Managing Hip Bursitis Pain

A quick update to my post: NSAIDs like Motrin and Alleve should NOT be used long term. These drugs are hard on the kidneys. If you need help with pain, please check with your Dr.

@heyjoe415 My nephrologist added Voltaren to the the list of pain relievers I should avoid. I'm down to acetaminophen only with a maximum of only 600 mg a day.

becareful with ibuprofen , bad for the stomach

@mnsansei Maybe topical Voltaren could be an option for you - ask your docs. It is a safer alternative because less makes it to the kidneys and liver for excretion. I use mine for "breakthrough pain" when my RA meds are not enough, or when I have overdone things.

I specifically asked my HMO nephrologist about topical Voltaren recommended by another physician. (I didn't know there was an oral version.) He said it hadn't been vetted for kidney safety. He may be particularly cautious with me as I have a one in a million CKD so there's no standard treatment. The gout diagnosis he made resulted in colchicine being the pain medication he chose. That was seconded by the nephrologist I see a Mayo. I mostly have good pain control. It's a bit short on relief just before I am due for another dose.

Precious Folks, I have gone to a Pain Clinic for my Fibomyalia & Arthritis bilaterally and in my spine. I asked for help for pain with no opioids/narcotics.

This doctor listened and was phenomenal. He asked if I would like to try a compounded pain cream with 4 ingredients that he thought could help me. He could monitor the dose and either decrease or increase.

This has been God sent for me. It has Lidocaine, Flexeril, Diclofonec (this is in Voltaren Gel) & Gabapentin (I cannot tolerate the oral Gabapentin) in it at a low dose. It has to be compounded at a compounding pharmacy. If you go to a Neurologist, some of them actually can do compounded pain creams for you to meet your needs at their facility. I usually get some relief within about 30 minutes. It is an out of pocket expense and the cream runs around $80, BUT, it is a large bottle with a pump and worth every penny.

Blessings & Prayers to all of you who are in pain.

Thanks very much - it's good to know this is a drug to avoid coming from a nephrologist.

I wonder if the same applies to another Rx NSAID, Celebrex. I know a guy at the gym who takes 100mg/day for general pain in his back, neck, and shoulders. He also takes a diuretic for lymphedema. That sounds like a bad combination.

Joe

Yes all NSAIDs are rough on the stomach. It is one medicine that is much better taken after eating.

You may try some stretching exercises. They are helping me with my Bursitis in my right thigh.

Thanks very much for this information. I would not have thought of asking a Dr to prescribe a compounded, topical cream or gel.

I stopped using Voltaren. concerned about everyday use of a drug that is hard on the kidneys.

I usually default to some form of BioFreeze Professional (gel, roll on, aerosol). I've been using it for well over 10 years for joint and muscle pain. It's amazing how well it works considering it's primarily a menthol product.