NSAIDs = Non-Steroidal Anti-Inflammatory Drugs)
Long-term use of Nonsteroidal anti-inflammatory drugs (NSAIDs) carries the risk of significant side-effects, including but not limited to increased risk of bleeding and ulcers of the stomach lining, kidney failure, liver damage, and increased risk for stroke and heart attack associated with these types of medicine.
Quick Fix? Or Long-Term Healing
Multiple studies and clinical trials reveal that although these drugs may provide short-term pain relief after an injury, there is little to no evidence of a positive effect on long-term healing. In fact, there is conflicting evidence in studies in animals regarding the effect of NSAIDs, with some data suggesting that NSAIDs may actually prevent healing.
Degeneration ≠ Inflammation
Many patients who develop an orthopedic injury have problems with their tendons. Since tendon disorders often arise from a slow process of degeneration, rather than an inflammatory cause, a drug designed to reduce inflammation has little effect on the real underlying problem.
Orthobiologics—A New Paradigm
Instead of trying to reduce inflammation, a better goal can often be stimulating the body's own signals for recovery by using either prolotherapy, PRP (platelet rich plasma), or BMAC (bone marrow aspirate concentrate). We call this group of therapies: Orthobiologics, and for this reason, we try to avoid the use of NSAID’s before and after such procedures, which could otherwise blunt the healing response.