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Author Topic: Osteoarthritis & HRT  (Read 1653 times)

Nairn

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Osteoarthritis & HRT
« on: June 13, 2021, 05:29:34 PM »

Hi, recently come off HRT due to bloating & being progesterone intolerant.  After trying most preparations the only one I could tolerate was Femonston conti, but it restarted my periods and continued the bloating, so decided to stop for a while.  The Femonston was prescribed by a meno consultant after trying most other things.  I’m still using Ovestin on a local basis, combined with collagen which seems to have solved the dryness problems.

However since coming off my pelvis/hip and knee joints have become increasingly painful to the point where I paid to see an orthopaedic consultant -who, following x-rays, has now diagnosed me with severe osteoarthritis in my left knee (knee replacement within the next 2 years), moderate in my right knee and starting in my left hip and I’m in now agony most of the time and especially at night - and now on anti inflammatory and pain meds constantly.  My mobility has reduced significantly and the things I love doing like walking are now really hard & in summary I’m getting very worried for the future.

Does anyone have any experience of if HRT can help with the pain? It seems to be much much worse since I stopped the HRT, back in February. I’m 53.

Thanks
« Last Edit: June 13, 2021, 05:33:34 PM by Nairn »
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CLKD

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Re: Osteoarthritis & HRT
« Reply #1 on: June 13, 2021, 05:41:16 PM »

It can certainly help with OA which is normal wear and tear as we age: the lubricant between the joints dries out ........ causing rubbing of bone on cartilage on bone.

Do you have your womb?  I assume that as you can't tolerate progesterone that you probably have.   As oestrogen levels drop so muscles may become lax = aches and pains.  Did the Consultant suggest physiotherapy to aid muscle bulk, i.e. particularly the thigh muscles.  When people are bed bound this is the 1st to atrophy (quadriceps) which is why many patients having had weeks in ICU with C-19, are finding mobilisation difficult.  If you think how often we use that particular large muscle ?

I suggest if you are able: swimming for general over-all exercise.  Self refer to a physio in your area for advice about gentle exercise.  If there is a physio at your local gym, do speak to him/her; if there is a local rugby team then see if you can have an appt. with their sports physio..  It is wise to line the stomach if taking regular anti-inflammatory medication to avoid heart burn.  Years ago, gold injections were given into the painful areas and certainly Depo madrone, a steroid, may be used : a bit of WD40.

53 is young to suffer such pain.  Why wait 2 years: is this due to waiting lists or does the Consultant want to wait until the absolute last minute, by which time all the other joints will be sore due to compensation when walking etc..  I would (I'm 68) be looking into private replacement costs: that will be the consultant's fee for an appt. plus surgery; he may pay his staff, i.e. nurses, directly, plus anaesthetist, blood works, X-rays during surgery, B&B ........ some send separate invoices .  [I had 1 for a tenner, to remove the suture after breast surgery  >:(, I could/would have pulled that myself!  ::) ]

U may consider the fees above too much so discussing appropriate long term pain relief is important.  No one should suffer pain in this day and age!

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Postmeno3

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Re: Osteoarthritis & HRT
« Reply #2 on: June 13, 2021, 06:29:26 PM »

Keeping some amount of regular exercise going can be useful, though you have to either be guided by someone knowledgeable of the condition or really know your own limits. If there is a therapy pool near you, the water is warmer and the water taking pressure off. There might be gentle classes in chairs, like chair pilates. Even something like Qi Gong could help as similar to Tai Chi, but positions not held for so long (same with certain yoga forms). I was diagnosed with OA and Carpal Tunnel Syndrome recently which the meno specialist felt coincided with increasingly severe oestrogen deficiency. I have found East Meets West Curcumin from Holland and Barrett very helpful.  Hope this helps.
« Last Edit: June 13, 2021, 08:09:24 PM by Postmeno3 »
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Kathleen

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Re: Osteoarthritis & HRT
« Reply #3 on: June 13, 2021, 07:23:40 PM »

Hello Nairn.

I understand that Oestrogen has an anti inflammatory effect and if so it would make sense that your inflammatory conditions have worsened without it.

Perhaps you could research anti inflammatory foods and supplements and include them in your diet. The spice Turmeric is supposedly very good and can be taken in capsule form.  I have mentioned NutritionFacts.Org before as a good place to start looking as there is no sponsorship or advertising and all the data is taken from published research papers.

Good luck and wishing you well.

K.
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CLKD

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Re: Osteoarthritis & HRT
« Reply #4 on: June 13, 2021, 07:48:47 PM »

Many women have carpal tunnel syndrome in pregnancy which goes after delivery.
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Nairn

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Re: Osteoarthritis & HRT
« Reply #5 on: June 14, 2021, 06:33:15 AM »

Hi, thank you all for your replies which have been very much appreciated.  I will give re-starting HRT some more thought and see if that helps, anything has to be better than waking up in severe pain yet again and reaching for the painkillers.

CLKD - the wait is due to needing to loose some weight for surgery & saving up to pay privately, estimated cost is somewhere circa £15,000, and currently as I can walk I’m not classed as urgent on the NHS - despite being in agony.  With the knee pain, I have got into a vicious circle of stopping exercise and therefore heavier than I would like to be, and I would say that for anyone else reading this, I have discovered that being overweight is not an issue in your 20-50s but as soon as you hit 50 then it starts to affect everything, and I wish I has been more mindful of this.  Genetics also play a big part, as does all the hill walking I did in my younger days, and just being unlucky.

If anyone has a recommendation for the best turmeric supplement I would be appreciative - I’m taking one at the moment which I think is a good one but it’s very confusing to find the best one.

Thanks again
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Postmeno3

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Re: Osteoarthritis & HRT
« Reply #6 on: June 14, 2021, 06:41:11 AM »

The Curcumin supplement I recommended works well as it is in liquid form and is therefore more readily absorbed. Curcumin is the key active ingredient in Turmeric.
« Last Edit: June 14, 2021, 06:44:02 AM by Postmeno3 »
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CLKD

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Re: Osteoarthritis & HRT
« Reply #7 on: June 14, 2021, 08:12:48 AM »

Morning Nairn - R U being supported in weight loss by the Surgery? 

It amazes me that, because a sufferer can walk, they are not considered for surgical intervention because long term, surely 'a stitch in time' [see what I did there  ::)] will save money?

Hill walking is great as is jogging etc., but these can impact on our joints as we age.  Let us know how you get on?
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jaycee

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Re: Osteoarthritis & HRT
« Reply #8 on: June 30, 2021, 04:24:50 PM »

Yes,coming off HRT can certainly cause joint pain,i came off it about 3 months ago,now i have painful knees,elbows and hands
I am waiting for  a telephone appointment to see if i can go back on it,but got the usual,it can cause breast cancer amog other things
Quality of life is important,and i am going to tell them it's my body,i want to be able to get out of bed not aching all over,and walk up and downstairs without pain
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CLKD

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Re: Osteoarthritis & HRT
« Reply #9 on: June 30, 2021, 05:46:07 PM »

Who told you that HRT can cause cancer?  One is more likely to get cancer by being overweight, not exercising enough and continue with alcohol and smoking.

Quality of Life?
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