Anti inflammatory drugs
aka NSAIDs

Pain medication

Keywords: anti inflammatory drugs, chiropractic, anticholinergic side effects, dual antiinflammatory drugs, nsaids, free pain pills, stroke, ankle fracture

In principle chiropractors are not against the use of nsaid drugs. But, they have awesome side effects. Some of these medications such as ibuprofen are available over the counter, others only on prescription, for example celebrex.

Wonder drug vioxx has been removed from your pharmacy shelves because of increased risk of heart attack and stroke, and a host of other serious bowel side effects.

Many of these medications prescribed for pain and inflammation also carry the risk of addiction, which can lead to the need for prescription drug rehab treatment.

Rather, we believe in looking in looking to the cause of the inflammation. There are two important domains that you as a patient can look to. The first is to increase the movement in your joints and muscles. That means exercise, and chiropractic help adjustments of any fixated joints.

Secondly, you can increase the natural anti inflammatory effect of many foods. For example,  change to extra virgin olive oil. It contains a natural nsaid called oleocanthal which also acts like a cox 2 inhibitor.

So too, many plant foods such as sweet basil contain natural anti inflammatory, in this instance the oil eugenol that gives basil its unique aroma. So, in only five minutes, with a bit of practice, you can make pesto, a salad dressing made from olive oil and fresh basil leaves, and decrease the inflammation in your body naturally.

Nsaids are effective for pain relief and to reduce swelling, anti inflammatory. Non steroidal anti inflammatory drugs.

HOT: "The worst pain I've ever experienced."

Former first US lady Barbara Bush was discharged from The Methodist Hospital on Tuesday, a little less than a week after undergoing surgery to repair a perforated ulcer that her husband described as causing "extraordinary agony."

Barbara Bush, eighty-three, was admitted to Methodist Hospital after experiencing pain she characterized as "worse than childbirth." After determining that she had a perforated ulcer, a life-threatening condition if not caught early, doctors performed a three-hour surgery early the next morning to patch a half-inch hole in her intestine.

Mrs Bush was fed intravenously initially, then she started a liquid diet. She will continue that diet at home for another week, her doctors said.

Doctors do not know definitively what caused Bush's perforated ulcer but believe it was the result of a chronic use of non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen. Such painkillers hinder mechanisms that protect the gastrointestinal lining from digestive juices that can cause ulcers.

Mrs. Bush has had two hip replacement surgeries and back surgery and has battled arthritis.

Reardon, who called it an honor to take care of someone in the Bush family, said she is now on antacids and will not resume taking the anti-inflammatory drugs anytime soon!

Perforated ulcers occur when the ulcer burns through the stomach or small intestine, allowing bile and acid to spill into the abdominal cavity, causing a level of pain that Barbara Bush said was the worst she had ever experienced.

How do NSAIDs work?

Medications that work to reduce inflammation come in two major categories:

Steroids (e.g. Cortisone) are a derivative of a natural hormone produced by the body. They have serious side effects and should only be used when all else has been tried.

Non-Steroidal Anti Inflammatory Drugs (NSAIDs) work to block an enzyme called cyclo-oxygenase (COX) that is critical in your body's production of prostaglandins. It is these prostaglandins that cause swelling and pain and, by reducing prostaglandins, NSAIDs help people with arthritis and joint pain.

But, and it's a big BUT, prostaglandins have a very important role to play in controlling the constriction of arteries. For example the arteries supplying the kidneys, the brain, the placenta ...

Prostaglandins also have a vital role in clot formation, and preventing bleeding. Limiting prostaglandins increases the risk of bleeding: haemorrhagic stroke. Particular when taking two or more so-called dual antiinflammatory drugs.

Side effects of Anti inflammatory drugs

Cortisone taken for any length of time has a very deleterious effect on bone strength. Taken for life threatening conditions like asthma it is justified, but for inflammation, other options should be considered.

The problem with NSAIDs is that these Prostaglandins also have other important functions in the body, one of which is to produce the mucus that lines the stomach. Around 12 000 people DIE every year in the USA alone from bleeding ulcers directly caused by NSAIDs which block the formation of that mucus, exposing the gastic lining to he very strong (ph<1) acid in the stomach. Mrs Bush was lucky.

A new generation of Anti inflammatory Drugs such as Celebrex, called COX-2 inhibitors, are believed to have less of an effect on the stomach, however they have had some serious side effects on the heart, and thus are only available on prescription. The do not necessarily give better relief of the pain and stiffness than ordinary NSAIDs.

In general, taking either for of these drugs for any length of time may have very serious side effects. Before you start taking NSAID medications of either type you should talk to your doctor. Be sure to let your doctor know about other medical problems you have, especially hypertension, asthma, kidney, or stomach problems. In addition, let your doctor know about other medications you may be taking, and if you have any known allergies to medications. For example, anti-depressants and NSAIDs have a negative additive effect on your stomach lining.

In chiropractic we rather look for the cause of your pain.

Some NSAIDs have a so-called Anti-cholinergic side effect. They block the transfer of information from one nerve to another causing memory loss, foggy brain, blurred vision ... Read more about ANTICHOLINERGIC SIDE EFFECTS …

How ANTI INFLAMMATORY DRUGS cause heart problems...

NSAIDs increase blood pressure and, by reducing prostaglandins, they reduce the blood flow to your organs. If your arteries are already compromised because you are a smoker, or have high LDL's, the bad cholesterol, then...

Archives of Internal Medicine 2009; 169: 141-149 Medicine's own findings are:

  1. ALL Anti inflammatory drugs are associated with an increased risk for death.
  2. The risk is highest with Vioxx, Celebrex and Voltaren (Diclofenac)...
  3. the risk for hospitalization because of heart attack was highest for Naproxen (Aleve).
  4. Any NSAID use increases the risk of congestive heart failure and heart attack.

Anti inflammatory Drugs should definitely NOT be used if

ALTERNATIVES to anti inflammatory drugs and the iatrogenic illness they cause.

Rather, consider using ice as a topical treatment and eating foodstuffs known for their anti-inflammatory properties. For more about the benefits of olive oil, click here for olive oil benefits.

Think too of our delicious fish soup recipe, chock a block full of proven anti-inflammatory foods like celery, fish oil of course, and olive oil.

It's recommended that we eat fish rich in omega 3 oils at least twice a week. Mackerel, tuna and salmon are the best recognised but all cold water fish are good. A far better alternative to dangerous anti inflammatory drugs.

One popular orthopaedic website states: Nsaids are not bad or unsafe medications. However, like any other medication, you should use caution when taking the medication. You be the judge.

Doctor caused disease, including chiropractic, is a major concern in the world today, with so called iatrogenic disease being the third most prevalent disease, after heart disease and cancer.

According to wikipedia: iatrogenesis is a major phenomenon, and a severe risk to patients. A study carried out in 1981 revealed out that more than one third of illnesses of patients in a university hospital were iatrogenic, nearly one in ten were considered major and, in 2% of the patients, the iatrogenic disorder ended in death.

Complications were most strongly associated with exposure to drugs and medications.

In the United State alone, recorded deaths per year, 2000:

  • 12,000 unnecessary surgery
  • 7,000 medication errors in hospitals
  • 20,000 other errors in hospitals
  • 80,000 nosocomial infections acquired in hospitals
  • 106,000 non error, negative effects of drugs

Based on these figures, 225,000 deaths per year constitutes the third leading cause of death in the United States, after deaths from heart disease and cancer. Read more … from ANTI INFLAMMATORY DRUGS to IATROGENIC ILLNESS ...

"I love fish oils. As a clinician, I use fish oil for a lot of different things, mostly due to its anti-inflammatory properties."

- Dr Lynne Shinto, assistant professor at Oregon Health and Science University.

Why " chicken bones soup" is a must for arthritis sufferers

Research proves that the cartilage in chicken bones inhibits the inflammation of arthritis. Don't throw your chicken bones away. They make the most delicious soup, and they help reduce the pain of arthritis. Win-win. Gelatine powder ... the active ingredient for healing your cartilage.

Toscanini Celery Soup

The maestro was well known for his love of celery soup to calm his nerves before concerts. However, Toscanini Celery soup does much much more. Celery is a powerful anti inflammatory. Delic too.

Tennis Elbow

Anti inflammatory drugs have no place in the treatment of conditions like tennis elbow. Why? Because there is no inflammation. It's a misnomer that all these years we called it lateral epicondylitis. Research shows it should be epicondylosis. There is no inflammation. Read more about tennis elbow.

The way to address it is to stretch and use various techniques such as art on the affected wrist extensors, ice the affected tendons and to correct any subluxations in the lower neck, or first rib, and of the radial head in the elbow.

And of course, rest.

Research just released in the medical journal Stroke, found in a study on 38,000 Taiwanese adults, that there was an increased risk of stroke by a factor of 20 to 260% from taking different anti inflammatory drugs.

This included all nsaids like aspirin and ibuprofen, celebrex, aleve, naproxen and diclofenac. The worst offender was oral toradol.

Said Dr Elliott Antman from Harvard:

The bottom line is that even common over the counter medications are real drugs that do have risks. He noted that people should not continue to take NSAIDs beyond the period of time recommended on the label without talking with their doctor first. It's thought that NSAIDs other than aspirin may contribute to heart problems or stroke for a few reasons, including effects that may make blood clots more likely to form or may create spikes in blood pressure.

Low Back Pain and Anti inflammatory drugs

New 2009 research conducted at the University of Washington, reported in the most prestigious spinal medical journal, Spine, that patients with low back pain are more than twice as likely to become chronically disabled if they first consult a medical doctor, than if they consulted a chiropractor. Read more about chronic low back and leg pain LATERAL DISC HERNIATION …

Warnings from about...
Anti inflammatory Drugs Vioxx

The manufacturer of Vioxx has announced a voluntary withdrawal of the drug from the U.S. and worldwide market. This withdrawal is due to safety concerns of an increased risk of cardiovascular events including

  1. heart attack and
  2. stroke

Notify your doctor immediately if you develop

  • abdominal pain, tenderness, or discomfort;
  • nausea;
  • blood in your vomit;
  • bloody, black, or tarry stools;
  • unexplained weight gain; swelling or water retention;
  • fatigue or lethargy;
  • a skin rash; itching;
  • yellowing of your skin or eyes;
  • "flu-like" symptoms;
  • unusual bruising or bleeding.

These symptoms could be early signs of dangerous side effects like a bleeding ulcer.

Worse... A Vioxx trial demonstrated that it was associated with an increased risk of cardiovascular events, leading to Merck's withdrawal of rofecoxib from the worldwide market in September 2004.

In October 2008, long-term follow-up findings were published; during a 1-year period of post drug observation, increased cardiovascular risk associated with rofecoxib use persisted after stopping treatment. (Archives of Internal Medicine (Dec 2010))

These findings raise concerns about long term risks incurred by individuals who had taken the drug.

Twelve good reasons to avoid long term (and even short term) use of anti-inflammatory drugs.


"Regular use of aspirin, NSAIDs, and acetaminophen can increase the risk of hearing loss."



There are few of us, if you lead an active life, who escape the results of falls, pulled muscles, strained discs, broken bones that might sometimes need Anti Inflammatory Drugs, however use them with caution. They are potentially seriously dangerous, with side effects stretching from gastic bleeds to heart attack and stroke.

Ankle fracture is one condition that may lead to chronic NSAID use. Think rather chiropractic, once the bones have healed. ANKLE FRACTURE ...

Dr Weil's anti-inflammatory programme

1. Eat an anti-inflammatory diet. Focus on foods rich in omega-3 fatty acids, such as cold water, oily fish like salmon and sardines; walnuts; and freshly ground flaxseeds. Spices like ginger and turmeric can also help reduce inflammation.

2. Eat foods rich in antioxidants. Found in fresh vegetables and fruit, antioxidants may help reduce tissue damage from inflammation.

3. Maintain a healthy weight. Losing just a few pounds can alleviate excess mechanical stress on joints.

4. Avoid intense activities that can injure or strain the joint cartilage.

5. Get exercise. Performed at a level that does not stress joints, daily physical activity is the key to maintaining lifelong mobility; it strengthens surrounding muscles that support and protect joints. Swimming, stationary cycling and light weight training are good choices, as are stretching and balance exercises such as yoga and tai chi.

IMPORTANT CONSIDERATIONS @ Anti inflammatory drugs

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Interesting challenges of the day

1. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks she was 75 percent improved; no longer vomiting or falling. She's not enjoying the Brandt Daroff home exercises.

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

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Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

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