Comparing Pain Meds For Osteoarthritis
Understand the pros and cons of different medicines for OA pain.
Exercise and weight loss are the best ways to beat osteoarthritis pain. But you may want to try other methods too. These include creams you apply to your skin , pills and joint injections. Knowing the pros and cons of these treatments can help you make the right choice.
Topicals
Before you try pills, experts say you should try topical nonsteroidal anti-inflammatory drugs for your OA pain. These come by prescription liquids and patches . Gel is now available over-the-counter without a prescription. Studies show they can relieve knee pain just as well as pills, but with fewer side effects.
Other over-the-counter arthritis creams and patches include ingredients such as capsaicin, camphor, menthol and lidocaine. They can be used for as long as needed.
Pills
Nonsteroidal Anti-Inflammatory Drugs NSAIDs are the most effective oral medicines for OA. They include ibuprofen naproxen and diclofenac . All work by blocking enzymes that cause pain and swelling.
The problem is that some of those enzymes also help blood to clot and protect the lining of your stomach. Without them, you can bruise easily, develop ulcers and may even bleed in your intestines.
NSAIDs also increase your chance of heart attack, stroke and heart failure. The risk increases the longer you use them and the more you take.
Celecoxib is an NSAID thats less likely to cause gastrointestinal bleeding, but it can cause heart problems.
Injections
Overview Of Medications Used To Treat Spinal Arthritis A Common Cause Of Back Pain Also Called Osteoarthritis Or Spondylosis
The type of arthritis that more commonly affects the spine is osteoarthritis, also called spondylosis. Other types of arthritis that are inflammatory in nature include rheumatoid arthritis and ankylosing spondylitis. Here, youll learn about medications for osteoarthritis that affects your neck , mid back , and/or low back .
It is not uncommon for arthritic neck or back pain to be accompanied by other symptoms, such as tingling sensations, numbness, or muscle spasms. Photo Source: 123RF.com.
Buying Guide For Best Dog Pain Relief And Arthritis Medications
Just as humans are prone to more aches and pains as they grow older, so, too, is your dog. But while youre able to seek medical attention on your own for health concerns, your pooch is entirely dependent on your care. Dogs do suffer from arthritis and other painful conditions as they grow older, but just because these health issues are common doesnt mean you should ignore them. There are medications specifically made for dogs to address these issues and help your pet be more comfortable.
Its important that you not write off any signs of pain in your pet, such as limping or lethargy, as normal signs of canine aging. Luckily, there are quite a few dog pain relief and arthritis medications available, both by prescription and over the counter.
If Fido doesnt seem to be quite himself these days, its time for a visit to the vet to pinpoint the problem and figure out a solution. Our buying guide contains helpful information about some of the treatments your dogs veterinarian is likely to recommend. Weve included some of our favorites, too.
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Advil Coated Tablets Pain Reliever And Fever Reducer Ibuprofen 200mg 100 Count Fast
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Working Toward A Personalized Approach To Pain Management

This meta-analysis cannot tell us which of these types of medication should be prescribed for a particular patient. No study can. The person-to-person variation in the effectiveness of any KOA treatment is huge. One patient may get near-total pain relief while another is not helped at all. These findings do give clinicians a benchmark for the typical amount of pain relief that might be expected from these medications, and suggest that, since they work about equally well, the choice of which one to use will be influenced by considerations other than effectiveness. Providers and those suffering with chronic pain also need to weigh potential side effects. Treatment with oral NSAIDs can result in stomach problems like bleeding, ulcer, and stomach upset, as well as high blood pressure and kidney problems. Opioids can have side effects such as constipation, nausea, and drowsiness. As you are also likely aware, opioids are also associated with a risk of serious overdose and addiction.
About the Author
Robert R. Edwards, Ph.D., Contributing Editor
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Reduction Of Joint Stress
Because obesity stresses the musculoskeletal system, ideal body weight should be achieved and maintained. Rest, in general, is an important feature of management. When the joints are actively inflamed, vigorous activity should be avoided because of the danger of intensifying joint inflammation or causing traumatic injury to structures weakened by inflammation. On the other hand, patients should be urged to maintain a modest level of activity to prevent joint laxity and muscular atrophy. Splinting of acutely inflamed joints, particularly at night and the use of walking aids are all effective means of reducing stress on specific joints. A consultation with a physical and an occupational therapist is recommended early in the course.
How Is Osteoarthritis Diagnosed
Your doctor will perform a physical examination and ask you about your history of symptoms and whether you have any family members with the condition. Other tests may include:
- Blood tests to look for inflammatory markers
- Joint aspiration to look for evidence of joint deterioration or crystals
- X-ray of the joint to look for bone changes
- MRI to provide a better image of cartilage changes.
Morning stiffness helps to differentiate osteoarthritis from rheumatoid arthritis. With rheumatoid arthritis, joint stiffness may not improve for several hours or it may last throughout the entire day.
Also Check: How Can You Treat Rheumatoid Arthritis
What Are The Precautions Of Arthritis Medicine
Even the best medicines for arthritis pain can have side effects. As such, it is important to exercise precaution.
Some of the side effects you need to watch out for are as follows:
For acetaminophens dizziness, nausea, constipation, vomiting, and lightheadedness for prescription-strength acetaminophens. Non-prescription acetaminophens have no side effects when taken as directed. Taking in more than the prescribed dosage, however, can lead to liver damage. It will also help if you consult with your doctor before taking acetaminophen to make sure that it will not react with whatever other medication you are seeking.
For corticosteroids bone loss, cataracts, increase blood sugar levels and elevated levels of blood fats.
For NSAIDS edema, stomach upset, possible increased blood clots risk, stomach ulcers, increased risk of stroke and heart attack, heartburn.
For DMARDS increased susceptibility to infections, and stomach upset. Some brands have certain side effects, too.
For biologics when biologics are injected, one can develop an adverse or adverse reaction to the injection such as swelling and redness nausea, rapid/weak pulse, vomiting, and difficulty in breathing.
All these side effects can be prevented and managed if you consult with your doctor first before choosing any product.
How To Choose The Most Popular Otc Arthritis Medications
The three most crucial criteria to consider are price, quality, and popularity.Price is an obvious factor to consider, as you want to ensure it is acceptable for your needs.Quality should also be examined because buying a low-quality goods will not help you achieve your main aim of obtaining the best product.Finally, while not as obvious as price or quality, popularity can be just as significant as both when it comes to attracting new customers.
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Biofreeze’s Pain Relief Spray Is Infused With Menthol To Offer Temporary Relief
We independently research, test, review, and recommend the bestproducts. Healthcare professionals review articles for medical accuracy. Learn more about our process. If you buy something through our links, we may earn a commission.
Arthritis is a debilitating and persistent condition that an estimated 52.5 million people in the U.S. live with. But there are plenty of over-the-counter treatment options including creams, lotions, gels, and oils with anti-inflammatory, anesthetic, and additional properties to relieve pain.
Best Homeopathic: Naturopathica Arnica Gel
Courtesy of Amazon
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Pricey
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Not everyone finds relief using arnica
When other formulas dont cut it, this luxe Naturopathica gel is worth every penny. The key ingredient is arnica, a prized herb known as “natures aspirin.” Naturopathicas product also contains menthol for a cooling effect and natural aroma and enriched with magnesium to improve muscle function.
A little goes a long way with this potent arnica-packed gel thats gentle on skin and dries with a smooth, non-greasy finish.
Active Ingredients: Arnica and menthol | Dose: Massage a dime-sized amount into affected areas as needed | Uses: Helps to soothe and restore skin after exercise, post-injury, arthritis pain, and otherwise achy muscles and joints
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Pain And Other Symptoms Of Spinal Osteoarthritis
The intensity and type of pain people experience as a result of arthritis in the spine varies from mild to severe, and occasional to episodic to chronic. Each type of pain is treated differently. Of course, it is not uncommon for arthritic neck or back pain to be accompanied by other symptoms, such as tingling sensations, numbness, or muscle spasms. Learn more about the range of osteoarthritis symptoms.
How To Use Pain Medications Properly

There are two types of over-the-counter pain medications that can be used for osteoarthritis. Acetaminophen is a pain reliever but not an anti-inflammatory. It may help with mild knee pain.
NSAIDs can be more effective because they both relieve pain and reduce inflammation. However, they come with potential side effects and risks. NSAIDs can irritate the lining of the stomach, which may lead to an ulcer or other stomach problems. They also can impair kidney function. Some NSAIDs can increase blood pressure. And theyve been linked to an increased risk for heart disease.
Because of the risks, Dr. Day cautions against using NSAIDs regularly over long periods of time. Instead, she uses NSAIDs for her patients in two ways. First, people who have a flare-up of pain can take them regularly for three to five days and then stop. Second, they can be used over the long term, but only occasionally, maybe a couple of times a week as needed.
If youre taking NSAIDs several times a day for long periods of time, Dr. Day advises reducing their use by maximizing the other treatment strategies. She also suggests trying a topical NSAID, such as diclofenac , which has fewer potential side effects.
Opioid pain relievers are discouraged for long-term treatment of chronic knee pain. The milder narcotic tramadol might be appropriate for occasional use in some people, says Dr. Day.
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Painbloc24 Arthritis Pain Relief Long Lasting Pain Relief Topical Medication For Knee
- important â if you feel a warming or burning sensation after application, it is a sign that painbloc24 is working and will decline with daily use, usually by the second day.
- long lasting the over-the-counter topical pain reliever in painbloc24 helps provide 24-hour arthritis pain relief.
- capsaicin capsaicin, a natural substance found in chili peppers, works differently than other topical analgesic ingredients.
- easy roll on application â no mess, no-touch roll-on applicator.
- arthritis pain relief â painbloc24 relieves chronic pain in knees, hands, elbows, ankles, arms, back and feet by helping to block the pain signal.
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Hot And Cold Treatments
Warmth has been used for many years to help relieve pain and stiffness. As well as a warm bath or shower, you could try heat packs that can be placed on the area which is in pain to help.
Cold can relieve swelling which can then ease pain. You can apply an ice pack or cold pack for up to 20 minutes every couple of hours. Some people use a mixture of both hot and cold alternately. Its best to try a few options to find what is right for you.
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Who Is At Risk For Arthritis
Some risk factors for arthritis that cant be avoided or changed include:
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Age. The older you are, the more likely you are to have arthritis.
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Gender. Women are more likely to have arthritis than men.
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Heredity. Some types of arthritis are linked to certain genes.
Risk factors that may be avoided or changed include:
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Weight. Being overweight or obese can damage your knee joints. This can make them more likely to develop osteoarthritis.
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Injury. A joint that has been damaged by an injury is more likely to develop arthritis at some point.
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Infection. Reactive arthritis can affect joints after an infection.
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Your job. Work that involves repeated bending or squatting can lead to knee arthritis.
Biofreezes Pain Relief Spray Is Infused With Menthol To Offer Temporary Relief
We independently research, test, review, and recommend the bestproducts. Healthcare professionals review articles for medical accuracy. Learn more about our process. If you buy something through our links, we may earn a commission.
Arthritis is a debilitating and persistent condition that an estimated 52.5 million people in the U.S. live with. But there are plenty of over-the-counter treatment options including creams, lotions, gels, and oils with anti-inflammatory, anesthetic, and additional properties to relieve pain.
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Make Sure Your Doctor Knows About All Medications Vitamins And Supplements
Talk to your doctor about which pain medications are best for you. Be sure to let your doctor know what other medications you are taking, even for other health problems. Besides other drugs you take, tell your doctor about any vitamins, supplements or herbal products you use. This can help you to avoid drug interactions. Here are other .
Treating Spinal Osteoarthritis May Take A Combination Of Therapies
Talk with your doctor about your neck and/or back pain to make sure your diagnosis is accurate and current. Remember that certain types of back problems are degenerative, meaning they may change, improve, or worsen with time. Management of your spinal arthritis pain may involve more than 1 medication or therapy. You have choices, and your doctor can work with you to find the right drug or combination of medications and therapies to ease your spinal osteoarthritis symptoms.
Electrical Nerve Stimulation for Arthritis Pain. Arthritis Foundation Web site. https://www.arthritis.org/living-with-arthritis/treatments/natural/other-therapies/electrical-stimulation-knee.php. Accessed October 29, 2018.
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Methotrexate And Other Traditional Dmards
Disease-modifying antirheumatic drugs are used used to slow or stop rheumatoid arthritis by suppressing the immune system. The generic names for commonly used DMARDs include:
- Hydroxychloroquine
Biologic drugs target and prevent a specific reaction from happening, stopping the inflammatory process.
This class of medications, called biologic response modifiers, is technically a subset of DMARDs. They may be used with traditional DMARDs or as an alternative to them. Biologics:
- Disrupt certain parts of the cascade of events that lead to RA inflammation and have the potential to stop the disease process.
- Increase a persons risk of infection and tend to be expensive. Because of these potential downsides, biologics are used when methotrexate or other DMARDs prove insufficient or cause unacceptable side-effects.
- May become less effective and/or cause worsening side effects over time. The doctor and patient can work together to monitor changes and decide if and when switching medication is advisable.
Testing for TuberculosisBefore taking any type of biologic medication, a person must be tested for tuberculosis. People who have latent tuberculosis carry the Mycobacterium tuberculosis bacterium without having tuberculosis symptoms. If a person with latent tuberculosis takes immune-suppressing biologic medications the bacterium can multiply and cause symptomatic tuberculosis.
See Risks and Side Effects of Biologics
Joint Pain Relief: When Should You Avoid Aspirin

You should not take aspirin if you know you are allergic to it. You should also avoid aspirin if you:
- Have bleeding problems
- Are scheduled for surgery
If you drink more than three alcoholic drinks per day, donât take aspirin. Doing so could increase your risk of stomach upset and gastrointestinal bleeding. If you have kidney or liver disease, talk to your doctor before using aspirin.
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Best Cooling Gel: Tiger Balm Arthritis Tiger Balm Rub
Courtesy of Amazon
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Pump makes it easy to dispense
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Some people find it works better on muscle pain than joint pain
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Smell may be overpowering for some
Containing a blend of natural herbal ingredients, Tiger Balm Arthritis Rub provides safe, fast, budget-friendly relief from arthritis joint pain and muscle aches. If you’re experiencing symptoms like redness, warmth, and swelling, look for something containing like menthol and camphor, which are both ingredients in this product. These ingredients distract from the pain via cooling sensations.
Dispensed from an easy-to-use arthritis-friendly pump, this anti-inflammatory topical lotion isnt greasy and doesn’t contain skin-drying alcohol. While it’s typically used for deep pain relief, like sore muscles, it can also be used for superficial pain, like shingles. However, it shouldn’t be used on broken skin or open wounds or on irritated, inflamed, reddened, or dry skin.
Active Ingredients: Camphor and menthol | Dose: Apply to affected areas no more than three to four times daily | Uses: Temporary relief of minor muscle and/or joint pain