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Old 02-01-2020, 04:58 AM
 
Location: Troy, NY
1,417 posts, read 256,366 times
Reputation: 1052

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Quote:
Originally Posted by reubenray View Post
I was diagnosed with arthritis back in 2007. After dealing with it for 13 years I am checking to see about getting a cortisone shot to see if I can get any relief. I am retired and on Medicare. I try to work out with weights to help, but it does not do much. I am taking Meloxicam and Turmeric, but it does not help much. I usually have to take ibuprofen also. Below are some questions. My doctor has prescribed Tramadol, but I am leary about taking it.

1) What type of doctor would I need to see about getting a cortisone shot?
2) Will Medicare pay for any of this?
3) Will I need a referral from my family doctor?
4) What other options do I have?
5) How much and for how long would I get any relief from a shot?
1 - It depends, PCP, rheumatologists, orthopedic, etc.
2 - They should
3 - Yes/no, depends on your coverage
4 - Rx pain meds, OTC pain meds, chiropractor*, acupuncture* (insurances don't always cover)
5 - Everyone is different, YMMV


From the details I read about both Meloxicam and Tramadol they are prescribed for pain during recovery of surgeries. They may not be right for you. Talk to your doctor(s) about that.

A med like Naproxen may suit you better. It is a nonsteroidal anti-inflammatory drug (NSAID).
I currently take it for arthritis in my shoulder & neck. I've tried cortisone shots for my shoulder. It helped a "little bit". But nothing to write home about. I also did a month of physical therapy. That just wore me out, and aggravated my other shoulder. So I went with Rx pain med route.

The Turmeric is a good idea. You should try adding Ginger. It will help with pain relief, blends well with
Tumeric, and it tastes good.
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Old 02-01-2020, 06:14 AM
 
Location: Elberta, AL
286 posts, read 606,723 times
Reputation: 102
Quote:
Originally Posted by wildflowers27 View Post
My mother has bad arthritis in knees and shoulders and also tendinitis in shoulders that sometimes is almost incapacitating. We went to the local Urgent Care and they gave her a cortisone shot. It significantly knocked out the pain and lasted for months. She could move without pain. Medicare + her supplement paid for it. She did not need a doctor referral; we just walked into Urgent Care. In the past for her knees she has gone to an Orthopedic doctor for a cortisone shot also.

Cortisone is not without risks. The Mayo Clinic site has good information on cortisone shots and what to expect:

https://www.mayoclinic.org/tests-pro...t/pac-20384794

The ThermaCare heat patches available at drugstores might also offer some temporary relief:

https://www.thermacare.com/heat-wraps/neck-pain-therapy
I have used the thermacare heat products a few times. But I have a neck/shoulder wrap that I heat up in the microwave that works much better. But I can't keep it on all the time.

I am doing physical therapy exercises that I was shown how to do when I was first diagnosed.

If nothing else I was thinking that a new x-ray may show something being the only x-ray I have had was back in 2007.
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Old 02-01-2020, 08:40 AM
 
Location: Elberta, AL
286 posts, read 606,723 times
Reputation: 102
Quote:
Originally Posted by Mike555 View Post
I don't know anything about cortisone, but do you, or have you tried doing various shoulder stretches and mobility movements at various times though out the day in order to relieve the pain? It's vital to keep the shoulders loose and mobile.

Some shoulder stretches are shown below.

https://www.medicalnewstoday.com/articles/324647.php

Hanging from a bar is also good for the shoulders. Get a doorway chinning bar and hang from it a few times each day. Do both active hanging and passive hanging. In passive hanging you allow yourself to hang so that your shoulders touch your ears. In active hanging you don't allow yourself to sink down as far as you do in passive hanging.

Passive and Active Hang


https://www.youtube.com/watch?v=tkTNPmy5FK4
I tried this at my neighborhood fitness center. It is not that easy to do. It hurts the hands and elbows, but I will keep at it.
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Old 02-01-2020, 11:44 AM
 
5,238 posts, read 11,432,509 times
Reputation: 12838
Quote:
Originally Posted by reed303 View Post
If your regular doc can't give you the shot, then you may need to see a rheumatologist.

Some reading about them here:
https://www.arthritis-health.com/tre...nt-specialists

https://www.arthritis-health.com/tre...oid-injections
Orthopaedics is where you go if you want a shoulder injection.
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Old 02-01-2020, 12:33 PM
 
Location: Elberta, AL
286 posts, read 606,723 times
Reputation: 102
Quote:
Originally Posted by Hawk4042C View Post
1 - It depends, PCP, rheumatologists, orthopedic, etc.
2 - They should
3 - Yes/no, depends on your coverage
4 - Rx pain meds, OTC pain meds, chiropractor*, acupuncture* (insurances don't always cover)
5 - Everyone is different, YMMV


From the details I read about both Meloxicam and Tramadol they are prescribed for pain during recovery of surgeries. They may not be right for you. Talk to your doctor(s) about that.

A med like Naproxen may suit you better. It is a nonsteroidal anti-inflammatory drug (NSAID).
I currently take it for arthritis in my shoulder & neck. I've tried cortisone shots for my shoulder. It helped a "little bit". But nothing to write home about. I also did a month of physical therapy. That just wore me out, and aggravated my other shoulder. So I went with Rx pain med route.

The Turmeric is a good idea. You should try adding Ginger. It will help with pain relief, blends well with
Tumeric, and it tastes good.
I am researching Ginger and the web is everywhere on how much to take daily.
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Old 02-01-2020, 12:43 PM
 
Location: Haiku
6,682 posts, read 3,293,846 times
Reputation: 9489
Quote:
Originally Posted by reubenray View Post
I was diagnosed with arthritis back in 2007. After dealing with it for 13 years I am checking to see about getting a cortisone shot to see if I can get any relief. I am retired and on Medicare. I try to work out with weights to help, but it does not do much. I am taking Meloxicam and Turmeric, but it does not help much. I usually have to take ibuprofen also. Below are some questions. My doctor has prescribed Tramadol, but I am leary about taking it.

1) What type of doctor would I need to see about getting a cortisone shot?
2) Will Medicare pay for any of this?
3) Will I need a referral from my family doctor?
4) What other options do I have?
5) How much and for how long would I get any relief from a shot?
I have gotten two Cortisone shots in my shoulder. Both were from an Orthopedic surgeon.

I did not need a referral, I just called him up. He did an Xray first and then later an MRI as part of the workup.

I also did some physical therapy which helped a little but not a lot.

The Cortisone shots hurt like hell but worked very well for 6-8 months. Amazingly pain free.

He said I might benefit from surgery but I decided against it. My problem was age, arthritis, some old tears, and sports. I stopped the sports and my shoulder got much better.
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Old 02-01-2020, 02:50 PM
JRR
 
Location: Middle Tennessee
4,199 posts, read 2,512,438 times
Reputation: 6302
My shoulder pain was so bad that it was hard to sleep at night. Went to orthopedic surgeon and we started with four weeks of therapy which did not do much good. Got the cortisone shot the first week of November. To me, it was not painful at all; just a bit of a sting for a few seconds. It worked great; so nice to get a good nights sleep. May have to go back for another one in a month or so, but really happy with the results of the first one.
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Old 02-01-2020, 06:23 PM
 
2,218 posts, read 1,027,617 times
Reputation: 3992
Have you tried lidocaine patches? That's the only thing that helped my dad.
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Old 02-02-2020, 12:35 AM
 
Location: Troy, NY
1,417 posts, read 256,366 times
Reputation: 1052
Quote:
Originally Posted by reubenray View Post
I am researching Ginger and the web is everywhere on how much to take daily.
Always consult your doctor first. But what I found was here:

https://www.livestrong.com/article/5...r-can-you-eat/
Quote:
Determine the Recommended Amount
The amount of ginger you should consume varies depending on the reason you're eating it. According to the Arthritis Foundation, ginger might reduce joint pain and inflammation caused by arthritis. Up to 2 grams of ginger can be taken, in three divided doses per day. Ginger can also be consumed in
tea — up to 4 cups per day.
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Old 02-04-2020, 11:55 AM
 
46 posts, read 14,700 times
Reputation: 51
Ditto for turmeric (which is somewhat similar to ginger) and hydro-soluble supplement forms will absorb better.
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