Dr Pete Rose

1
Dr Pete Rose

• Medical Therapy

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Medical Therapy

• Supplements
• Over-the-counter medicines
• Prescription medicines
• Injection therapy

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Supplements

• Little scientific evidence for/against products
• Not subject to FDA regulations
• Reasonable evidence for glucosamine / chondroitin
  helping with arthritic symptoms
• No evidence for other compounds

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OTC Medicines

• Tylenol
• NSAIDs Ibuprofen (Advil) and Naprosyn (Aleve)
• Equally effective in all major studies
• Quite safe when taken with supervision
• Stomach ulcers
• Kidney trouble

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Prescription Medicines

• Prescription NSAIDs
• Celebrex, Mobic, etc
• No better than ibuprofen or naprosyn in
  comparable doses
• Benefits for select patients
• Primary benefit is convenience
• Cardiovascular risks unknown

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Prescription Medicines - Opiates

• Synthetic derivatives of morphine
• Effective
• But tolerance building and habit forming
• Frequent depression and side effects
• Used very selectively and carefully under
  specialty supervision

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Physical Therapy

• Important aspect of joint care in SS
• Particularly important before and after any
  surgery

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Injection Therapy

• Injection of cortisone or hyaluronic acid
  derivatives
• Effective in 2/3rds patients
• Effect often fades
• Safe for up to 3-4 times/year