Diclofenac topical gel (Voltaren) is used to relieve pain from osteoarthritis (arthritis caused by a breakdown of the lining of the joints) in certain joints such as those of the knees, ankles, feet, elbows, wrists, and hands. Diclofenac topical liquid (Pennsaid) is used to relieve osteoarthritis pain in the knees. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). It works by stopping the body's production of a substance that causes pain.
Cognitive Behavioral Therapy (CBT). In CBT, a psychotherapist helps you identify problematic behaviors (like becoming less active or doing fewer fun activities in response to pain), negative thoughts (about self, others and the future) and feelings (depression, guilt, anxiety). This can increase your awareness of how problematic patterns develop and help you understand the connection between thought patterns and feelings. You are then trained in pain coping skills, such as relaxation techniques, imagery, and goal setting, encouraging you to have an active role in managing and controlling pain. CBT can increase your ability to control pain while acknowledging that there may be occasionally flares beyond your control.
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.
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
The use of non-steroidal anti-inflammatory drug (NSAID) medication is still the mainstay of most classically taught clinicians for joint and spine related inflammatory pain, despite their commonly known side effects [Table 1]. NSAID mechanisms are primarily through interaction with proinflammatory cytokines interleukin (IL)-1a, IL-1b, IL-6 and tumor necrosis factor (TNF-α). Increased concentrations of TNF-α are believed to cause the cardinal signs of inflammation to occur.[44]

Think of Voltaren® Gel as “ibuprofen in a gel.” (It’s actually diclofenac, but ibuprofen is a much more familiar drug name in North America, where the product is still fairly new, and available only with a prescription in the US.) It’s a topical anti-inflammatory medication,NSAID“Non-steroidal anti-inflammatory drug,” usually pronounced “en-sed.” and FDA-approved to treat osteoarthritis in “joints amenable to topical treatment, such as the knees and those of the hands.” The evidence shows that it “provides clinically meaningful analgesia.”1 This is an appealing treatment idea that actually works reasonably well: what a pleasure to be able to say that!2
Omega 3 fatty acid supplements are one of the most powerful ways to reduce oxidative stress and inflammation which are the underlying markers we see on labs with individuals who are suffering with chronic pain.   Omega 3’s help provide better cell membrane receptor activity and suppress genetic transcription factors associated with inflammation and pain.
Vitamin E is a fat-soluble and essential nutrient for humans. The most important components of vitamin E appear to be the tocopherols. All four forms of tocopherol have been shown to have antioxidant activity, but alphatocopherol is the strongest antioxidant. Alpha-tocopherol inhibits the oxidation of LDL, which can help prevent LDL from sticking to the arterial walls. In addition to its antioxidant properties, vitamin E also acts to reduce blood coagulation and may help to lower blood pressure by eliciting endothelial relaxation.
SynthaFlex uses Celadrin®. Celadrin® is a patented matrix of cetylated fatty acid esters. It reduces inflammation to relieve joint pain and increase joint mobility. It also helps restore synovial fluid that cushions bones and joints to promote flexibility without pain. As a topical cream, it's design to be rapidly absorbed by the dermis to provide fast and continuous relief.
Not as popular as many other essential oils, arnica oil belongs in every medicine cabinet. Considered generally safe for topical use, arnica oil used on the skin helps ease inflammatory pain associated with insect bites, bruises and even arthritis flare-ups. (5, 6) To treat bruises, applying arnica oil twice daily (as long as the skin is not broken) helps reduce bruising inflammation even better than low-concentration vitamin K formulations. (3)
Vitamins are essential to health. Every natural thing that you eat contains the vitamins needed for growth, repair, bone density, pH balance and hormone regulation. The problem is that many people don’t have access to organic whole foods, so vitamin supplementation is important. When suffering from inflammation, pain and arthritis, the following vitamins may help.
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.
Many pharmaceutical pain medications, while effective and useful at times, can be downright dangerous, but there is another solution to your pain problem. “Almost always, if we find pharmaceuticals doing the trick, we’ll find a plant doing the same trick—and doing it more safely,” remarks botanist James A. Duke, PhD, author of The Green Pharmacy Guide to Healing Foods.

1., 2., and 3. Ginger, Turmeric, & Holy Basil – This set of herbs forms a sort of trinity in Ayurvedic medicine. All of them have anti-inflammatory properties. Turmeric (a curry ingredient) contains curcumins which ease inflammatory conditions like rheumatoid arthritis and psoriasis, according to the Methodist Research Institute in Indianapolis. “Each herb has its own scientific database of evidence,” says James Dillard, MD, author of The Chronic Pain Solution.
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.
Whether the pain that someone experiences is activity related, leftover from an old injury, or due to a chronic inflammatory condition, bone broth in the diet can help to reduce chronic pain and flares. This is due to the presence of collagen in bone broth, which can help to alleviate joint problems and repair pain that originates from the digestive tract. (23)
“I recently started using Relief in my practice after being introduced to the product by a friend. My patients tell me they prefer Relief to the other analgesic gel because Relief works better, lasts longer, and there is no stickiness or unpleasant scent after using the cream. In addition to the patient response, I use Relief in my office because Corganics provides a high quality product with great customer service. Relief has been a great addition to my practice.” *
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Whether it was brought on by arthritis, a structural or nerve problem, bending the wrong way, or lifting something a little too heavy, low back pain is frustrating as all get-out. But if you're struggling, know this: You're definitely not alone. Most people experience back pain at some point in their lives, and it's one of the most common reasons people book doctor's appointments and call out of work. It's also one of the leading causes of disability worldwide.
An ancient mind-body practice, meditation has been found to increase pain tolerance and promote management of chronic pain in a number of small studies. In addition, a number of preliminary studies have focused specifically on the use of meditation in the management of low back pain. A 2008 study published in Pain, for example, found that an eight-week meditation program led to an improvement of pain acceptance and physical function in patients with chronic low back pain. The study included 37 older adults, with members meditating an average of 4.3 days a week for an average of 31.6 minutes a day.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are using diclofenac gel (Voltaren) or liquid (Pennsaid).plan to avoid unnecessary or prolonged exposure to real or artificial sunlight (tanning beds or lamps, ultraviolet light) and to wear protective clothing to cover areas treated with diclofenac gel (Voltaren) or liquid (Pennsaid). Diclofenac may make your skin sensitive to sunlight.

Turmeric roots are dried and ground into a spicy orange powder that has been used as an anti-inflammatory and pain reliever for hundreds of years in India. More recently researchers have called curcumin, the active ingredient in turmeric, the “herbal ibuprofen.” One study found that curcumin was actually more effective at reducing pain and swelling in arthritic joints than anti-inflammatory medications.


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.
How much do you have to use at once and how often? Is it easy to apply too much? Generally, roll-on applicators are the best choice for reducing waste since it’s hard to put on too much when using them. It is also important to note that if you need deep muscle penetration roll-ons often don’t provide the same effect as hand rubbing gel or cream into the affected area. So be sure to keep that factor in mind as you review these products.
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.”

you should know that you should not apply sunscreens, cosmetics, lotions, moisturizers, insect repellents, or other topical medications to areas treated with diclofenac gel (Voltaren). If you have been prescribed diclofenac liquid (Pennsaid), wait until the area of application is completely dry before applying any of these products or other substances.
Author Bio: Ginevra Liptan, MD, developed fibromyalgia while in medical school. She is a graduate of Tufts University School of Medicine and board-certified in internal medicine. Dr. Liptan is the founder and medical director of The Frida Center for Fibromyalgia and the author of The FibroManual: A Complete Fibromyalgia Treatment Guide For You...And Your Doctor and The Fibro Food Formula: A Real-Life Approach to Fibromyalgia Relief.
Stretch. Don't sit slumped in your desk chair all day. Get up every 20 minutes or so and stretch the other way. "Because most of us spend a lot of time bending forward in our jobs, it's important to stand up and stretch backward throughout the day," Reicherter says. Don't forget to also stretch your legs. Some people find relief from their back pain by doing a regular stretching routine, like yoga.
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with topical diclofenac 1% and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) to obtain the Medication Guide.
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.
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Omega-3 EFA, found in fish oil, can directly reduce the degenerative enzymes, aggrecanase and matrix metalloproteinase, as well as IL-1, TNF-α, and COX-2, to reduce the inflammation in synovial cartilage. A recent study of 250 patients with cervical and lumbar disc disease, who were taking NSAIDs, revealed that 59% could substitute fish oil supplements as a natural anti-inflammatory agent for the NSAIDs.[71] The recommended dosage is a total of 1.5–5g of EPA and DHA per day, taken with meals.
Resveratrol is a plant-based polyphenol molecule that is found in various concentrations of many different plant sources. The plant is called Japanese Knot weed or Polygonum cuspidatum, and the skins of red wine grapes are believe to have the most concentrated amounts of resveratrol. In plants, resveratrol is generally found in the plant skin and acts as a phytoalexin to protect the plant from infection, excessive UV radiation and aide in general plant defense. Resveratrol has also been found to have significant anti-mutation, anti-inflammatory, antoxidant and DNA protective actions, when consumed by animals and humans.
Different creams and gels combine different pain-relieving ingredients for a greater, synergistic effect. The most effective natural ingredients are arnica, cannabidiol CBD oil, glucosamine, chondroitin, celadrin, comfrey root, capsicum, MSM and Green-lipped mussel extracts. The most effective pharmaceutical pain relief gel are those containing diclofenac, which is a stronger version of ibuprofen.
Various studies have also shown that NSAIDs can delay muscle regeneration and may reduce ligament, tendon, and cartilage healing.[4,13,77] Specifically, NSAIDs are believed to wipe out the entire inflammatory mediated proliferative phase of healing associated with WBC actions (days 0–4). A study of the effects of NSAIDs on acute hamstring injuries was done in humans by Reynolds et al.,[93] and these investigators concluded that patients who used NSAIDs did not experience a greater reduction of pain and soft-tissue swelling when compared with the placebo group. Interestingly enough, the authors noted that the NSAIDs’ group had worse pain associated with severe injuries compared with the placebo group.

Hi Pauline, sorry to hear about your knee. Yes, capsaicin/capsicum cause stimulation of nerves endings so their chemicals are depleted and they reduce the level of pain messages they send on. The brain also naturally dismisses persistent signals. Some people do find it irritating, however, but better than the traditional treatments that mimic this action -bee stings and nettles! Best wishes, Sarah B
Biofreeze presents this best pain relief cream, whose distinctiveness gets fortified by the factuality of Menthol (an organic analgesic agent) being present it its compositional fabric at a most concentrated quotient of 4%. The salve is an optimum elect of doctors, chiropractors and expert masseurs. The best pain relief cream is also preferred by professional trainers and athletes to heal sore muscles, cramped arms & legs and stiff tendons post exercise. On scheduled usage over lingering inflammations and joint & spinal aches, the 3oz density ointment is competent to render ‘Next Day’ effect. It belongs to the ‘Swift Action Long Lasting’ genre and is available in a roll-on pattern holder. The product scales to an extent of 8 x 4 x 6 inches.
"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

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.
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Cool it off. To do a 10-minute ice massage, fill up small paper or foam cups about one third full and freeze them. When ready to use, peel away the top of the cup to expose the ice and gently slide over the painful area. Try to avoid the bony parts of the joint, such as the knee cap and elbow points. Cover the affected area with a plastic wrap before applying the ice to protect the skin, and place a towel underneath to pick up the moisture as the ice melts. You can also use ice cubes wrapped in plastic for smaller areas. Cold packs and wraps applied for 15 to 30 minutes may also relieve sore lower back or shoulders.
Hi Pauline, sorry to hear about your knee. Yes, capsaicin/capsicum cause stimulation of nerves endings so their chemicals are depleted and they reduce the level of pain messages they send on. The brain also naturally dismisses persistent signals. Some people do find it irritating, however, but better than the traditional treatments that mimic this action -bee stings and nettles! Best wishes, Sarah B
This was a very informative post. I hate taking pills so anything thing that can help with any pain that I’m experiencing that you can just add topical is the best in my opinion. It’s great that it’s also as good as oral pain killers. And also has fewer side effects which is also another great thing. I’ll have to tell my friend about this because she has bad knee pain, so this would help her out a lot.
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.
The benefits of heat therapy are twofold: it increases the flow of healing oxygen and nutrients to the damaged area, and it suppresses pain signals. Some find that wearing a heat wrap, such as those from ThermaCare, is best because it releases a low level heat for several hours and can be worn under clothes so you can remain mobile. You can also combine the benefits of aromatherapy and a heat by adding an essential oil to the hot pack; you can experiment by making your own microwaveable heating pad at home and adding different essential oils to see what works best for you.

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.
In the case of topical creams, many individuals may suffer from allergies that they weren't even aware of until they encounter a negative reaction. These reactions can range in severity from mild skin irritation to more severe issues such as inflammation and increased pain. Remember to check all the ingredients for any topical medication you buy in order to avoid potential allergens and irritants.
With more than 23,000 reviews on Amazon, customers give Penetrex sky-high marks for effective pain relief. If it doesn’t work for you, it comes with a 100 percent, no-questions-asked, money-back guarantee. Formulated to fight inflammation, it contains a mix of ingredients including arnica, choline, glucosamine, Vitamin B6, and MSM. It’s not odor-free, but rather has a light scent that disappears quickly after you apply it. You can use it alone or in conjunction with heating pads, massagers, ice, and other therapies.
Those who have tried using this Neosporin product say that cuts and scrapes heal within three days when this ointment is applied and that pain subsides quickly. To properly use the ointment, be sure to first clean the affected area with mild soap or saline water. Apply the Neosporin and then use a bandage to properly protect the area while it heals.
Capsaicin. The main ingredient of hot chili peppers, capsaicin is also one of the most effective ingredients for topical pain relief.It can be helpful for joint pain and for diabetic nerve pain. When first applied, capsaicin creams cause a warm tingling or burning sensation. This gets better over time. You may need to apply these creams for a few days up to a couple of weeks before you notice relief from pain.
The Penetrex® pain relief cream is a top choice for those suffering from arthritis, back pain, fibromyalgia, neck pain, sciatica, carpal tunnel syndrome, sore aching joints and muscles, tennis and golfer’s elbow, neuropathy, sports injuries, plantar fasciitis, strains, sprains, hip and shoulder pain, all pain and other inflammations. The advanced development cream comes in a 2-ounce jar with other sizes available. Eight years went into the development and creation of this fantastic cream. Penetrex is favored by people troubled with inflammation related injuries because it works!
I’m not saying NSAIDs are useless. They have their place. If you’re recovering from surgery or a major injury, traditional over-the-counter pain relievers are good for controlling inflammation, swelling, and pain, but NSAIDs are far too powerful for over-the-counter, everyday use. Unlike a lot of natural pain relievers, NSAIDs also don’t address the cause of inflammation or pain; they just mask the symptoms.
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