Topical gels have been shown to reduce the need for oral analgesics which is a good thing for reducing side effects.One trial found that topical capsaicin reduce pain more than placebo in people with AS, although it can cause burning sensations. Another trial used a gel form of a drug called tenoxicam (an NSAID) that suggested it might be helpful. Do ask your specialist if you can try something like voltarol – or a stronger version on prescription – and follow their individual advice. They may prefer you to have some oral anti-inflammatory on board to reduce inflammation throughout the body, however.
Hi Patricia, Sorry to hear about your experience. The patient information leaflet for diclofenac gel inside each pack advises that users should avoid applying on large areas of skin, that an amount ranging in size from a 1 penny to a 2 pence piece will usually be sufficient, and not to use it if you are already taking NSAID tablets. High blood pressure is not listed as a possible side effect, as this was not detected in clinical trials. As you say, diclofenac tablets and other oral NSAIDs are now associated with an increased risk of cardiovascular disease which is why the gel is considered a better option. I have coverd this in a post about ibuprofen increasing blood pressure here. Research looking into the long-term tolerability of topical diclogenac gel in people with an elevated risk of NSAID-related side effects, such as existing high blood pressure, type 2 diabetes, stroke and heart disease, suggests that the gel appears to be safe to use to treat osteoarthritis, even in these high risk groups. Having said that, everyone is different, due to the genes they have inherited, and you may have experienced an unusual, idiosyncratic reaction to the small amounts absorbed via the skin. It’s good that you or your doctor were monitoring your blood pressure to detect this. I have a website dedicated to lowering a high blood pressure, which includes lots of complementary approaches, that you may find helpful. Are you able to share the name of the herbal cream which you have found works better? Best wishes, Sarah B
For those amenable joints, though, Voltaren® Gel delivers a good dose of medication directly to the joint, while sparing the gastrointestinal tract from the harshness of NSAIDs — which are actually known as “gut burners,” and many people just can’t stomach ibuprofen. A gel almost completely eliminates the risks associated with digesting the stuff.4
7. White Willow Bark (Salix alba) –  The active ingredient in white willow is salicin, which the body converts into salicylic acid. This tree’s covering lowers the body’s levels of prostaglandins, hormone-like compounds that can cause aches, pain, and inflammation. What’s more, white willow bark doesn’t upset the stomach or cause internal bleeding like many over-the-counter aspirins. Turn to this herb for relief from menstrual cramps, muscle pains, arthritis, or after knee or hip surgery as it promotes blood flow and reduces swelling.
Digging a metal tool into a painful spot, such as the bottom of your foot if you’re dealing with plantar fasciitis, sounds like some sort of medieval torture practice. The Graston technique is an instrument-aided manual therapy that serves as a noninvasive way to deal with soft tissue ailments like achilles tendonitis, carpal tunnel syndrome, fibromyalgia, shin splints, back and shoulder pain, and other ailments. It’s even been proven to help relieve pain associated with chronic conditions like trigger finger and post-surgery pain in a way that can reduce the amount of painkillers administered.
It is a natural product which has been effectively used in the treatment of bone and muscle pain, in painful abnormalities resulting from spinal cord compression and as an analgesic medication following surgical interventions. It contains essential oils, alkaloid arnicine, glycosides, flavones, carotenes, mucilages and magnesia. Its main property is that it increases local blood flow due to its rubefacient effect, and its ability to relieve pain and improve muscle and nerve weakness. It is therefore very widely used for contusions, bumps, bruises, sprains, rheumatism, lower back pain, varicose veins, haemorrhoids and muscle pain.
Back pain is one of the most common reasons why people visit a health care provider. The good news is that the pain often goes away on its own, and people usually recover in a week or two. Many people want to stay in bed when their back hurts. For many years, getting bed rest was the normal advice. But current studies recommend no bed rest at all and stress that staying in bed longer than 48 hours not only won’t help but it may, in fact, actually delay your recovery. Here’s why:
Studies have shown that the gel from this medicinal plant is able to relieve the pain and improve joint movement and stiffness in individuals with arthrosis in the fingers at the same level as ibuprofen. It demonstrates that arnica is an effective alternative to the use of NSAIDs (such as ibuprofen) against this type of conditions, as arnica also prevents the gastric irritation caused by treatment with ibuprofen. Its use is therefore particularly recommended in individuals with stomach problems.
If you suffer from arthritis or other types of pain, you're probably all too familiar with drugs such as aspirin, Aleve, and Naproxen. All belong to a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs), and all can be purchased without a prescription. But there is another related drug, available by prescription, you might want to talk with your doctor about: diclofenac, available as a gel, patch, or drop that you apply directly to your skin.
Glutathione is a natural protein found within every cell in the body and consists of the amino acids Glutamic acid, L-cysteine, L-glycine. It is produced by the liver and is also found in fruit, vegetables and meats like mutton, lamb and beef. It is the most powerful antioxidant in the body and helps protect cells from free radical damage and oxidative stress, thereby improving cellular health and strengthening the immune system. As such, in addition to a host of other diseases, L-glutathione is useful in the natural treatment of rheumatoid arthritis.
On September 30, 2004, Merck Research Laboratories announced the global withdrawal of rofecoxib (Vioxx), its primary selective COX-2–inhibiting NSAID.[52,90,122] Analysis of the results of the Adenomatous Polyps Prevention on Vioxx study (known as the APPROVe study) showed that there was double the risk of serious thromboembolic events, including myocardial infarction, which became apparent after 18 months of Vioxx treatment.[26] Selective COX-2 NSAID’s thrombotic mechanism of action is based on COX-1’s unopposed action to continued platelet synthesis of thromboxane. Thromboxane is a thrombogenic and atherogenic eicosanoid. Prostacyclin prevents formation of platelet clotting. By inhibiting COX-2 that blocks production of prostacyclin (PGI2) there is unopposed thromboxane which will increase the clotting risk. Thus, inhibiting prostacyclin led to the increased risk of thrombotic cardiovascular and cerebrovascular events.[5,26,73,123]
I have had an Osteo Arthritic left knee for 12 years since a car accident. I have had surgery on it twice. I have Cortisone Injections in it every 90 days. I am 62.. I also have been diagnosed with Rheumatoid Arthritis and SLE Systemic Lupus which means that I have long periods of fatigue and my autoimmune system does not function properly. My left knee will need replacement in 2 to 3 years. Long story short......I needed a good external rubbing cream for my knee joint to manage world class pain. So far ......Synthaflex Joint Cream has been the best product that I have purchased and used. I rubbed it in with a paper towel because it has the old fashioned peppermint heat feel....so you do not want it on your hands. Keep it away from your face and your eyes because it will burn. It is a white cream. It takes effect instantly and lasts with my usage for about 5 hours. I use it twice per day. It has worked so well since I received it last week that I am getting ready to order two more jars tonight. I will post updates over the coming months but as of week one I strongly recommend this product. I have far less pain walking and no pain sitting or resting so far.
The evaluation of nutraceutical preparations with appropriately designed controlled studies has exploded in recent years. There is now a greater degree of confidence based on controlled study design and improved quality of the investigators that has strengthened positive findings found using natural compounds to treat diseases. It is important for healthcare practitioners to learn about these scientific studies to counsel patients who are taking various dietary supplements, herbs minerals and vitamins for both disease treatment and prevention.
"As we all know, Arthritis pain can really stop you from enjoying your life. I love to fish, and I have found that your wonderful Arthritis Cream has just the right amount of heat in it that it does not cause any discomfort. To spice it up a bit, I put on rubber gloves and use my heating pad set on medium heat. It is truly a great Cream! It works so fast to stop the pain and cramping—I cannot believe it. You have really created a great thing here, and I want to thank you with all of my heart. If I could bathe in this Cream, I truly would. Please keep up the great work! Many blessings to you! Thank you so much, Baker’s Best Health."
Luminas fast pain relief patch is incredibly easy to use. You simply apply the patch on the troublesome area or a flat area of skin close to it if the pain is in a joint like the elbow or knee. That’s all you need to do to be on your way to being pain-free for up to 24-hours. You don’t need to worry about it coming off in the shower, bath, or pool either. You’re covered!

Within all the preeminent muscle rubs specifically meant to treat joint aches this salve duo of Nature Well house stand as a peerless product--principally for their ‘Rapid Effect’ potency. The fast blending and sans grease gel texture is enriched with Menthol, Eucalyptus Emollient, Arnica Core and Calendula crux—all of which contribute in unstiffening tendons and rendering optimum comfort. The presence of Kava jus provides for the ‘Extra’ cool feel. The merchandise’s position within other muscle rubs scales up for fast evaporating essence. The duet comes at a weightage of 13.6 ounces and the tubes building it up offers easeful roller-ball massage.


Prolotherapy treatments work by naturally promoting a minor inflammatory response near damaged connective tissue, promoting regeneration and the growth of new, healthier tissue in the process. These treatments have been used to effectively reduce or heal chronic musculoskeletal conditions of the back, such as herniated/bulging discs, arthritis, osteoarthritis or other chronic joint pains, and tendonitis that affects the lower body and causes compensations in the spine. (7) For the most benefits, it seems that prolotherapy works best when combined with other back pain treatments, such as spinal manipulation, exercise and in some cases medications when needed.
Pain relief products that provide a cooling sensation can help distract the body from pain signals to ease comfort. One to try is Biofreeze Pain Relief Gel, which is used by chiropractors, physical therapists, massage therapists and athletic trainers to relieve muscle and joint pain. The formula contains 4 percent menthol—which is responsible for the cooling sensation—as well as an herbal blend of camphor, aloe, arnica, calendula, and more. The cream is NSAID-free and doesn’t contain parabens or propylene glycol.
Capsaicin cream, also called capsicum cream, is available in drug stores, health food stores, and online. A typical dosage is 0.025% capsaicin cream applied four times a day. The most common side effect is a stinging or burning sensation in the area. If possible, wear disposable gloves (available at drugstores) before applying the cream. Be careful not to touch the eye area or open skin. A tube or jar of capsaicin cream typically costs between $8 and $25.
You may already have tried exercise and over-the-counter (OTC) pain relievers you take by mouth. These include nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Another option is to try one of the many OTC topical creams that can help relieve arthritis pain. Here’s the low-down on these products to help you decide which arthritis cream might be best for you.
Topical treatments: One potential concern with dietary supplements is that some may interfere with medications you’ve been prescribed to treat back pain or other health conditions. For this reason, Grossman suggests topical treatments: “Gels and creams can be very helpful and won't interfere with supplements or medications,” she explains. “They're generally inexpensive, too.”
For arthritis relief, it is important to have proteolytic activity on the systemic level. Known as protease, this category of enzymes acts as a catalyst in the breakdown of proteins into peptides or amino acids. This helps control both systemic inflammation and inflammation resulting from soft tissue injuries, like those associated with both rheumatoid and osteoarthritis. Proteolytic enzymes also provide essential antioxidant and cardiovascular support. I will discuss two of the more potent ones here:

Cannabidiol, or CBD, is extracted from non-marijuana strains of industrial hemp plants. CBD oil is one of the most popular supplements for pain when taken orally, and CBD creams, salves and ointments are equally effective for pain relief when applied directly to painful muscles and joints. CBD is absorbed through the skin to interact with cannabinoid receptors (CB2) and suppress inflammation, relieve local pain and reduce itching, irritation and soreness. You can use a CBD salve or ointment at the same time as taking CBD oil capsules which reduce pain perception within the brain, aid relaxation and sleep as well as reducing discomfort and fatigue. Click here to find out more about oral cannabidiol CBD oil supplements for pain.


Carun Active Hemp Ointment is an infusion of cannabidiol CBD in petroleum jelly, hemp seed oil and olive oil, and is scented with a blend of natural lemon, peppermint and lavender essential oils. This ointment contains CBD at a strength of 3% (a 100ml pot contains 300mg CBD) and has a soft, melting texture at room temperature. Carun Active Hemp Ointment is available from Amazon.co.uk. A wide range of CBD ointments and creams are also available on Amazon.com some of which combine CBD with Arnica for additional healing benefits.
Too much tension and tightness can cause back pain. "Our goal in increasing flexibility is to put an equal load throughout the body from the feet all the way up to the head,” Davis says. “One good exercise is to sit on the edge of the bed with one leg extended and the other one on the floor. Give your hamstrings a stretch by leaning forward while keeping your back in a neutral position.”

About “tendinitis” versus “tendonitis”: Both spellings are considered acceptable these days, but the first is technically correct and more formal, while the second is an old misspelling that has only achieved respectability through popular use. The word is based on the Latin “tendo” which has a genitive singular form of tendinis, and a combining form that is therefore tendin. (Source: Stedmans Electronic Medical Dictionary.) BACK TO TEXT
From tissue spasms to neurological aches and from shooting aches to twist, this best muscle rub cream of Living Well Nutraceuticals is lab-accredited to heal all patterns of pain. Its exquisiteness is essentially fortified by the presence of Cetyl Myristoleate or CMO that enacts in depth over swelled up muscles, tendons and joints and eradicates the very inflammation—the root cause of all pains. The best muscle rub cream also owns Methylsulfonylmethane or MSM, which again reaches into the body cells and opens those up to prevent the aches affecting physique. The ointment is moreover nurtured with cruxes of Belladonna and Rhus Tox and caters enduring soothe. It comes in a 3oz density tube.
A combination of Boswellia and curcumin showed superior efficacy and tolerability compared with nonsteroidal diclofenac for treating active osteoarthritis. Boswellia typically is given as an extract standardized to contain 30-40% boswellic acids (300-500 mg two or three times/day). Boswellia has been well tolerated in most studies, although some people may experience stomach discomfort, including nausea, acid reflux, or diarrhea.[1–10,42,48,56,62,103,104]
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Staying in bed for any prolonged period can make you stiff and increase pain. When you don’t move and bend, you lose muscle strength and flexibility. With bed rest, you lose about 1 percent of your muscle strength each day. And you can lose 20 to 30 percent in a week. It becomes more difficult to return to any activity. As you become weaker and stiffer your recovery takes longer.
I recommend a woman takes 1,500 milligrams starting on the first day of her period and continuing until ovulation. If your’e on certain antidepressants, you have a bleeding or a seizure disorder, you’re on phenothiazine drugs for schizophrenia, or you’re being treated for high blood pressure, you should talk to your doctor before starting evening primrose oil.
Research shows that certain forms of magnesium can be effective for pain relief and muscle relaxation, as well as nerve pain. Many people in our society are magnesium deficient, so it may be a good idea to supplement. Magnesium glycinate is known to be a highly bioavailable form. Magnesium citrate can be used by those who tend toward constipation, as it has an additional effect of loosening the bowels.
Products that create a feeling of heat on the skin can also help relieve discomfort by distracting you from pain signals. The Sombra Warm Therapy Natural Pain Relieving Gel provides controlled warming to ease conditions like arthritis, bursitis, fibromyalgia, or even a simple backache. The gel quickly absorbs into the skin and won’t stain clothing. It’s also free of artificial colors, fragrances or alcohol.
Have your friend or partner give you a relaxing massage for your tired sore muscles at the end of the day and you do the same for them. Aging, as many know, is not too kind giving us cellulite, sagging skin, wrinkles, and other things we despise. Muscles are not as taunt and tight as they were when we were younger. And, the young people can keep their youthful appearance with this cream.
Comfrey root has a long history of traditional use to heal wounds and fractures when applied as a poultice, and was commonly known as ‘knit bone’. Modern research shows that comfrey contains two main active ingredients: allantoin which promotes tissue regeneration, and rosmarinic acid which damps down inflammation and reduces pain. Comfrey root cream is a popular and effective treatment for joint pain, sprains and strains.
The available science includes a 2011 study published in Arthritis Care & Research, which found that a 10-week tai chi program reduced pain and improved functioning in people with long-term low back pain symptoms. The study involved 160 adults with chronic low back pain, half of whom participated in 40-minute-long tai chi sessions 18 times over the 10-week period.
I am in my mid 50’s and was recently diagnosed with arthritis in both my knees. My left knee was the absolute worse. Seems squats and lunges are the worst for arthritic knees and my worst pain followed these exercises. Since then I have gotten a personal trainer so that I won’t hurt myself trying to workout. Anyway, I am a 5k runner and I want to continue. But let me tell you guys about the topical regimen that I am using that I employed just short of going to get a cortisone injection. Magnesium Oil, MSM lotion and organic silica gel. I got all of these products from an on-line source of organic foods, products and such. I absolutely love their products and these 3 products have made my knee feel like I never was diagnosed with arthritis, and I’ve been following this morning and night application of the 3 products for a little over two weeks now. Let me tell you, I couldn’t sleep at night because of the pain. Now it’s the difference between night and day. I hope this helps someone

Many individuals perceive surgery as the best modality for their health issues and sometimes it is.  However, research has indicated that nerve damage unavoidably produced during a surgical operation will cause chronic pain in 15 – 50% of patients (3).  Other individuals are severely damaged by treatments such as chemotherapy and radiation that cause states of increased inflammation and pain.
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