Need Help Urgently: topical NSAID cream for back pain of a Crohn's patient

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EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 266
   Posted 4/30/2009 7:36 AM (GMT -7)   
Hi, I have Crohn's Disease for about 15+years and the disease is now inactive (sort of remission). I am having acute lower back pain.  My parent recommended me apply topical NSAID cream to my lower back.  The NSAIDs include (a) Emuprofen Topical Ibuprofen Cream, (b) 15% Ibuprofen Creme with 15% MSM, Arnica and Devil's Claw Root by Biocentric Laboratories (c) Voltaren Emulgel.
 
I know oral intake of NSAID will aggravate Crohn's.  How about topical external application?  Has any one tried these before?
 
Any response would be appreaciated. 
 
 

Diagnosed with CD in 1994;

In 1994 I was treated with Pentasa of no avail.  Have being treated with Chinese herbal medicines for over 10 years.


onthecan
Regular Member


Date Joined Mar 2009
Total Posts : 318
   Posted 4/30/2009 12:10 PM (GMT -7)   
smilewinkgrin  i Paul i don't think it would bother your Crohn's disease i use a magic bag for my back and A535 RUB i know its for older people but it helps me a lot give it a try i hope it helps you. Jenn

Had Crohns 17 years had numerous bowel resections,fistulas,fissures,hemmies,kidney problems,fibro,arthritis,dignosed at 13 had GI feeding tube,nasal feeding tube,cental lines,ports,4 ruptured bowel emergency surgeries,TMJ,depression,current meds are Hydromorphone,30 ,Hydromophome,8 ,Ketoprofen,100 ,Trazadone,50 ,Lorazepam,10 ,Zopliclone,5 ,atriplyine,75 ,Losac,50 Tylenol Athritis ,B-12 injections ,Iron injections ,Gravol,75 Predisone,5mg ,Humira,40mg once a week.Still looking for the doctor with all the answers if you find him forward him to me please.P.S my bathroom is the nicest room in my house cause i spend so much time there,i am thinking about installing the computer and maybe a hot-dog stand.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/30/2009 12:32 PM (GMT -7)   
Topical is fine, it's the bleeding it causes when taken orally is why it's a problem for IBDers.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


janicea
Regular Member


Date Joined Feb 2009
Total Posts : 350
   Posted 4/30/2009 12:54 PM (GMT -7)   
Paul, what chinese drugs are you taking? If you don't mind me asking. Also -- topical application should be trouble free for your gut -- Never hits the intestines.

EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 266
   Posted 4/30/2009 1:01 PM (GMT -7)   

Thank you, onthecan and pb4!  I know quite a few members here have back pain problem.  If they cannot tolerate oral NSAID (aspirin), why not try the topical form?

 

I live in the United States and have visited the CVS pharmacy stores quite a few times.  CVS carries Bengay and some other topical analgesic patches.  But I could not find any NSAID Cream to more potently reduce the pain and inflammation on my back.  Those above mentioned NSAID topical creams should be available from Amazon.com and a few other online stores.  Voltaren Emulgel is available in Canada. 

 

 


Diagnosed with CD in 1994;

In 1994 I was treated with Pentasa of no avail.  Have being treated with Chinese herbal medicines for over 10 years.


EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 266
   Posted 4/30/2009 1:24 PM (GMT -7)   
janicea said...
Paul, what chinese drugs are you taking? If you don't mind me asking. Also -- topical application should be trouble free for your gut -- Never hits the intestines.
       I was reading, from some web sources, that about 5-10% of the topical Ibuprofen cream could be absorbed into the blood stream. So I hope it would be OK for me to use it.

 

      What Chinese herbs am I taking? Long story short: I go to China twice a year and I would see this old Chinese herbal doctor in Beijing.  This doctor is very experienced and it is very difficult to book an appointment with him.  Anyway, he would write an herbal prescription for me, which is made up of some 16 different herbs.  Those herbs work together to help me control my disease.  I boil those herbs and then drink the liquid almost daily (he told me: take medicines for 3 days and no medicine for 1 day).  I have noticed remarkable improvement in my disease, but haven't noticed any side effects.

 

       I know this may not be practical for everyone.  First, I am bilingual and understand both Eng/Chn.  Second, my insurance does not cover my trip expenses as well as the herbs, though I save them lots of money on prescriptions. Third, the herbal drink can taste bitter at first, so someone may not like it.  But I am used to it.  I know we all people face tough choices in our lives: healthcare, jobs, money, where you live, etc.  But I have made the tough choice that health always comes first.  Without health, you can hardly have anything else.     

 


Diagnosed with CD in 1994;

In 1994 I was treated with Pentasa of no avail.  Have being treated with Chinese herbal medicines for over 10 years.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/30/2009 2:05 PM (GMT -7)   
I went through a long and horrible issue with lower back pain which was totally related to my severe crohn's flare at the time, that's when I started taking the bee propolis daily and among other things it completely stopped my lower back pain, still take it (as it aids with some of my other CD symptoms) and haven't had pain ever since. My GI encourages me to continue with it indefinitely.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


onthecan
Regular Member


Date Joined Mar 2009
Total Posts : 318
   Posted 5/1/2009 11:06 PM (GMT -7)   
Hi Paul is massage therapy an option for you would the insurance cover that or would they consider that not required ,is your back pain due to the Crohn's its self or is it arthritis some times i have referred pain from my Crohn's which is the pain is so intense in my belly that it radiates around to my lower back. Are you having a flare-up right now? I hope you get some relief from some of those creams but i got one of those good back massage's you get at the GNC stores or a health food store and i lay on that and it works great for me it has the rolling balls for deep tissue massage and it has those chinese balls also that give me huge relief for my arthritis maybe you could give that a try or an anti inflammatory. Feel better soon Paul. Jenn smilewinkgrin smilewinkgrin
Had Crohns 17 years had numerous bowel resections,fistulas,fissures,hemmies,kidney problems,fibro,arthritis,dignosed at 13 had GI feeding tube,nasal feeding tube,cental lines,ports,4 ruptured bowel emergency surgeries,TMJ,depression,current meds are Hydromorphone,30 ,Hydromophome,8 ,Ketoprofen,100 ,Trazadone,50 ,Lorazepam,10 ,Zopliclone,5 ,atriplyine,75 ,Losac,50 Tylenol Athritis ,B-12 injections ,Iron injections ,Gravol,75 Predisone,5mg ,Humira,40mg once a week.Still looking for the doctor with all the answers if you find him forward him to me please.P.S my bathroom is the nicest room in my house cause i spend so much time there,i am thinking about installing the computer and maybe a hot-dog stand.


EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 266
   Posted 5/2/2009 3:49 PM (GMT -7)   
onthecan said...
Hi Paul is massage therapy an option for you would the insurance cover that or would they consider that not required ,is your back pain due to the Crohn's its self or is it arthritis some times i have referred pain from my Crohn's which is the pain is so intense in my belly that it radiates around to my lower back. Are you having a flare-up right now? I hope you get some relief from some of those creams but i got one of those good back massage's you get at the GNC stores or a health food store and i lay on that and it works great for me it has the rolling balls for deep tissue massage and it has those chinese balls also that give me huge relief for my arthritis maybe you could give that a try or an anti inflammatory. Feel better soon Paul. Jenn smilewinkgrin smilewinkgrin

Jenn: I am not sure if my insurance covers massage therapy.  Probably not.  But my father encourages me to do self back massage, i.e. stretch my arms toward my back and use my palms to push up and down my lower back repeatedly until it warms up.  I am not sure if my back pain is due to my Crohn's or something else, because I am not experiencing my typical Crohn's symptoms including diarrhea and abdominal pain. I used both CVS Heat Therapy Patches and Salonpas Pain Relieving Patch.  Although my back pain has reduced 80-90% so far, I suspect it will come back within the next 6 months or so.  Thank you for your suggestion. 

Diagnosed with CD in 1994;

In 1994 I was treated with Pentasa of no avail.  Have being treated with Chinese herbal medicines for over 10 years.


onthecan
Regular Member


Date Joined Mar 2009
Total Posts : 318
   Posted 5/2/2009 5:49 PM (GMT -7)   
Hi Paul how is the back pain today? I was thinking and wondering have you ever had a bone density test or a bone scan done and have you ever been tested for fibro god i hope that isn't what is wrong with you but it is really pain-full and the majority of my fibro is in my back its dibilatating i tell ya it also cause extreme fatigue do you have any of those symptoms? You said you tried the patches and the back wraps have you tried them yet they have magnets in them and they produce heat and there very soothing but the down fall there disposable one time use only and there not cheap but they also helped me i get them when i travel to the city to see my GI cause its a few hours drive and if i don't have one on by the time i get there i can barely stand up with the pain,i hope some of that info helps you Paul there is not a whole lot a person can do for a bad back. Good Luck Paul.  smilewinkgrin smilewinkgrin Jenn smilewinkgrin smilewinkgrin
Had Crohns 17 years had numerous bowel resections,fistulas,fissures,hemmies,kidney problems,fibro,arthritis,dignosed at 13 had GI feeding tube,nasal feeding tube,cental lines,ports,4 ruptured bowel emergency surgeries,TMJ,depression,current meds are Hydromorphone,30 ,Hydromophome,8 ,Ketoprofen,100 ,Trazadone,50 ,Lorazepam,10 ,Zopliclone,5 ,atriplyine,75 ,Losac,50 Tylenol Athritis ,B-12 injections ,Iron injections ,Gravol,75 Predisone,5mg ,Humira,40mg once a week.Still looking for the doctor with all the answers if you find him forward him to me please.P.S my bathroom is the nicest room in my house cause i spend so much time there,i am thinking about installing the computer and maybe a hot-dog stand.


78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 5/2/2009 10:44 PM (GMT -7)   
I have used Lidocaine patches.
heidi
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.


kimberlayn
Regular Member


Date Joined Jul 2007
Total Posts : 239
   Posted 5/3/2009 9:52 AM (GMT -7)   
Have you tried physical therapy? A lot of back pain, in particular lower back pain, can be because of weak back or abdominal muscles. What about your bed? If your back seems worse in the morning, it could be that it isn't giving you the support you need. Hope you can figure it out! I know how a sore back can really interfere in your day-to-day life.
diagnosed w/Crohn's 11/06. 35f with 2 boys and a wonderful husband. 150 mg Imuran, bentyl, entocort, vicodin as needed, Humira, metoprolol for orthostatic hypotension and heart palpitations. Bowel resection 9/07. Active disease back, darn it 8/08. 11 year old son with IBS-C, on Bentyl.


CrazyHarry
Veteran Member


Date Joined Mar 2006
Total Posts : 1034
   Posted 5/3/2009 10:14 AM (GMT -7)   
i use arnicare for muscle and joint pain. get it at a health food store. this stuff works wonders. it was recommended to me by a naturpathic doctor.

if you have chronic back pain, i suggest you see a chiropractor.

it would also be a good idea, imho, to get to the gym and strengthen your back, especially the lower back.
Crazy Harry

---------------------------------------------
Crohn's since 1993 (17 yrs old then)
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon
med free as of 10/31/07


EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 266
   Posted 5/3/2009 1:43 PM (GMT -7)   
My back is whole a lot better now, though I still avoid lifting heavy objects.  Thank you all for your responses.  I have seen a few doctors about my back pain.  They all pointed out to me that the back pain was due to muscular strain.  The long term solution, as they indicated, is to have regular back muscle exercises. My GI doctor also said it is "probably" safe to apply NSAID cream to my back. 

Diagnosed with CD in 1994;

In 1994 I was treated with Pentasa of no avail.  Have being treated with Chinese herbal medicines for over 10 years.


ZenaWP
Veteran Member


Date Joined Aug 2007
Total Posts : 884
   Posted 5/4/2009 9:36 AM (GMT -7)   
I use Voltaren for arthritis and it has not caused any side effects and seems to help. 

Crohn's Disease, Acid Reflux/Gastritis, Hashimoto's Thyroiditis, Endometriosis, Arthritis, Depression/Anxiety.  Too many meds to list them all.  =) 


onthecan
Regular Member


Date Joined Mar 2009
Total Posts : 318
   Posted 5/4/2009 5:07 PM (GMT -7)   
EruditePaul said...
My back is whole a lot better now, though I still avoid lifting heavy objects.  Thank you all for your responses.  I have seen a few doctors about my back pain.  They all pointed out to me that the back pain was due to muscular strain.  The long term solution, as they indicated, is to have regular back muscle exercises. My GI doctor also said it is "probably" safe to apply NSAID cream to my back. 

Hi Paul glad to hear that you got some relief finally so do you have an exercise ball you know the big ones they have at the gum i do and i use it fro crunches and back strengthening exercises it does help i didn't realize how weak my back was till i started exercising. Feel Better Jenn yeah
Had Crohns 17 years had numerous bowel resections,fistulas,fissures,hemmies,kidney problems,fibro,arthritis,dignosed at 13 had GI feeding tube,nasal feeding tube,cental lines,ports,4 ruptured bowel emergency surgeries,TMJ,depression,current meds are Hydromorphone,30 ,Hydromophome,8 ,Ketoprofen,100 ,Trazadone,50 ,Lorazepam,10 ,Zopliclone,5 ,atriplyine,75 ,Losac,50 Tylenol Athritis ,B-12 injections ,Iron injections ,Gravol,75 Predisone,5mg ,Humira,40mg once a week.Still looking for the doctor with all the answers if you find him forward him to me please.P.S my bathroom is the nicest room in my house cause i spend so much time there,i am thinking about installing the computer and maybe a hot-dog stand.


mickey138
New Member


Date Joined Jan 2009
Total Posts : 13
   Posted 5/5/2009 3:41 AM (GMT -7)   
I mix Arthricreme (trolamine salycilate) with DMSO for faster absorbtion. That gives me some relief.
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