Why Some Preppers are Saying “No” to NSAIDs Like Advil

chronic pain

Injuries are an unavoidable part of life. And in survival situations they’re guaranteed to increase in both frequency and severity. But if preppers aren’t careful, their injuries will never heal – and they’ll suffer from severe pain for the rest of their lives. In this post we’ll reveal some astonishing facts about NSAIDs. We’ll show you how and why more people in America are suffering from chronic pain than ever before.  Most important, we’ll show you how to change up your medical preps so you don’t suffer the same fate!

In North America something’s gone wrong. Unlike other countries, the injuries of people in the U.S. are becoming chronic; leading to progressive pain and disability for many as they age. But it’s only happening in developed countries… and that’s odd!

Treating Acute Pain

The phenomena is not global. For instance, chronic back pain is much more rare in underdeveloped countries, where normally it would be expected to be frequent (given the larger amount of manual labor performed and poorer working conditions). Yet in the de-conditioned, sedentary, and OSHA rich culture of North America – it’s common. So what’s going on?

How We Heal

Injuries heal through a sequence of events involving inflammation and wound contraction. But if the process is interrupted, the injured tissues never regain full strength or function. Here’s how it works:

Let’s say you’ve injured your shoulder. You’ve likely torn one or more of its ligaments. Recall ligaments are the structures attaching one bone to another, and are responsible for keeping a joint strong and tight.

Three grades of injury are possible. Least damaging is a first degree sprain, in which the ligament has been torn but remains its original length. A second degree sprain occurs when about 50% of the fibers have been ripped. With this amount of damage the ligament has become longer, and the joint it serves becomes loose. Most devastating is the third degree sprain. Here the ligament has “broken” completely apart, and surgery is needed to reattach it to the bone.

Sprains and Strains 

sprained ankle

First, Second, and Third Degree Sprains and Strains

Bleeding is Crucial for Injuries to Heal Correctly  

Everyday Injuries typically result in first or second degree sprains. In both cases blood begins seeping into the injured area, and filling in the gaps generated as the fibers are pulling apart. This is the critical step in healing. As the blood coagulates, it activates specialized cells called fibroblasts, which lay down replacement tissue in a process similar to patching asphalt. But unlike asphalt, as this sequence nears completion, the repaired ligamentous tissue retracts inward, returning the joint to its original tension and integrity. You’ve seen this process play out on your own skin. Recall how after a cut, your scar contracted and pulled on the surrounding skin as it healed. This contraction is important. Without it the ligament will remain loose, and there’ll be too much play in the joint.

Pain is a Chain Reaction

Joint instability must be dealt with, and so surrounding muscles take up the task by maintaining constant and subtle contraction to provide stability.

chronic pain

But when a muscle on the front surface of an injured joint contracts, like the shoulder in our example, another on the back side must clamp down to offset it. One by one, in chain reaction, muscles tighten all the way to the base of the skull. Thus, what was once a simple shoulder injury, can quickly develop into a case of chronic neck pain mixed with frequent headaches.

It could happen anywhere.  The knee, hip, or low back – it doesn’t matter – chronic pain is the inevitable result. Yet the question remains… why does this happen only in industrialized nations?

chronic pain

The cause is Advil and NSAIDs Like it!

Inflammation is the enemy, or so we’ve been taught, and out of reflex we reach for aspirin or ibuprofen (Advil) when we injure ourselves. They’re potent antidotes for moderate pain – but they also dissolve the blood clots forming in damaged tissue. That’s the bad news. Because when clots dissolve, the body loses its ability to lay down new ligamentous tissue and to contract it back to its original length. This doesn’t occur in the third world, or in the East, because anti-inflammatories are generally unaffordable in underdeveloped countries, and our Asian counterparts know to avoid them. But what about you? You’ve probably taken Ibuprofen for injuries, will you be crippled?

Professional baseball can help you find out.

Shoulder injuries in pitchers can be career killers. So team physicians are continually checking for subtle ligamentous injuries common with overuse. Here’s how you can use their techniques to evaluate your own old injuries:

Ligament Laxity Tests

Passive range of motion testing can be used to evaluate any of your previous injures. Sticking with our shoulder example in baseball, the doctor tells the pitcher to let his arm go limp, and not help in any way as they move it forward and backward while discovering its limits of motion. They record their findings in terms of degrees, and compare them to those made in previous weeks for changes. But you don’t have to remember how far one of your joints is supposed to move, or record your findings in degrees. Simply compare your injured joint, to the uninjured side – and note any differences.

Interpreting Range of Motion Testing for Injuries 

The critical point to remember, is even though you are testing for damaged ligaments that have become too loose, the key finding is the injured joint will be too tight. It will move less distance when compared to the good side. This is because the muscles around the damaged joint are clamping down to provide stability. It’s also the start of a chronic pain chain reaction which will spread from muscle to muscle over time.

Can Lax Ligaments be Fixed?

“It looks like I have a torn joint. Is there anything I can do short of surgery?”

Hippocrates was the first to address this problem, but his solution was brutal. To shorten the injured ligaments of gladiators, he’d heat up an iron poker and punch it through the skin until it hit bone. The heat would shrink the ligament, and the surrounding shoulder muscles would progressively relax over time as the joint healed and returned to its original strength. Fortunately, the modern technique has been refined a bit!

Prolotherapy  

reparing ligament damage

Prolotherapist Injecting a Lax Ligament

After fully identifying the damaged areas, a physician performing prolotherapy injects a solution to induce an inflammatory reaction where the injured ligament and bone intersect. Afterward, the patient is given narcotic pain medications like hydrocodone, or often just Tylenol (Acetaminophen), which is not an anti-inflammatory. They’re asked to avoid Ibuprofen (Advil) and aspirin during the healing process.

By retesting the joint’s passive range of motion a few weeks later, he or she confirms it has returned to full motion, indicating the surrounding musculature has ceased its compensatory low-grade contraction – and the ligament has fully healed.

Take Home Message: Aspirin, Advil, and other NSAIDs are great for many types of pain. But in the time period immediately following a sprain or strain, preppers will want to consider turning to Tylenol instead. Therefore, it’s best to include both Ibuprofen and Acetaminophen into your preps. Use Advil for conditions like dental pain, chronic back or arthritic pain, and Tylenol for acutely sprained ankles and similar injuries.

References:

The Following Screen Shot is Taken from Caring Medical. Please Visit Their Site So You Can Link to the Exact Research Article Your Wish to Review: (Click Here or on Blue Image Below)

Caring Medical: Why We Don’t Recommend NSAIDs

prolotherapy

American Academy of Orthopaedic Medicine (AAOM)

FAQs (Prolotherapy for Ligament Laxity)

PDF – Research Summary with Links to Peer Reviewed Journals Embedded in Slides

Individual Prolotherapy Study Summary

 

References

  1. Banks, A.R., A Rationale for Prolotherapy. Journal of Orthopaedic Medicine, 1991. 12(3): p. 54-59.
  2. Liu, Y.K. and e. al, An in situ study of the influence of a sclerosing solution in rabbit medial collateral ligaments and its junction strength. Connective Tissue Research, 1983. 11: p. 95-102.
  3. Klein, R.C., T.A. Dorman, and C.E. Johnson, Proliferant injections for low back pain: histologic changes of injected ligaments and objective measurements of lumbar spine mobility before and after treatment. J of Neurol and Ortho Med and Surg, 1989. 10(2): p. 123-126.
  4. Klein, R. and B. Eek, Prolotherapy: an alternative way of managing low back pain. J of musculoskeletal Med, 1997: p. 45-49.
  5. Yelland, M.J. and e. al., Prolotherapy injections, saline injections, and exercises for chronic low back pain: a randomized trial. Spine, 2004. 29(1): p. 9-16.
  6. Ongley, M.J., et al., A new approach to the treatment of chronic low back pain. The Lancet, 1987: p. 143-146.
  7. Klein, R.G., et al., A Randomized double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. J. Spinal Disord, 1993. 6(1): p. 23-33.
  8. Dechow, E. and et.al., A randomized, double-blind, placebo-controlled trial of sclerosing injections in patients with chronic low back pain. Rheumatology (Oxford), 1999. 38(12): p. 1255-9.
  9. Mathews, J.A. and et.al., Back pain and sciatica: controlled trials of manipulation, traction, sclerosant and epidural injections. Br J Rheumatol, 1987. 26(6): p. 416-23.
  10. Nelemans, P. and et.al., Injection therapy for subacute and chronic benign low back pain. Spine, 2001. 26(5): p. 501-15.
  11. Mooney, V., Prolotherapy at the fringe of medical care, or is it at the frontier? Spine, 2003. 3(4): p. 253-4.

Appendices

  1. Klein, R. and B. Eek, Prolotherapy: an alternative way of managing low back pain. J of musculoskeletal Med, 1997: p. 45-49.
  2. Nelemans, P. and et.al., Injection therapy for subacute and chronic benign low back pain. Spine, 2001. 26(5): p. 501-15.
  3. Mooney, V., Prolotherapy at the fringe of medical care, or is it at the frontier? Spine, 2003. 3(4): p. 253-4.
  4. The Florida Academy of Pain Medicine (FAPM), Position Paper on Regenerative Injection Therapy (RIT): Effectiveness and Appropriate Usage. May, 2001.

-ThePrepperPages.com

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