After you apply diclofenac gel (Voltaren) or liquid (Pennsaid), you should not cover the treated area with any type of dressing or bandage and you should not apply heat to the area. You should not shower or bathe for at least 30 minutes after you apply the liquid (Pennsaid) and for at least 1 hour after you apply the gel (Voltaren). Do not cover the treated area with clothes or gloves for 10 minutes after you apply the gel (Voltaren), or until the liquid (Pennsaid) has dried if you are using the liquid.
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.
Collagen—particularly Type II collagen—is the main structural building block of joint cartilage. The human body is made up of 60 percent Type II collagen, and Hydrolyzed Type II collagen contains the amino acids found in human cartilage. Your body uses these amino acids to create new collagen—and repair your cartilage and connective tissue throughout your body. Hydrolyzed Collagen Type II also contains Hyaluronic Acid, which lubricates your joints and makes it an effective natural remedy for inflammation.
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.
This cream uses a blend of essential oils. It smells nice and when you apply it, and it moisturizes the skin. By providing cooling relief for troubled areas, this product alleviates a lot of muscle discomfort, making it ideal for a variety of people, including athletes and anyone suffering from chronic pain. It’s a bit like Icyhot, except it is made with natural healing oils.

Foam roller exercises are a form of self-myofascial release that, while kind of mildly painful at times, actually gets out those nagging muscle knots while helping you fix muscle imbalances that lead to poor posture and related musculoskeletal pain. It’s also an emerging treatment to reduce your risk of developing delayed muscle onset soreness, a common exercise-related pain that keeps people out of the gym. (6)

Magnesium supplements can help curb the pain of migraines, muscle spasms and fibromyalgia. “It’s really easy to be magnesium deficient,” Tanya Edwards, MD, medical director of the Center for Integrative Medicine at the Cleveland Clinic, told WebMD. Heavy consumption of alcohol lowers magnesium levels. “The foods that are highest in magnesium are things like sunflower seeds and pumpkin seeds. Most of us just don’t eat those very often.”

Thank you for providing a list with creams that aren’t simply analgesic! Most lists are just full of creams that provide analgesic properties by blocking pain receptors. It doesn’t really help your body repair from damage or strain. I use a cell-regenerative, anti-inflammatory cream with analgesics and its completely natural. It has the MSM and Arnica. I apply it before I work out and after to help nurture and heal my muscles & joints as well provide pain relief. This way I recover faster and get into the gym quicker knowing my body is supported and I am not just exasperating a problem.


Naturisme introduces this best cream for sore muscles that is crafted from one hundred percent kosher organic ingredient such as Black Seed , Arnica and Rosemary & Lavender emollients. The salve possesses a suave cooling sensation and a clear-cut essence that helps eradicating fatigue. It is primarily effective over swellings and redness and also is competent to loosen up tough muscles. On regular application, the best cream for sore muscles paces up blood circulation and has a velvety consistency for private part massage. The ‘Hush Rub’ product comes in a 3.4oz concentration form.

ASU is a vegetable extract made from the oil of avocados and soybeans that is said to slow the progression of osteoarthritis. It slows down the production of inflammatory chemicals in the body and thus the breakdown of cartilage in the joints. It has also been found to spur new cartilage cell growth. It is available in capsule form at a recommended 300 mg daily.
Although it’s been available in Europe for many years, it was only approved for use in the United States in 2007. Also, other topical treatments (salicylates and capsaicin) have shown little potential in the past. And Arnica montana creams (Traumeel, for example) are extremely popular, but it’s unlikely that even full-strength arnica is medically potent, let alone when it is diluted down to traces.3

Topical glucosamine cream and gel can significantly reduce the pain of knee osteoarthritis within 4 weeks. One study involving a glucosamine cream found that 100% of those with arthritis of the shoulder gained benefit. Of those with arthritis of the ankle, wrist or elbow, glucosamine cream reduced pain in 75% of people, and it worked in 58% of those with knee osteoarthritis.

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.
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]
Medications are not the only solution to control inflammation and discomfort. As we become increasingly aware and sensitive the possible side-effects of any medication, more patients and doctors alike are interested in non-pharmacologic methods to control inflammation. There are many ways that people address inflammation. Some have better scientific support than others, but most all are safe to try.
This product treats various types of pain. It’s great for stiffness, bruises, and sprains, and it may be the best pain relief cream for back pain. It’s not smelly, and it relieves pain associated with cramps. This cream rubs into the skin quickly, making it ideal for those who are irritated by aches and pains throughout the day. Carry this pain relief cream in your purse or bag to use as needed.
The Biofreeze® pain relief gel is available in 16-, 32-, or 128-ounce bottles and is offered as the colorless or original green formula. The company has been making pain relief products for over 25 years. It is the #1 product that has been clinically used by professional healthcare hands-on providers, massage therapists, physical therapists, chiropractors, foot doctors (podiatrists), athletic coaches, instructors, and trainers. This is considered the best pain relief cream for muscle pain perfect for athletes. When professionals have over a hundred clients each week, the economical 128-ounce jug might be best for you for not running out. You always want it on hand for clients with sore aching body parts.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

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.
This product has a huge market universally. It is used by more than 2 million individuals because of how effective it is in relieving pain and minimizing inflammation. Penetrex has been amongst the most renowned pain relief drugs for quite some time over the years and it is still being used widely that is why acquiring one for yourself would serve your needs greatly.
4. Devil’s Claw (Harpagophytum procumbens) – This ominous sounding herb is actually great for treating numerous health conditions, among them are liver problems and heart burn. It also has anti-inflammatory effects and can reduce pain from arthritis, headaches, and low back discomfort. The University of Maryland Medical Center has published several studies that had great success treating Osteoarthritis with Devil’s Claw.
“I am a musician and have been one for almost 40 years. With practice and performance comes pain, which sometimes becomes chronic. I manage it with body work and adjustments but I can’t always be around practitioners, especially when I am traveling. These pain relieving patches fill the void extremely well providing relief, very quickly without chemicals or drugs. Kudos to Luminas for developing them. Highly recommended!” – Rafe S.

Can stomach problems cause lower back pain? The back is a sensitive part of the body, which has many nerves and organs nearby. This means that issues such as digestive conditions can occur at the same time as back pain. Back pain and bloating are common symptoms of injury, pregnancy, or gastrointestinal problems. Treatment depends on the cause. Learn more here. Read now


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.


Perform vends this distinguished muscle rub cream, which carves its own niche amongst counterparts, principally for the impeccable effectiveness over persistent type muscle and tendon pains. The Non-NSAID graded salve is recommended for after training physiology refurbishing endeavor and is an indispensable elect for treating both minor and severe tissue lesion issue. It is crafted by availing the innate analgesic feature of Menthol and is judiciously sans Paraben. The muscle rub cream is also operative over arthritis and muscle redness and comes in a 4oz volume gel tube. It scales to an extent 1.5 x 2 x 6.2 inches and is vended in two more patterns of Roll-On and Spray.
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.

However, it probably does not work well for deeper tissues in most cases. For instance, there’s evidence that it doesn’t work at all for the muscle soreness that follows unfamiliar exercise intensity,7 probably because it can’t be absorbed far enough into thick muscle tissue — but oral NSAIDs do have a modest effect on that kind of pain89 (one of the only things that does).


For a 2006 report published in Rheumatology, investigators analyzed the available research on the use of balneotherapy in treatment of low back pain. Looking at five clinical trials, the report's authors found "encouraging evidence" suggesting that balneotherapy may be effective for treating patients with low back pain. Noting that supporting data are scarce, the authors call for larger-scale trials on balneotherapy and low back pain.
People who used an ointment that contains this plant-based extract for 5 days reduced the intensity of lower back pain by 95%, according to a 2009 study conducted by Merck (which manufactures the ointment). In comparison, a placebo group had a 38% reduction in pain during that same time, according to the study in the British Journal of Sports Medicine. Look for comfrey root ointment in health food stores or online. Just don't use it for more than 10 days at a time—it can be toxic.
Of course, the biggest benefit of the Luminas Pain Patch is the fact that it is fast pain relief. Your pain relief starts as soon as that patch adheres to the skin. You’ll start feeling a difference right away, with pain dissipating in minutes on the areas that are giving your problems. There’s no waiting around like traditional drugs, waiting for your body to break it down and enter your system. In addition to fast pain relief, there are other significant benefits to the Luminas Paint Patch:
I am 63 with osteoarthritis of my knee. I have struggled with pain relief and steroid injection hasn’t helped now waiting for new knee but need to control pain. I have just been recommended emu oil. I went to holland and Barrett and found Blue ease gel that has emu oil, capsicum and MSN amongst its ingredients. It does help the pain but skin burns (may have put too much on) how much will I need for a knee and will the burning sensation go away I have tried capsicum cream on prescription and that advised that burning sensation improves in a couple of weeks. From reading your advise re capsicum am I right in thinking that the burning sensation distracts the brain from the joint pain thanks

Many readers assume that “skeptics” will always favour mainstream and pharmaceutical treatments like Voltaren, but nothing could be further from the truth. Indeed, some skeptics are leading the charge against bad pharmaceutical industry science and practices (and a great example is Ben Goldacre’s new book, Bad Pharma: How drug companies mislead doctors and harm patients). Pharmacist Scott Gavura of Science-Based Pharmacy was certainly skeptical about topical NSAIDs like Voltaren when he first tackled the topic early in 2011.13 “When I recently noticed a topical NSAID appear for sale as an over-the-counter treatment for muscle aches and pains … I was confident it would make a good case study in bad science.”
For centuries, natural anti-inflammatory compounds have been used to mediate the inflammatory process and often with fewer side effects. We have briefly reviewed several of the most commonly used plant- and animal-derived natural compounds that may possess similar effectiveness in treating the inflammatory reaction seen in both chronic and sub-acute pain syndromes encountered in a typical neurosurgical practice. Ongoing experiments and clinical trials should be continued to guide and provide their scientifically based effectiveness to reduce inflammation and promote wellness.
"Arnicare Gel ($8; target.com) had me at first application. It not only works great to help relieve any muscle pain and swelling, but it also has no scent and isn't greasy. I can apply it at night or even before a workout." —Derek DeGrazio, celebrity trainer, Barry's Bootcamp Miami Beach (See his Barry's Bootcamp-Inspired Abs, Butt, and Core Workout.)
Break out that bag of frozen peas (or an ice pack, if you want to get fancy) for the first 48 hours after the pain sets in, and put it to use for 20 minutes a session, several sessions per day. After those two days are behind you, switch to 20-minute intervals with a heating pad. Localized cooling shuts down capillaries and reduces blood flow to the area, which helps ease the swelling, says Lisa DeStefano, an associate professor at Michigan State University College of Osteopathic Medicine in East Lansing. Cold also thwarts your nerves' ability to conduct pain signals. Heat, on the other hand, loosens tight muscles and increases circulation, bringing extra oxygen to the rescue.
"Arnicare Gel ($8; target.com) had me at first application. It not only works great to help relieve any muscle pain and swelling, but it also has no scent and isn't greasy. I can apply it at night or even before a workout." —Derek DeGrazio, celebrity trainer, Barry's Bootcamp Miami Beach (See his Barry's Bootcamp-Inspired Abs, Butt, and Core Workout.)
Many athletes and arthritis patients swear capsaicin creams reduce their pain and they love the deep warming sensation they provide. This heat may be associated with relaxation, which reduces their pain response. Researchers have concluded that capsaicin creams may reduce nerve and osteoarthritis pain in some patients (when compared to placebo), but they aren't very effective in reducing muscle pain.  Best results are achieved in joints that are close to the skin, like those in the hands or knee.
Direct from the Kalahari Desert comes devil’s claw, a claw-shaped fruit that has been used for centuries by the South African tribes as a natural remedy for inflammation and to treat arthritis pain. Numerous studies carried out on devil’s claw show it to have powerful natural NSAID-like properties. In fact, the journal Phytomedicine reported that it is just as effective as the osteoarthritis medication Diacerein. What’s more, studies carried out in both France and Germany pointed to devil claw’s effects being similar to cortisone.
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Nonsteroidal anti-inflammatory medications are one of the most commonly used types of medications for musculoskeletal conditions. NSAIDs can be effective for a wide variety of orthopedic conditions from arthritis, tendinitis, or other inflammatory conditions. Determining the best NSAID for your condition may depend on a number of different factors, and what works well for one individual may not be the best medication for another. There are possible side effects of different NSAID medications the patient should be aware of, and you should discuss with your physician if taking these medications for more than a short period of time.

It is therefore necessary to resort to another type of product which are less harmful for our bodies. One of the most effective products, which is widely backed up by scientific studies, is the arnica plant extract. The most widely used plants with local anti-inflammatory action in phytotherapy are arnica (Arnica montana) and, in a distant second place, devil’s claw (Harpagophytum procumbens).
Diclofenac is also available as a 3% gel (Solaraze; generic) that is applied to the skin to treat actinic keratosis (flat, scaly growths on the skin caused by too much sun exposure). This monograph only gives information about diclofenac gel (Voltaren) and liquid (Pennsaid) for osteoarthritis. If you are using diclofenac gel (Solaraze, generic) for actinic keratosis, read the monograph entitled diclofenac topical (actinic keratosis).
Find support and understanding.. Unlike a broken leg or other obvious sign of injury, chronic pain is usually unseen. It is a profoundly personal—and often lonely—experience. For many, it is difficult to find support and understanding from family and friends who may be well intentioned but don't really get what you're dealing with. If this is the case for you, we encourage you to find your own group of people who can be supportive and understanding. There may be a chronic pain support group at your local hospital or church. Or you may prefer to interact online. You may get started with a local or online forum seeking help, and then go on to find that you have a lot to contribute, and helping others is also a way to help yourself.
Pycnogenol, like white willow bark, is a nutraceutical material that has been used since ancient times. Pycnogenol is derived from the bark of the maritime pine tree (Pinus maritima) and has been used for more than 2000 years. It has been considered helpful for wound healing, treating scurvy, healing of ulcers, and reducing vascular inflammation. It contains a potent blend of active polyphenols, which includes catechin, taxifolin, procyanidins, and phenolic acids. It is one of the most potent antioxidant compounds currently known.[17,118]
Arnica, also commonly known as mountain tobacco, is a plant that is defined as an ideal medicinal plant for “individuals who have suffered a significant fall or have injured themselves at work” in botanical texts dating as far back as the 17th century. It has many qualities from a topical perspective. First and foremost, it provides rapid relief from discomfort in the joints (including knees, elbows, shoulders and hands) and in individuals who suffer from arthrosis and live with chronic pain, and also for muscle cramps, blows, bumps, rheumatism, sprains, frostbite, etc. So what is the reason for this? As it happens, it causes an immediate calm in bruises from bumps and contusions thanks to localised reactivation of blood vessel circulation which reduces inflammation.
Capsaicin creams are another topical option for pain relief. These contain the active component in chili peppers that cause a burning sensation. I know its sounds like this would cause more pain, but in fact the low levels of capsaicin in these creams block pain by temporarily depleting the nerves of certain chemicals that transmit pain impulses. Application of this cream three times daily was shown to significantly improve pain scores for fibromyalgia in one study done in Spain.
Of course, the biggest benefit of the Luminas Pain Patch is the fact that it is fast pain relief. Your pain relief starts as soon as that patch adheres to the skin. You’ll start feeling a difference right away, with pain dissipating in minutes on the areas that are giving your problems. There’s no waiting around like traditional drugs, waiting for your body to break it down and enter your system. In addition to fast pain relief, there are other significant benefits to the Luminas Paint Patch:
Turmeric can be consumed in a variety of forms, including as a spice added to foods or drinks and encapsulated for those who are not tolerant of the signature spicy taste. Two to three teaspoons of turmeric daily can help to provide therapeutic levels of relief and preventive benefits with little side effects. Note: Turmeric absorbs best when taken in combination with black pepper (approximately 1/4 teaspoon of black pepper for every 1 teaspoon of turmeric). (17)

This Biofreeze brand gel comes in a small tube of 4 oz, perfect for bringing to work in a small purse or bag. The small tube contains a gel substance that provides a cooling effect to fight aching pain. The popular gel is an excellent choice for those with joint or muscle pain and is the perfect addition to a physiotherapists toolbox. It can be used topically on areas of the body and is easy to apply. It's also inexpensive compared to some other gel formulations on the market. The product has been around for 25 years and is not tested on animals.
Ingredients:Active ingredients (in cream): Belladonna 3X, Capsicum 3X, Colocynthis 3X, Gnaphalium Polycephalum 3X, Hypericum Perforatum 3X, Magnesia Phosphorica 3X, Rhus Tox 3X. Inactive ingredients Water, Polyacrylamide, C13-14 Isoparaffin, Propylene Glycol, Methylparaben, Propylparaben, Capsicum Annuum Resin, Lavandula Angustifolia (Lavender) Oil, Salvia Officinalis (Sage) Leaf Oil, Laureth-7, Aloe Barbadensis Leaf Juice, Magnesium Ascorbyl Phosphate, Tocopheryl Acetate, Folic Acid, Retinyl Palmitate, Calendula Officinalis Flower Extract, Salvia Officinalis (Sage) Leaf Extract, Achillea Millefolium Extract, Sambucus Nigra Flower Extract, Foeniculum Vulgare (Fennel) Seed Extract, Citrus Aurantium Dulcis (Orange) Flower Extract, Rosa Canina Flower Extract, Ger anium Maculatum Extract.
A physical therapist will teach you stretches to manage your back pain, as well as exercises to correct any imbalances that might have brought on pain in the first place. Depending on the causes and severity of your back pain, your PT may also employ other treatment techniques, such as ultrasound, electrical stimulation, and active release therapy.

I am a science writer, former massage therapist, and I was the assistant editor at ScienceBasedMedicine.org for several years. I have had my share of injuries and pain challenges as a runner and ultimate player. My wife and I live in downtown Vancouver, Canada. See my full bio and qualifications, or my blog, Writerly. You might run into me on Facebook or Twitter.


Did you know that the sensation of pain actually originates in your brain? Fortunately, we can actively alter the way our brain evaluates painful stimuli, helping to increase our pain tolerance and decrease painful symptoms.[12,13] Several techniques that aim to take more control over our minds and that relax the body can work wonders for pain control. Here are a few good examples:
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