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For managing pain with PBC when medications are limited, several non-medicinal approaches can be helpful:

• Applying heat or cold therapy to reduce inflammation and stiffness
• Using stretching and massage to encourage blood flow
• Limiting strenuous activities to allow muscles to rest
• Continuing with physical therapy Show Full Answer

For managing pain with PBC when medications are limited, several non-medicinal approaches can be helpful:

• Applying heat or cold therapy to reduce inflammation and stiffness
• Using stretching and massage to encourage blood flow
• Limiting strenuous activities to allow muscles to rest
• Continuing with physical therapy exercises as tolerated Regarding your specific treatment questions, your gastroenterologist's cautious approach about cortisone shots is understandable. When considering new treatments with PBC, doctors typically evaluate:

• Current liver enzyme levels
• Overall liver health
• Individual response to treatments
• Risk vs benefit of new interventions

It's important to work closely with both your gastroenterologist and orthopedic surgeon to develop a treatment plan that balances your shoulder pain needs while protecting your liver health. Consider asking about getting liver enzyme tests before and after any procedures to monitor their impact.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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