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However, the most common and treatable cause of hip pain in my practice is trochanteric bursitis or gluteus tendonitis/trigger points. These are soft tissue causes of pain that usually occur on the side of the hip and the buttock areas. They happen due to the chronic wearing down of the muscles and soft tissues surrounding the hip joint when someone has poor posture or arthritis elsewhere in the back or lower extremities. Usually, they respond to massage, trigger point release, exercises and mechanical evaluation and correctiion. Corticosteroid injections can also be very helpful. View Thread



In addiiton to prednisone and pain medications, there are several other options for lupus patients to consider for pain management. This list is not exhaustive, but covers some of the basics.
Other Lupus Pain Management Options:
Some patients who have chronic pain that are not responding to medications should consider consultation with a pain management specialist. Some non-medical treatments for pain can also be useful, including acupuncture, biofeedback, massage, and physical therapy.
Physical therapy. Physical and occupational therapy can help control lupus pain through exercises designed to keep muscles strong and to maintain the full motion of your joints. Physical therapy can also teach you ways to protect your joints from injury.
Mind-body techniques. These treatments take advantage of your mind's ability to influence physical symptoms. Breathing exercises, relaxation training, and meditation are all good ways of lowering stress, which can be an important part of your pain management plan.
Massage. This treatment can be very relaxing and soothing, but it's important to tell the massage therapist about your lupus diagnosis first. Ideally, the therapist should have experience working with lupus patients.
Acupuncture. This ancient treatment has been used for nearly 2,500 years to help people manage a variety of health ailments. The National Institute of Health has concluded that acupuncture is effective in relieving many types of pain including pain related to fibromyalgia. Although there is limited evidence regarding the use of acupuncture to treat lupus pain specifically, a recent study published in the journal 'Lupus' found that even a few sessions of acupuncture may be effective in reducing pain in lupus patients.
Rest is important and controlling stress are also very important. Wish you the best!View Thread

http://www.youtube.com/watch?v=MCblNu5LbtEView Thread

If the disease is very active, patients can have irregular periods or none at all, as this is the body's reaction to stress. Once the disease is under sufficient control, menstrual regularity is restored. A third of patients have significant kidney disease, which often evolves into end-stage renal disease, which requires dialysis over a 10 year observation period. Dialysis is related to poor or no menstrual cycles. A successful kidney transplant would therefore restore regular periods. Furthermore, some chemotherapy drugs interfere with ovulation. Premature menopause is caused by Cyclophosphamide in upto half of the women in their 20's who take it for at least a year, and upto 80% of women who take it in their late 30's. Methotrexate, Azathioprine, Cyclosporine and nitrogen mustard are not related to loss of periods in women with Lupus. A few women need to be made hormonally "prepubertal" with leuprolide (Lupron) and need to take cyclophosphamide, which is akin to having their eggs removed and stored for use at a later date.
In terms of male fertility, men who take chemotherapy have decreased sperm counts. Sterility is uncommon. It's advisable for men to store (bank) their sperm before commencing treatment.View Thread


In my experience, most people who have desk jobs carry significant amounts of tension in their neck and back muscles. Over time, this results in hardening of parts of the muscle which get knotted up and form trigger points. Subsequently, these trigger points pull on the attachments of the muscles on the bones and lead to changes in the bones- thus changing posture. This results in abnormal stretching of the muscles and ultimately results in pain. Often times the pain from trigger points in muscles is referred down to other areas.
[br>I recommend that people who are developing muscle tension and trigger points start a comprehensive program of stretching of their muscles and also strengthening of the core muscles that maintain posture. Physical therapists are particularly useful in evaluating postural issues and prescribing corrective exercises. When pain sets in, muscle trigger points need to be massaged out using a technique callled myofascial release. Other options to release trigger points are heat, laser, ultrasound and trigger point injections. Once the trigger points are released, then a course of strengthening exercises can be helpful. There is emerging evidence that a technique called eccentric loading of muscles helps with chronic trigger points and muscle and tendon dysfunction.View Thread


Your post raises some interesting questions about hardware failure after surgeries in lupus patients.
In my experience a true allergy is a rare event as the hardware is generally made from inert materials. I have seen it only on a few occasions. In such cases, testing for allergies and desensitization by an allergist are possible.
Hardware failure on the other hand is seen more frequently. Several factors such as the condition of bones (presence of osteoporosis), prior steroid use (both local and systemic), history of infections due to immunosuppressive use etc. can play a role in hardware failure. Active lupus could theoretically cause inflammation of the ligaments, tendons and other support structures and make it difficult to perform post operative rehabilitation and thus lead to hardware failure. [br>[br>Prior to undergoing any surgery, especially spine and other orthopedic surgeries, I recommend that lupus patients see their rheumatologist and get an assessment as to their risk from that particular surgery. Please see this prior post about pre-operative issues for lupus patients.View Thread
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