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Arthritis Pain Relief

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There is no cure yet for arthritis, but there are treatments that can help manage the symptoms and slow the progression of the disease. These treatments include medication, physical therapy, lifestyle changes, and in some cases, surgery. The best course of treatment will depend on the type and severity of arthritis, the individual’s overall health, and personal preferences.
We will explore your options to relieve your pain. These options include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen and aspirin
  • Topical creams and gels containing capsaicin or menthol
  • Acetaminophen
  • Glucosamine and chondroitin sulfate supplements
  • Corticosteroid injections
  • Physical therapy or exercise
  • Heat or cold therapy
  • Assistive devices such as canes, braces, or walking aids
  • TENS (transcutaneous electrical nerve stimulation) units
  • Massage therapy

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, and aspirin

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a class of medications commonly used to relieve pain, reduce inflammation, and lower fever. They work by blocking the production of certain chemicals in the body that causes inflammation and pain.

Examples of commonly used NSAIDs include:

  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Aspirin
  • Celecoxib (Celebrex)
  • Diclofenac (Voltaren)
  • Indomethacin (Indocin)
  • Ketoprofen (Orudis)
  • Meloxicam (Mobic)

It’s important to note that NSAIDs can cause side effects, such as upset stomach, nausea, and increased risk of heart attack or stroke, especially with long-term use. Talking to a doctor before using NSAIDs is important, especially if you have a history of gastrointestinal problems, heart disease, or kidney or liver disease.

Topical creams and gels containing capsaicin or menthol

Topical creams and gels containing capsaicin or menthol relieve pain and discomfort from various conditions, including arthritis, muscle aches, and neuropathic pain.

Capsaicin creams and gels are derived from chili peppers and work by depleting the substance P, a chemical in the body that sends pain signals to the brain. When applied to the skin, capsaicin cream or gel causes a warming or burning sensation that can help to distract from pain and reduce the perception of pain.

Menthol creams and gels work by cooling and numbing the skin, which can help to reduce pain and discomfort. The cooling effect of menthol is due to its ability to activate a specific type of cold-sensitive receptor in the skin.

Both capsaicin and menthol creams and gels can be applied directly to the skin over the painful area and are available over the counter. However, it is crucial to follow the instructions on the product label and to talk to a doctor before using these products, especially if you have sensitive skin or if you are using other topical medications

Acetaminophen

Pain Killers

Acetaminophen is a common over-the-counter pain reliever and fever reducer. It works by blocking the production of certain chemicals in the body that causes pain and fever. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen does not reduce inflammation, but it is less likely to cause stomach upset and other side effects commonly associated with NSAIDs.

Acetaminophen is sold under many brand names, including Tylenol, and is available in various forms, including pills, liquids, and caplets. It is often used to treat mild to moderate pain, such as headaches, toothache, menstrual cramps, and muscle aches. It also reduces fever caused by conditions such as the common cold or flu.

While acetaminophen is generally safe when used as directed, it can cause severe liver damage if taken in large doses or with alcohol. It is important to follow the recommended dosage instructions and talk to a doctor before using acetaminophen, especially if you have liver or kidney disease or regularly consume alcohol.

What is the difference between Acetaminophen and ibuprofen?

Acetaminophen and ibuprofen are two common over-the-counter (OTC) pain relievers used to relieve mild to moderate pain and reduce fever. Both medications reduce the production of prostaglandins, substances in the body that cause pain and inflammation. However, there are some key differences between acetaminophen and ibuprofen:

Mechanism of action: Acetaminophen primarily acts on the central nervous system to reduce pain, whereas ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that blocks prostaglandins’ production.

Effectiveness: Both acetaminophen and ibuprofen are effective in relieving pain and reducing fever, but ibuprofen is more effective in reducing inflammation.

Side effects: Acetaminophen has fewer side effects than ibuprofen, although it can cause liver damage in large doses. Ibuprofen can cause stomach irritation and bleeding, which may increase the risk of heart attack or stroke in some people.

Dosage: Acetaminophen is typically taken in doses of 325-1000mg, while ibuprofen takes 200-800mg.

Interactions with other medications: Acetaminophen has fewer interactions with other medications than ibuprofen, but it can interact with blood thinners and alcohol. Ibuprofen can interact with blood pressure, thinners, and heart medications.

Both acetaminophen and ibuprofen are safe and effective for most people. Still, it is imperative to talk to a doctor before taking any medication, especially if you have a medical condition or are taking any other medications. The choice between acetaminophen and ibuprofen will depend on the type of pain and the individual’s medical history and tolerance for these medications.

Glucosamine and chondroitin sulfate supplements

Glucosamine and chondroitin

Glucosamine and chondroitin sulfate are dietary supplements commonly used to treat joint pain and stiffness associated with osteoarthritis, a degenerative joint disease.

Glucosamine is a naturally occurring substance involved in the production of cartilage, the protective cushioning material in joints. Chondroitin sulfate is a cartilage component that helps maintain its elasticity and resist compression.

Together, glucosamine and chondroitin sulfate is thought to help support joint health by replenishing the body’s supply of these crucial components of cartilage. Some studies have shown that taking glucosamine and chondroitin sulfate supplements can help to reduce joint pain and improve joint function in people with osteoarthritis.

Glucosamine and chondroitin sulfate supplements are available in various forms, including pills, liquids, and topical creams, and they are generally considered safe when used as directed. However, as with any supplement, it is important to talk to a doctor before using these products, especially if you have a medical condition or are taking any medications. The effectiveness of glucosamine and chondroitin sulfate supplements may vary between individuals and may not work for everyone.

Corticosteroid injections

Corticosteroid injections

Corticosteroid injections are a type of medication that can be used to relieve pain, swelling, and inflammation in various conditions, such as arthritis and tendonitis. Corticosteroids are synthetic versions of hormones produced by the adrenal gland, and they work by reducing inflammation and suppressing the immune system.

Corticosteroid injections are usually given directly into the affected joint or tissue, such as the knee or shoulder. The medication is absorbed slowly into the surrounding tissue and can provide relief for several weeks or months.
Corticosteroid injections can effectively reduce pain and inflammation, but they are not a cure for the underlying condition. They can also have potential side effects, such as an increased risk of infection and skin thinning, so it is paramount to talk to a doctor before undergoing a corticosteroid injection, especially if you have a history of infections or skin conditions. The frequency and number of corticosteroid injections should be limited to reduce the risk of side effects.

Physical therapy or exercise

Physical therapy

Physical therapy or exercise is a type of treatment that can help to relieve pain, improve function, and increase mobility in people with various conditions, including arthritis, back pain, and joint injuries.

Physical therapy involves working with a trained therapist who can design individualized treatment plans to help you achieve your goals. Treatment may include exercises to improve strength, flexibility, and range of motion and manual therapy techniques to help relieve pain and improve joint mobility.

Exercise is a key component of physical therapy and can also be performed on your own, under the guidance of a doctor or physical therapist. Exercise can help to improve overall health, relieve pain, and reduce the risk of disability. Types of exercise that may be recommended include range-of-motion exercises, strength training, and aerobic activity.

Physical therapy and exercise can effectively reduce pain and improve function, but they may only be appropriate for some. Talking to a doctor before starting a physical therapy or exercise program is important, especially if you have a medical condition or have recently had an injury. The type and frequency of physical therapy or exercise should be tailored to meet your individual needs and goals.

Heat or cold therapy

Heat or cold therapy is a simple and effective way to relieve pain and discomfort from various conditions, including arthritis, back pain, and muscle strains.

Heat therapy, such as using a heating pad or warm bath, can help increase blood flow and relax tight muscles, reducing pain and stiffness. Heat therapy is often recommended for conditions that are associated with chronic pain, such as arthritis, and for injuries that involve muscle spasms.

Cold therapy, such as using a cold pack or a cold shower, can help reduce swelling and numb pain, making it ideal for acute injuries, such as sprains or strains. Cold therapy reduces blood flow to the affected area, which can help slow down inflammation and numb pain.

Both heat and cold therapy are safe and easy to use, but it is essential to follow the recommended guidelines for each type of therapy. For example, cold therapy should not be used on areas of the skin that are numb or insensitive, and heat therapy should not be used on areas of the skin that are red, swollen, or infected. Talking to a doctor before using heat or cold therapy is also important, especially if you have a medical condition or are taking any medications.

Assistive devices such as canes, braces, or walking aids

Walking Aids

Assistive devices such as canes, braces, and walking aids are designed to help people with mobility issues walk, stand, and move around more easily. These devices can provide support, stability and help distribute weight evenly, reducing the risk of falls and injuries.

Canes are handheld devices that provide support when walking. They have a single or a quadruple base and are used to help redistribute weight and provide stability. Canes come in various shapes, sizes, and styles and can be adjusted to suit the user’s needs.

Braces, such as knee or ankle braces, are wearable devices that provide support and stability to joints. They often help manage osteoarthritis, knee injuries, or ankle sprains. Braces can be made of various materials, including neoprene, plastic, and metal, and can be adjusted to provide the needed support.

Walking aids, such as walkers or crutches, provide additional support and stability. Walkers have four legs and a frame for the user to hold on to, while crutches have two poles and handgrips to hold on to. Walking aids are often used by people with balance or mobility issues or those recovering from injury or surgery.

Assistive devices such as canes, braces, and walking aids are typically prescribed by a doctor or physical therapist and are available in medical supply stores. You must use these devices correctly to ensure they provide the maximum benefit and reduce the risk of injury. The assistive device’s type, style, and size should be tailored to meet your individual needs and goals.

TENS (transcutaneous electrical nerve stimulation) units

Typical Tens Unit

TENS (Transcutaneous Electrical Nerve Stimulation) is a device that uses low-voltage electrical currents to relieve pain. It works by sending electrical impulses through the skin to stimulate nerve fibers and disrupt pain signals from reaching the brain. A TENS unit typically consists of a small, portable device that generates electrical impulses and a set of adhesive electrodes placed on the skin over the painful area. The electrical current can be adjusted for intensity and frequency, and the electrodes can be positioned to target specific nerves or muscle groups. TENS is often used for chronic pain conditions, such as arthritis, and acute pain, such as post-operative pain or menstrual cramps.

Massage therapy

Massage Therapy

Massage therapy is a form of manual therapy involving pressure and manipulation to relieve muscle tension and promote relaxation. Massage therapy can alleviate pain and discomfort from various conditions, including arthritis, back pain, and muscle strains.

Massage therapists use various techniques, such as kneading, friction, and tapping, to apply pressure to the muscles and soft tissues. The pressure can help to increase blood flow, relieve muscle tension, and reduce pain and stiffness.

Massage therapy can also have psychological benefits, as it can help to reduce stress, improve mood, and promote relaxation. Licensed massage therapists often perform massage therapy, and it is typically performed in a quiet, relaxing setting.

Massage therapy is generally considered safe, but it is essential to talk to a doctor before starting massage therapy, especially if you have a medical condition or are taking any medications. Some conditions, such as a bleeding disorder or blood clotting problem, may make massage therapy contraindicated. The type and frequency of massage therapy should be tailored to meet your individual needs and goals.

Summary


There are many ways to reduce arthritis irritation and pain. Not all methods work for everyone. It depends on the type of arthritis, severity, health, physical condition, allergic reactions, and ability to commit to a routine.
Some treatments can be combined with others for maximum benefit. For example: if you are taking a pain killer such as acetaminophen, you can easily add massage therapy, physical therapy, or creams and gels to attack the same problem.

Other treatments are difficult to impossible to combine. Taking Acetaminophen with supplements, for example, should be done under the supervision of a health professional. Corticosteroid injections may rule out physical therapy for the same area of pain. Again, only your healthcare professional can determine your best path.

There is also a question of cost. Some treatments are routine and relatively cheap. Corticosteroid injections must be prescribed by a physician, which can become expensive; acetaminophen can be purchased at any grocery store and is inexpensive.

Insurance may also cover many of the advanced treatments if prescribed by a doctor, making them viable for those that could not otherwise afford them.

Unfortunately, no magic wand will solve everyone’s arthritis pain. By trial and error, patients must discover what works for them.