Popping That Motrin or Other NSAID Drugs May Hurt Your Knees!

By Chris Centeno, MD /

Receive a Regenexx® Patient Info Packet by email and learn why it's a superior regenerative solution.

can NSAID drugs make arthritis worse
We’ve never liked NSAID drugs much, given their propensity to dramatically increase heart attack risk. I’ve often suspected that because of the way they work, they may actually hurt the joint rather than help it, but until now I’ve never seen a study where a large group of people were followed for long time to see if taking the meds did any harm. Now a new study using the data from a government-sponsored study suggests that taking certain types of pain meds for your arthritis may cause more arthritis.

What Are NSAIDs?

NSAID is an abbreviation that stands for nonsteroidal anti-inflammatory drug. It’s a big drug class that includes a bunch of nonprescription drugs like Motrin, ibuprofen, Advil, Aleve, and Naprosyn and the prescription drugs Mobic, Celebrex, Voltaren, and others. They are the single most common medication taken for pain relief, with many traditional medical guidelines telling patients to take them. But do they do more harm than good? Could NSAIDS make arthritis worse?

NSAID Side Effects

The side effects of these drugs are nasty and include cardiac issues, like sudden-death heart attack, stroke, and stomach bleeding. The heart attack issue is a big one, prompting the American Heart Association to come out with a warning to patients and physicians to stop taking the drugs or to limit their use.

The Long-Term Effects of Popping Pills for Your Arthritis Pain

The new study was performed using data from the Osteoarthritis Initiative (OAI), a government-funded study that provides open source data on knee arthritis to researchers. There are thousands of people, both with and without arthritis, who are being tracked, each with detailed histories and serial X-ray and MRI imaging over time.

The researchers that tracked medication use sought to determine if there was either a good or bad long-term effect of taking these meds. As a result, they looked at MRI changes over many years in patients who were taking medications for pain (the vast majority of them were taking NSAIDs) or patients with arthritis who took nothing. Even after adjusting for all the things that could make these two groups of patients different (like arthritis severity), the patients taking meds had more arthritis progression over the eight years. How much more? About twice as much!

How Could NSAIDS Make Arthritis Worse?

The first thing I did was to pull the full paper to see what these patients were taking. Sure enough, about two-thirds of them were taking NSAID drugs. Hence if there was a single medication culprit, it was most likely to be those drugs. NSAIDs block inflammation and can also hurt new bone formation, so one possibility is that the patients taking these drugs for years have less of a normal repair and maintenance response to wear and tear, leading to more joint breakdown.

The upshot? NSAIDs are bad news due to their heart attack effects. It’s regrettable that pharma has done a good job hiding these cardiac effects from most physicians and patients, because few really understand that Motrin could be the most dangerous over-the-counter drug money can buy. Now we have a new potential issue—the very arthritis that these drugs are supposed to help may be made worse by the drugs! You gotta love American medicine! We know, based on multiple high-level studies, that certain supplements will help arthritis pain and likely protect against worsening, but the pills doctors have been taught to push like giving a kid M&Ms is the drug that causes heart attacks, and truth being stranger than fiction, it also appears likely that NSAIDS make arthritis worse!

Leave a Reply

Your email address will not be published. Required fields are marked *

16 thoughts on “Popping That Motrin or Other NSAID Drugs May Hurt Your Knees!

  1. Kathy

    Did the study also include the activity level of the patients they were tracking ?
    I am wondering if less pain due to the NSAID use caused patients to be more activie Therefore causing more joint damage?
    Those that didn’t take NSAIDs may have been less active due to the level of pain they were experiencing .

    1. Regenexx Team Post author

      Kathy,
      They did their best to match physical activity, age, BMI, etc to isolate the effect of the medication.

  2. Anna Curtis Stem cell pt of Dr Kremer's

    Thank you. Very helpful. I will stop taking nsaids for my arthritic knees.
    And will pass the info on.

    1. Regenexx Team Post author

      Anna,
      Good for you! NSAIDS are, as you read more problematic than we are lead to believe. There are good supplements out there for pain, inflammation and cartilage protection, but always discuss with Dr. Kremer. See for supplement suggestions to discuss: http://www.regenexx.com/blog/nsaid-addict-can/

  3. Duane

    I had regenexx stem cell therapy on my knee and my doctor recommend prescription NSAID after 5 weeks. This article makes me confused about what to do?

    1. Regenexx Team Post author

      Duane,
      Each case is different, as each person’s medical history and both the issue and it’s underlying causes differ. You’re treating doctor is the expert in your individual case! But if f you’d like me to inquire for you, I’d be glad to. Just need to know who treated you, what was your knee treated for, and when were you treated?

  4. Jackie

    I quit taking NSAIDS and my arthritis pain is actually more tolerable. I am also seeing a chiropractor to keep spine in line which has definitely helped my knee arthritis. Things are more “level” and doesnt put as much pressure on the medial side which is bone on bone.
    I have also lost sixteen pounds- the sodium in the Naprosyn was causing water retention. Also has helped with pressure on the knee. Dont have any xrays or MRIs to compare, but feel better.

    1. Regenexx Team Post author

      Jackie,
      Wonderful to hear! There are some good natural supplements which can be helpful with pain and inflammation and cartilage protection if those things become an issue. http://www.regenexx.com/blog/supplement-for-cartilage-protection/

  5. Linda

    I assume the study did not consider Acetaminophen in their results since they were not mentioned. I use Acetaminophen for my hip arthritis now since I read about the effects of NSAIDs. I did notice more heart palpitations on NSAIDs, which led me to understand they do affect the heart. Thanks for adding to this info.

    1. Regenexx Team Post author

      Linda,
      That’s a good move! The study included many different medications for pain. What was significant about the findings were that there was a very significant overlap between the people who were taking NSAIDS like Motrin, Celebrex, etc, and the progression of Arthritis. Tylenol works really well for pain, however the concern would be that taking it regularly can result in liver issues. Many people have found good alternatives in Curcumin and Fish Oil, or the Advanced Stem Cell Support Formula is a supplement we put a year’s worth of research into to create a supplement to support stem cells and chondrogenesis.:http://www.regenexx.com/regenexx-advanced-stem-cell-support-formula/ and http://www.regenexx.com/curcumin-for-knee-arthritis/

  6. Tom Schneider

    Hello Regennex Team and Dr. Cento:

    First off, thanks for the article on how NSAID’s are damaging to the knees or other joints.

    I actually emailed you folks months ago and was looking at coming down to Oregon to get a 2nd opinion of my knee MRI which says I have moderate to severe chondrosis of the femoral condyle and tibia plateau (also have a Baker’s cyst and patellar tendonosis). I have had PRP on my right knee up at UW in Seattle, with about 50 percent improvement and have heard good stories with retired military guys like me with DJD or OA that PRP and Stem Cell injection therapy could be beneficial, but nothing conclusive that I can come across.

    Right now, I have researched that folks with DJD or OA, after trying MSM and Glucosamine, without any improvement, according to the Arthritis Foundation, that it most likely will never work, which was me. Over the past few months startd taken Omega 3/6/9, Vitamin D, C, and cut my motrin to 600mg twice a day, after reading some journals that keeping it 1200mg a day and under is less risky.

    I have tried going cold turkey with no motrin, but then my bilateral wrists, shoulders, knees, back, etc… all feel like that deep aching joint feeling. Which happened the past couple days, which I’m trying to come off for good.

    I realize after studying Prolotherapy, PRP and some of Stem Cell, that proliferation type injections, need the body to naturally heal it and with any tears or “osis” of the tendon/ligaments, all that NSAID’s do is slow down or ruin any natural healing process the body is trying to do. Like the saying goes “Time heals all wounds”. I have done dry needling, acupuncture, TENS machines, etc.. and soft tissue modalities like Graston and ART, without much of anything.

    With tendonosis, the only things that seem to work are TIME, ISOMETRICS, and MASSAGE work to break up adhesions and elongate the muscle fibers once again. All along, taking it slowly before getting back to training or working out that injured the area in the first place.

    So, after my lengthy thesis above (LOL), what type of supplements other than your aforementioned that you recommend for a beat up military guy with multiple DJD/DDD issues?

    What are your thoughts about “wet heat” to combat his patellar tendonititis / osis. I’m thinking about introducing that back into my home therapy again.

    Also, would like to know your opinion about the cold chamber or Cryotherapy that they are doing now for 3-min treatments on a guy like me with multiple joint issues, is it counterproductive to healing? Would infared sauna or warm pool therapies, like those salt water immersion tanks I have seen?

    I am looking at all forms of therapies these days to just have what you doctors call a “better quality of life” and “move better”.

    I had my left knee MRI looked at and they believe my LCL, MCL, and ACL are all in take, I have mild patellar tendonosis of my proximal tendon and possibly some plica of sorts, but the articular cartilage was mild, not sever in my doctors opinion, thus the reason I was looking at coming to Oregon for a 2nd opinion of what you may or may not think is wrong with my knee.

    In the meantime, just improving my walking, without my knee giving way. Working on isometric exercises to improve my VMO, and ITB, Quad, and Hamstring flexibility. It was recommended I start bicycling for my cardio and as therapy to help build up strength.

    I also am trying to lose weight like all of us when we get up in age.

    Thanks for your article and would love any feedback your team can give me since I’ve been all over the place with various therapies, treatments, or advice and just want to live without pain and stay moving. I will look at your formula above to see what it can do for me.

    Thanks,

    Tom

    1. Regenexx Team Post author

      Tom,

      Based on our experience and research, the supplements outlined in the blog have shown the most positive benefit. Generally speaking, exercise to tolerance is beneficial. Keeping both weight and sugar down is also very important. Given that knee issues are often caused by the misfiring of low back nerves, the missing link would seem to be a comprehensive Orthopedics 2.O type exam. But to give more specific advice, we’d need to see your images, medical history, etc. If you’d like us to weigh in, please submit the Candidate form here: http://www.regenexx.com

  7. Marie

    I had both knees replaced in 2001.. Left was always good till recently with a sore, burning feeling in front of the knee.my right kneewas never good and without pain and swolleness even after 2TKR and 1 revision. I told the DR I will come back when I really can’t walk cause I am tired of dealing with pain and don’t like to take meds. I also was told my LK is troubling me cause it is time for another replacement and the life of a replacement is 15 to 20 years.
    My question is I always thought after a replacement one could get an MRI. Is this true? Thanks

    1. Regenexx Team Post author

      Marie,
      Really sorry to hear of your ongoing pain and issues. Unfortunately, we hear and see these complications of and issues with knee replacement regularly. It depends on the MRI equipment. Although some older MRI’s may not be compatible with a TKR prosthesis, the majority of MRI equipment today is safe and compatible with knee replacement parts. But it would obviously be very important to check with the Imaging Location on this important point!

  8. paulie

    I noticed that when I take any “anti-inflammatory” — either NSAIDs or supplements — I have MORE aches & pains!!! Any ideas why? More importantly, anything that may actually help?

    1. Regenexx Team

      Hi Pauline,
      We’d need to examine you to answer questions in your particular case as there could be many factors. Generally, NSAIDs cause the production of defective cartilage, damage stem cells and block the type of inflammation needed for healing. Good quality Fish Oil is a good alternative. Please see: https://regenexx.com/blog/new-research-fish-oil-can-turn-bad-inflammation-into-healing/ and https://regenexx.com/blog/nsaids-and-stem-cells/ For the type of exam needed, you’ll find locations in the upper left corner here: http://www.regenexx.com

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
View Profile

Get Blog Updates by Email

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Select Your Problem Area
Shoulder

Shoulder

Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

  • Rotator Cuff Tears and Tendinitis
  • Shoulder Instability
  • SLAP Tear / Labral Tears
  • Shoulder Arthritis
  • Other Degenerative Conditions & Overuse Injuries
Learn More
Cervical Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Knee

Knees

Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

  • Knee Meniscus Tears
  • Knee ACL Tears
  • Knee Instability
  • Knee Osteoarthritis
  • Other Knee Ligaments / Tendons & Overuse Injuries
  • And more
Learn More
Lower Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Hand & Wrist

Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Hand and Wrist Arthritis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
  • Other conditions that cause pain
Learn More
Elbow

Elbow

Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

  • Golfer’s elbow & Tennis elbow
  • Arthritis
  • Ulnar collateral ligament wear (common in baseball pitchers)
  • And more
Learn More
Hip

Hip

Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

  • Labral Tear
  • Hip Arthritis
  • Hip Bursitis
  • Hip Sprain, Tendonitis or Inflammation
  • Hip Instability
Learn More
Foot & Ankle

Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Ankle Arthritis
  • Plantar fasciitis
  • Ligament sprains or tears
  • Other conditions that cause pain
Learn More

Is Regenexx Right For You?

Request a free Regenexx Info Packet

REGENEXX WEBINARS

Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar

RECEIVE BLOG ARTICLES BY EMAIL

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog

FOLLOW US

Copyright © Regenexx 2019. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.

LinkedIn
Email