Make sure that you are really dealing with an inflammatory condition before consuming high doses of
NSAIDs such as
ibuprofen (advil),
naproxen (aleve) or
aspirin. These NSAIDs are all inhibitors of both COX-1 and COX-2. COX-1 has a very beneficial effect on protecting the stomach lining. By inhibiting COX-1 with large doses of NSAIDs for extended periods of time, your stomach lining can be seriously compromised.
Often, chronic (non-acute) conditions will cause pain w/o any inflammation present. Check with a physician or other expert, if you are not sure about the presence of inflammation.
Yes, is is true that you need a dose-&-a-half to a double dose of NSAIDs to achieve an anti-inflammatory response. For ibuprofen this means 600 to 800 mg doses taken several times a day. These kind of dosages should not used on an ongoing basis for more than 10-14 days -- not good for the stomach.
Ice or
ice massage is probably the best anti-inflammatory treatment (no negative side effects). Ice is also recommended for chronic conditions (where no inflammation exists). For best results, ice (or ice massage) several times a day (for 20 mins or so). Do
not ice right before exercise -- you need your muscles & joints to be warm for exercise, not cold. But do ice as soon as possible after exercise.
There are a number of foods, herbs & spices that are natural COX-2 inhibitors. I don't believe that they inhibit COX-1 or have the nasty side effects of prescription COX-2 inhibiting drugs. These include
cherry juice,
green tea and sources of omega-3 fatty acids. Good sources of omega 3-s are:
salmon,
sardines and, to a lesser extent, ground flax seeds.
More info on ice massage & herbal options:
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