Yes, topical medications are an excellent source of pain relieft for many patients. There are currently two topical NSAIDS on the market, PENSAID and Voltaren Gel. In addition, there are many compounding pharmacies that can add a variety of FDA approved medications into a useful, but not FDA approved cream. Some of the creams I prescribe to patients have anti inflammatories, pain medication and muscle relaxers all mixed into the cream.View Thread
Taking Fatigue tip #8 to the next level. Use the breathing exercises to start a meditation routine. The benefits of meditation seem to occur after regular practice. After a month of daily meditation, you may find less stress and fatigue. You may also notice you are more intuitive. Use the breathing technique in tip 8 and focus on your breaths in a safe and relaxing room or location. You will certainly have thoughts during mediation, but don't think of them as good or bad, just recognize them and toss them aside. Try to do meditation for 10 minutes twice daily or 20 mintues once daily.Will be interested in any feedback after yu try it for a month.View Thread
Try breathing with your abdomen and not your chest. Perform this simple exercise several times per day. Breath in for five seconds, hold for 2 or 3 seconds, then exhale fully. Imagine an image that may help you relax. When I peform this exercise, I imagine a street lined with trees.View Thread
In addtion to controlling the signs and symptoms of RA, many patients find that taking a TNF blocker may help with their energy. Neverthless,these drugs are not indicated for fatigue in patients who do not have active Rheumatoid arthritis.View Thread
Nuvigil is a medication to help with wakefulness in those with shift related fatigue. I am not an expert in this area and will refer my patients to a sleep specialist. I enclose some information below from the comapny's web site. I do caution my patients who take this drug about an uncommon, but life threatening side effect associated with this drug called Stevens Johnson syndrome. Stevens Johnson syndrome damages the skin and mucous membranes and if it develops, it is often associated with a poor outcome.
".NUVIGILÂ® (armodafinil) Tablets [C-IV> is a prescription medicine used to improve wakefulness in adults who experience excessive sleepiness due to one of the following diagnosed sleep disorders: obstructive sleep apnea (OSA), shift work disorder (SWD), or narcolepsy."View Thread