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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.
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If you are using a topical anti-inflammatory there is a risk that your skin can become sensitive to light (photosensitivity). If you are using a preparation that contains ketoprofen you should cover the area of skin where ketoprofen has been applied (to protect it from sunlight). Also, you should not use a sunbed, or expose your skin to sunlight during treatment, and for two weeks after stopping.
Spreading a medication on your skin is not the same thing as swallowing it. Because Voltaren Gel is applied to the skin, dramatically less medication reaches the bloodstream — only a tiny fraction of what you would get from oral usage.1516 It is safe to assume that cardiovascular risks of moderate topical use are negligible compared to oral diclofenac, because so much less medication is actually getting into general circulation, and that is what the evidence now shows.17 Multiple studies have concluded that topical NSAIDs are both effective and safe.181920
Massage. Various forms of body work can provide temporary pain relief. You can try full-body Swedish massage for  stress relief and relaxation; deep-tissue massage, which uses pressure and slow strokes on deeper muscle tissue to release knots and relieve tension; or myofascial release, which uses long, stretching strokes to relieve tension around the connective tissue of the muscles.
"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."
"I love Elemental Herbs All Good Herbal Freeze with Arnica ($20; allgoodproducts.com) because the combination of menthol and arnica is incredibly cooling. Also, it's all-natural and super easy to just spray onto my sore areas. I also like Arnica Muscle and Joint Gel by Naturopathica ($28; naturopathica.com), which is a gel. You can rub it in and it really targets the sore muscles and joints." —Holly Rilinger, master Flywheel instructor, creator of LIFTED
Laugh more often. One study showed that social laughter actually increases pain tolerance.5 Laughing along with others was shown to have the highest positive impact. Laughter has many positive effects, including increasing circulation and oxygen, and raising your body's level of endorphins (the body's natural pain killers). There is a whole movement called "laughter yoga"—which helps people enjoy the many benefits of laughter without having to need a reason to laugh—it just focuses on laughing for its own sake.
Release your inner endorphins. Endorphins are the natural pain relievers produced by your body. They work by binding to the opioid receptors in your brain to block the perception of pain, similar to opioid pain medications, such as oxycodone or morphine. Spurring increased production of these natural hormones can substantially help reduce your pain, as well as produce profound feelings of pleasure and satisfaction.1
How it works: When back muscles hurt, the pain is usually caused by inflamed tissue. Cold reduces the swelling and discomfort, says Jason Highsmith, a neurosurgeon in Charleston, South Carolina. As soon as you feel pain, apply cold several times a day, 10 minutes at a time, for about three days. A bag of frozen peas works, or try a cold pack, like an Ace Reusable Cold Compress ($10 at drugstores).
Although it is difficult to establish the mechanism of action of a plant due to the variety of its components, in vitro clinical trials have shown that the anti-inflammatory properties of arnica are based mainly on the inhibition of NF-kappa B transcription factor, which is a key part of the immunological and anti-inflammatory processes. This protein regulates the transcription of various inflammatory cytokines, such as interleukins, as well as that of the genes encoding COX-2 (an enzyme which favours inflammation).
Many arthritis creams have a telling medicinal smell, but you won’t get that from this Blue Emu cream. Like other arthritis creams on the market, it contains glucosamine and MSM. What stands out about this one, however, is that it contains emu oil (thus the name), which promises to penetrate deeply into the skin and provide soothing relief to joints and muscles. Thousands of customers say it delivers on those promises too.
Achy back? You're not alone: back problems send more Americans to the doctor annually than nearly any other medical problem, according to a 2013 Mayo Clinic study. Whether you're recovering from misjudging a heavy load (we've all been there), dealing with a lingering injury, or have a chronic problem, you don't necessarily need to resort to popping tons of pain relievers. Talk to your doc about these 15 expert-approved natural back pain remedies, and find out if they are safe and appropriate for you.
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.

Keep all appointments with your doctor and the laboratory. Your doctor will monitor your symptoms carefully and will probably take your blood pressure and order certain tests to check your body's response to topical diclofenac (Pennsaid, Voltaren). Be sure to tell your doctor how you are feeling so that the doctor can prescribe the right amount of medication to treat your condition with the lowest risk of serious side effects.
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Many of the 10 million Americans suffering from widespread muscle pain due to fibromyalgia look for non-prescriptions options for pain relief. As a physician with fibromyalgia myself, I want to share with you the most effective natural options that I include in my own pain relief “toolbox,” which includes anti-inflammatory herbs, topical creams, and a unique form of massage that breaks up painful muscle knots.
There is strong scientific support for the effectiveness of Alexander Technique lessons in the treatment of chronic back pain, according to a research review published in the International Journal of Clinical Practice in 2012. The review included one well-designed, well-conducted clinical trial demonstrating that Alexander Technique lessons led to significant long-term reductions in back pain and incapacity caused by chronic back pain. These results were broadly supported by a smaller, earlier clinical trial testing the use of Alexander Technique lessons in the treatment of chronic back pain.

The only side effect most of these products have is odor. Some of them were reviewed as being neutral to actually smelling good, while others were reported to have quite a strong smell you might not like. A lot of this has to do with the nature of the ingredients in pain relieving treatments. Mentholated ingredients give natural relief, but they do tend to have a strong odor that accompanies them.

Get enough restorative sleep. Getting enough sleep is critical to managing pain and promoting healing, so it's important to employ a variety of sleep aids to help you get a healthy amount of sleep. Regular exercise that physically exhausts the body helps promote deep sleep. Visualization, meditation, and other psychological techniques can also help you get to sleep and stay asleep.
Sudden and intense cold exposure makes you release cold-shock proteins, a special class of proteins that decrease inflammation and speed up recovery.[10] To get the benefits of cold therapy, you can take an ice bath or use a cryotherapy chamber, like the one at Bulletproof Labs. Cryotherapy’s benefits go far beyond inflammation, too. Get a full breakdown of how cryotherapy upgrades your biology.
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