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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myPBCteam Member asked a question 💭
Lock Haven, PA

My doctor thinks I have tendonitis in my shoulder and wants me to try Advil, but I'm hesitant. Been doing exercises for it and using tuning forks/sound therapy, and that is helping some, but some days it's very painful and keeps me from getting a good night sleep.

March 23, 2025
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A myPBCteam Member

T C Hale is a Nutritionist and promotes Kick it naturally. Our Gallbladder and spleen can send pain to the nerves in our shoulder (s). He talks about bile flow and how to help it which helps our gallbladder and liver. My shoulder pain has gone away. I noticed it during the winter months feeling a nerve pain in both shoulders. Ouch.
Please do some research. I stay away from all pain meds. He has u tube videos.
Best wishes
Deb

March 25, 2025
A myPBCteam Member

Hi @A myPBCteam Member. Here's what I read on the American Liver Foundation website:

Many medications are perfectly reasonable. Try to avoid Advil. People with PBC sometimes do need Advil because they have arthritis or other injuries. Broadly speaking, if you don’t have cirrhosis, occasional Advil is usually fine. Many common drugs are perfectly safe for people with PBC, including statins, which are very safe. Tylenol is fine. There is no reason you can’t take Tylenol and other similar medicines that you might need for blood pressure, diabetes, etc. Once you have cirrhosis, then, of course, we are more careful with Advil and generally more careful with any medicine.

https://liverfoundation.org/resource-center/blo....

PBC Q&A with Dr. Gideon Hirschfield - American Liver Foundation
PBC Q&A with Dr. Gideon Hirschfield - American Liver Foundation
March 23, 2025
myPBCteam

Pain management is an important topic for people with PBC. While over-the-counter and prescription painkillers can help manage pain, it's essential to discuss any new medications with your healthcare provider first, as they need to evaluate potential interactions with your PBC medications and liver function.

Gentle Show Full Answer

Pain management is an important topic for people with PBC. While over-the-counter and prescription painkillers can help manage pain, it's essential to discuss any new medications with your healthcare provider first, as they need to evaluate potential interactions with your PBC medications and liver function.

Gentle exercises can help strengthen muscles and reduce chronic pain. Since you're already doing exercises, you're on the right track. Some myPBCteam members have found relief using Epsom salt baths, which can help relax muscles and reduce inflammation. Try dissolving about 1 cup of Epsom salt in warm (not hot) water and soaking for 15 minutes. For sleep issues related to pain, work with your healthcare team to develop a comprehensive pain management strategy. They can evaluate your specific situation and recommend appropriate medications or alternative therapies that are safe with your PBC. Remember that pain management approaches may need to be adjusted over time as your symptoms or condition changes.

March 23, 2025
A myPBCteam Member

Thank you so much Deb! This is very helpful! I will definitely look into this and check out the videos!

March 25, 2025
A myPBCteam Member

You're welcome 😊

March 23, 2025

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