Pain from osteoarthritis can interfere with your life in many ways. It can make it hard to be active and take good care of yourself. Untreated pain may make sleep difficult. It may also add to depression and anxiety.
Controlling pain involves lifestyle changes like weight management and exercise. Natural and alternative treatments for pain relief include the use of heat and cold, massage, acupuncture, relaxation, and counseling. Other medicines are available to help relieve pain.
Some arthritis medicines can be bought without a prescription:
Acetaminophen is effective for moderate pain and does not cause stomach upset. It doesn’t relieve swelling, though. You must talk with your healthcare provider before taking it if you have liver or kidney problems.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, help relieve pain and swelling. Use of NSAIDs can cause stomach and kidney problems and raise blood pressure. But don't take NSAIDs if you take medicines that thin your blood, such as warfarin. Talk with your healthcare provider first if you have kidney or liver disease.
Some arthritis medicines need a prescription:
Prescription NSAIDs are stronger than over-the-counter NSAIDs. They reduce pain and swelling. Use of NSAIDs may cause serious stomach problems and easy bruising. In rare cases they may lead to kidney or liver problems. These include nonselective NSAIDs, such as naproxen, diclofenac, and indomethacin. Also, selective NSAIDs, such as meloxicam and celecoxib. Selective NSAIDs are thought to have less of a risk of gastrointestinal side effects than nonselective NSAIDs.
Other medicines, such as duloxetine, tramadol, and opioid pain relievers, may be prescribed for certain people based on specific clinical factors.
Topical medicines are those applied directly to the skin over the affected joint. They may be lotions, cream, sprays, ointments, or gels. They can be used along with some medicines:
NSAID creams may reduce swelling and relieve pain.
Capsaicin cream is made from an ingredient found in chili peppers. It works by stopping production of a substance that helps send pain signals to the brain. It may cause a burning or stinging feeling when you first use it.
Other topical medicines provide pain relief by numbing the area to which they are applied.
Some people benefit from joint injections with:
Corticosteroids used for most joints
Hyaluronic acid preparation used for knees
If one medicine doesn't work for you, another may help. If you have any questions or concerns about your current medicines or other medicines choices, talk with your healthcare provider.
June 02, 2018
American College of Rheumatology 2012. Hochberg, M. Arthritis Care and Research. 2012, is. 64, ed. 4, pp. 465-74., OARSI guidelines for the non-surgical management of knee Osteoarthritis. McAlindon, T.E. Osteoarthritis and Cartilage. 2014;22. 363-388., Overview of the management of osteoarthritis. UpToDate.
Freeborn, Donna, PhD, CNM, FNP,Hanrahan, John, MD,Horowitz, Diane, MD,Image reviewed by StayWell art team.