osteoarthritis pain. However, patients should use diclofenac and other
NSAIDs with caution because these pain relievers may increase the risk for heart
attack or stroke.

Osteoarthritis, which affects 27 million people every year, is a chronic
condition that breaks down cartilage and causes joint inflammation, making it
difficult for a person to walk or perform routine activity. The condition can
affect any joint, but typically occurs in the knees, hips, neck and lower back.
Osteoarthritis also is referred to as degenerative joint disease, which is
fitting because the disease is most common among people over the age of 65.
According to the Arthritis Foundation, about 50 percent of adults will develop
osteoarthritis in their knee at some point in their lives, while 25 percent will
develop symptoms in their hips by the time they are 85.

Common symptoms include pain, stiffness and swelling, which is why many people
seek over-the-counter medications to manage the condition. But as the study
suggests, Tylenol isn’t the best option. Acetaminophen isn’t meant to treat
inflammation. These drugs treat various aches (headache, muscle ache and
toothache) and reduce fever, but they aren’t anti-inflammatory. Acetaminophen
pain relievers also can damage your liver if they are overused.

The makers of Tylenol disagreed with the study’s findings, saying that more than
150 studies have shown that it is effective for treating pain. Still,
researchers are urging patients to use NSAIDs to better control osteoarthritis
pain and to reduce the dependence on acetaminophen for pain relief. They said
even powerful narcotics like Vicodin and Percocet aren’t as effective in
treating osteoarthritis pain as NSAIDs like ibuprofen. However, NSAIDs do come
with certain side effects, such as stomach issues and potential heart problems
or kidney damage with overuse.

If you have mild pain, these over-the-counter medications may be effective for
providing short-term relief. However, if your pain is severe and constant, it
may be time to see a doctor and get specialized treatment. Physical and
occupational therapy to strengthen your joint muscles may be effective, and
reduce stress that can worsen joint inflammation. Limited yoga may be helpful to
improve movement, but precautions must be taken to avoid putting joints in
extreme positions. For severe cases, cortisone injections, bone realignment or
joint replacement may be the best options, but consult your doctor first to find
out what the best treatment is for your particular case. Pain relievers are a
temporary stopgap and you shouldn’t have to live in constant pain. If
osteoarthritis is affecting your quality of life, don’t hesitate to get help.





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