May 29, 2023

In this video I talk about why ibuprofen stopped working for my client Melissa, why ibuprofen stopped working for her knee pain.

Hello good morning good afternoon wherever you are it’s 11 30 here so if you are not in las vegas or on the west coast of the u.s good afternoon hi i am continuing the con conversation of why your anti-inflammatory treatments aren’t working for your pain for your knee pain so yesterday i told a story about a client of mine melissa who was going for years and years

And years with cortisone injections and they eventually stopped working so if you want to check out what i talked about with why the cortisone injection stopped working for her knee pain that is yesterday’s video so head on over to that to look at why the cortisone injection stopped working so continuing the conversation of melissa with this ongoing knee pain

Doctors telling her it’s meniscus problems arthritis tendinitis what is it all she knew was that the cortisone injections worked for a while and then they stopped working then the doctor told her you know what you’re to need a knee replacement at some point you’re too young for it you need to wait until you are 65 or 70 you need to wait until you’re older so for

Her that was going to be like 20 years so the doctor said just continue in taking your anti-inflammatories she used ibuprofen that’s what worked for her and so she continued doing that and then the ibuprofen stopped working so her knee pain was still there and you know she was taking two ibuprofen a day for a while months years and it was working very nicely

And then all of a sudden it doesn’t work anymore now is she gonna do because she needs to do something the cortisone doesn’t work anymore ice certainly doesn’t touch it and the ibuprofen worked for a while so what she didn’t know was that her body had gotten used to the dosage so what do i mean by dosage dosage is the amount of the chemical the medication that

You’re putting in your body so the dosage is one pill or two pills 50 milligrams 100 milligrams a thousand milligrams however many milligrams or however many pills you’re taking that’s the dosage and then the frequency is how often you take it as needed daily twice a day three times a day so on and so forth so typically people will take two pills of ibuprofen

That you know the bottle typically says take two that gets you your dosage so melissa was taking two once a day that was working really well and then it wasn’t so what happened well she built up a tolerance to the ib profile what does that mean well tolerance building up a tolerance to something means that you need more of the chemical more of the medication to

Get the same effect so that would mean she’s taking two pills two pills isn’t enough so she could up it to three pills or four pills or maybe she takes two pills in the morning and two pills in the evening so it’s a total of four pills to increase the overall amount of the medication in her body the two pills of ibuprofen her body got used to that and it no

Longer was helping her knee pain so that is sometimes an option i don’t tell people how much medication to take that is outside of my scope of practice so i can’t say to take two pills or take four pills or take six pills all i can tell you is that for the pain relief sometimes you’ve hit your tolerance and you need to up the dosage and then you talk to your

Physician or your other medical provider who can prescribe medication to ask how much to take i will say going through my pharmacology courses through physical therapy school pain relief from a pill requires a lower dosage anti-inflammatory relief from a pill requires a higher dosage so you could be getting a pain relief effect if the pain is caused by not

Inflammation or it’s caused by low levels of inflammation but then that inflammation increases and to knock out the inflammation you need a higher dosage of the anti-inflammatory to knock out the inflammation compared to just getting pain relief okay so pain relief dosage is low anti-inflammatory dosage is high and that’s based on how the medication works in your

Body to knock out the inflammation okay so that’s ibuprofen that’s an anti-inflammatory drug now i say ibuprofen because that’s what melissa used but really anti-inflammatory include um aspirin ibuprofen motrin advil aleve naproxen and there are others there are those are over-the-counter ones there are also prescription ones like diclofenac and there are other

Ones they all work in similar ways to get the anti-inflammatory effect so how do you get rid of the inflammation let’s say and this is was not the case for her but let’s say melissa couldn’t take any more ibuprofen had stomach upset with the amount of pills she was taking because that’s that’s a very common side effect having an upset tummy with the ibuprofen

And that’s based on the the inhibitors the cox-1 inhibitors that the ibuprofen latches on to in the stomach cox 1 is throughout your whole body including your stomach whereas cox-2 inhibitors uh go to the the can’t use my words today the cox 2 inhibitors go to directly to the the joint themselves they don’t and they don’t line the stomach lining so but what

If what if you do have this stomach problem you do have tummy upset what can you do well taking a higher dosage that’s also going to increase your stomach upset and could cause more problems down the line so what what can you do well you know you’re in pain you can’t run anymore you can’t exercise feel like you’re going to get worse if you don’t get a handle

On it feel like you’re going to get worse if you can’t get out and exercise so one of the first things i have people do when they’re trying to control their inflammation they can’t take more medication is they control what they’re eating and drinking so the first thing that i tell people to do is get rid of the sugar eliminate the added sugars don’t cook with

Them check your ketchups check your barbecue sauce check your taco seasoning you think that it’s just spices nope there’s sugar in there and every little bit adds up and every little bit counts do i recommend that people are sugar-free forever maybe you never know until you try so you get rid of the sugar in the beginning have it gone for four to six weeks and

Then if you feel like you could potentially tolerate a little bit more and it not flare up your inflammation you have little bits here and there some people can never add back in sugar and some people can it all depends on the person but i do recommend that so if you can’t take more anti-inflammatory pills because of side effects look at what you’re eating and

Drinking and the first thing i recommend is to control and get rid of that added sugar and then also looking at your bad fats and your trans fats getting rid of those getting rid of the processed foods which really the processed foods are either just made up of chemicals right or they’re chock full of the sugar and the fats the bad fats so that’s what makes them

Taste so good but you can make good tasting food without sugar and without those crummy fats i do it every day we cook in i say we that’s a funny story because i cook in my house so i cook gluten-free mostly dairy-free refined sugar-free the only sugars we cook with are uh raw honey pure maple syrup or coconut sugar and we do gluten free because my husband

Has celiac disease he has to do that we cook mostly dairy free because we thought for the longest time that he had a dairy allergy so we got used to cooking that way now we add in some dairy because it’s not actually a dairy allergy but a nightshade allergy and he can’t tolerate white potatoes and potato starch is often used in shredded cheese to make it not

Clump so we realize that and he can have some we do have some cheese but we still overall limit it and then we use unsaturated fats so we’re using extra virgin olive oil to cook with instead of vegetable oil now those are both liquid but the vegetable oil works differently in the body than the olive oil does so long story short get rid of the refined sugar get

Rid of the added sugars get rid of the bad fats and and the trans fats if you can’t take the anti-inflammatory pills because you’ve topped out at how much is working for your pain relief but you can’t tolerate it because of the side effects the tummy upset or something else so that’s it for today tomorrow i am going to continue on why your anti-inflammatory

Anti-inflammatory treatments aren’t working and continuing on with what to do instead so look for that i will talk to you guys later have a great rest of your day

Transcribed from video
Why Ibuprofen stopped working – Why Your Anti-inflammatory treatments aren't working By Ali Marty