
Diclofenac is an NSAID (whether as oral Voltaren, generic oral diclofenac, Voltaren gel or Flector patches). For me, the problem with NSAIDs was when I was taking them prophylactically for arthritis pain when glucosamine & chondroitin didn’t seem to work and the COX-2 inhibitor Vioxx was pulled off the market (Bextra and Celebrex didn’t seem to work). COX-2 inhibitors are a form of NSAID that is a bit gentler on the GI tract but still not innocuous. I'd discovered Vioxx during the last years of my perimenopause when I had severe dysmenorrhea and menorrhagea, and it was the only thing that held the cramps at bay until menopause finally occurred. I took Aleve as my painkiller of choice, and pretty much BID regardless of symptoms. Bad idea. Push came to shove after 9 months of taking the “Bonesmart Cocktail” of ibuprofen and acetaminophen on a regular basis after my RTKR--I kept getting rejected for blood donation due to mild anemia, and my FP ordered an upper endoscopy to see if my GERD had morphed into a GI bleed. Instead, the diagnosis was a “small GI lesion of chemical origin:” basically NSAID abuse. I was ordered off oral NSAIDs in April of 2013, and told to use the topical ones sparingly. My last set of blood tests showed no more anemia. So I have developed a healthy respect for NSAIDs. I was told I could take them only when absolutely necessary, and for no longer than necessary. So this episode of bursitis, according to the ortho clinic, counts as “necessary.” As soon as I can go 12 hrs. without full return of symptoms I will discontinue the Aleve and return to either the time-release acetaminophen or icing as needed. I'm lucky--as long as I’ve been on an angiotensin receptor blocker (since 1992), I’ve been normotensive regardless of whether I’ve been taking NSAIDs. Original article and pictures take https://bonesmart.org/forum/threads/pain-under-knee-and-medial-side-six-weeks-out.25667/ site
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