Etoron-P Tablet acts as a non-steroidal anti-inflammatory drug (NSAID). It thus rduces hormone levels that may lead to inflammation and pain. The drug can treat mild and even moderate pain caused by conditions like osteoarthritis and rheumatoid arthritis.
The drug should be taken precisely as it has been prescribed. Meant for oral consumption, Etoron-P Tablet should be taken whole. Do not chew or crush it as it may reduce its effect on the body. The drug will take about 2 weeks to start functioning effectively. It is best that you do not stop the medication mid-course as the pain may reoccur. Complete the entire treatment course for the best results.
When it comes to storage, ensure the drug is kept in a clean and dry place at about room temperature. The bottle cap should be firmly closed when you are not using the medicine.
Some side effects of Etoron-P Tablet that are reported very often include nausea, diarrhea, pain in the abdomen, malaise, flatulence and dyspepsia. Get in touch with your medical adviser and seek treatment if you experience certain major side effects like belching, seizures, confusion, constipation, irritability, wheezing, stupor, sudden weight gain and problems with breathing.
What is arthritis of the knee?
The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.
What is medial compartment arthritis?
Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee.
How do you diagnose medial compartment arthritis?
ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.
Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.
Who requires surgery?
People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.
In case you have a concern or query you can always consult an expert & get answers to your questions!
THE DRUG MANAGEMENT OF BACK PAIN
Pain killers-or analgesics-are drugs that work by interfering with the pain transmission process.
Depending on the cause and type of your back pain, some analgesics may be more appropriate than others. Paracetamol and aspirin-like drugs(non-steroidal anti-inflammatory drugs [NSAIDs] are often used to relieve pain caused by musculo skeletal conditions, whereas the opoid analgesics,codeine and morphine, are more suitable for treating moderate or severe pain that originates from damage to the internal organs of the body (e.g. the heart,lungs, liver, bladder, kidney and reproductive organs).
The appropriateness of the various types of drugs also depends on whether your pain is acute or chronic. Although many of the drugs used are the same, they may be used at different doses or more or less frequently.Whilst your doctor can prescribe you a number of different types of pain killers, in many cases, drugs that can be purchased without a prescription are sufficient to relieve many kinds of back pain. You can buy these drugs yourself from your pharmacist, and if you pay for your prescription, this may be cheaper than acquiring the same drug from your doctor with a prescription.
Your pharmacist will advise you which types of drugs are most appropriate for you. Always take medication as directed on the packaging and consult your doctor if the pain persists.Since some types of analgesic are stronger than others, you will usually start with one of the weaker drugs and if this fails to relieve your pain sufficiently, you may work your way up to a stronger drug.
If the stages in pain relief are considered to be like the rungs of a ladder, then most people will have their pain relieved at the lowest rung.
The higher up the pain relief ladder you go, the more likely you are to experience unpleasant drug-related side-effects.
CAN I TAKE PAIN KILLERS IN PREGNANCY ?
Being pregnant may affect which types of analgesic you can take safely without causing harmto your baby. Paracetamol is not known to be harmful in pregnant women and is usually preferred over other painkillers. In contrast,aspirin and ibuprofen are not recommended, especially in the later stages of pregnancy. Some clinical studies have been linked the use of these drugs with an increased chance of miscarriage. Your doctor will not usually prescribe opioids as pain relief whilst you are pregnant. If you already take prescribe do pioids and you are planning to get pregnant, you should seek medical advice before try to conceive. Your doctor will weigh up the risks to you and to your baby and may suggest alternative medications. This is because babies of women taking opioids have about a 50% chance of showing symptoms of drug with drawl after birth.
Elderly people are more likely to experience vertebral fractures as a result of underlying, age-related bone disease such as osteoporosis. For this reason, they may require more pain relief than people of a younger age. The pain killers aspirin and other NSAIDs (e.g. ibuprofen) should be used with caution in the elderly. This is because elderly people are more susceptible to the side-effects of these drugs, like increased gastrointestinal bleeding and abdominal pain.
Before resorting to these drugs, it is advisable to try other means of pain relief if possible. These may include losing weight, using a walking stick and keeping warm, and in terms of drugs, using paracetamol instead of aspirin, or using a low dose of ibuprofen. Another option is combining paracetamol with a weak opioids analgesics.
Back schools- classes taught by physiotherapists -teach people with chronic back pain how their backs work, what causes their pain and offer them advice about staying active. Educating people about how mechanical strain and bad posture can worsen their pain, and showing them the correct way to lift objects, to get in and out of bed or to stand properly, allows them to adapt their lives to reduce their pain and prevent future back problems. Whilst back schools may be effective in the short term, at the moment it is not clear whether their positive effect results extend beyond 12 months.
Your PHYSIOTHERAPIST will be able to advise you of back schools in your local areas.
Torn or damage cartilage is not just a problem for the sportsmen. It can occur to anyone. It is generally caused due to a direct hit on the body parts. Its treatment is far more complicated than a simple bone injury. The best sign to know whether or not you have injured your cartilage is to check out your activities. If you have hurt your joint and don’t notice major symptoms, like if you are still capable of putting weight on and move the joint, you might have had a cartilage injury. It doesn’t hurt you a lot in the beginning, but might get worse later.
Here are the initial care and self-treatment procedure:
If there is an unbearable pain, take painkillers such as paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs). If your condition doesn’t improve after the initial therapy, you must consult a doctor immediately.
In case you have a concern or query you can always consult an expert & get answers to your questions!
As per a study conducted by the Copenhagen University Hospital, it was revealed that consuming paracetamol during pregnancy can be detrimental for your baby, as it can weaken the development of the reproductive system of female offspring. The research was published in Endocrine Connections journal.
Although, paracetamol is an over-the-counter treatment for pain relief that is commonly taken by pregnant women worldwide. The study was conducted on three individual rodents and the results indicated that the rodents, who were given paracetamol during pregnancy at doses equivalent to those that of a pregnant woman may take for pain relief, produced female offspring with fewer eggs.
Further, Dr. Kristensen said, "Although this may not be a severe impairment to fertility, it is still of real concern since data from three different labs all independently found that paracetamol may disrupt female reproductive development in this way, which indicates further investigation is needed to establish how this affects human fertility."