PharmacyTimes.com [Internet]. Fudin J. Should Topical NSAIDs Have Strict Heart Risk Warnings?; 2018 March 10 [cited 18 Jun 12]. Although this article’s title implies concerns about topical NSAID safety, it ends up answering that concern with very reassuring data, and it turns into a piece suggesting that the FDA needs to make it clearer that only oral NSAIDs are of concern, while topical is an extremely safe alternative! “ … all topical vehicles of diclofenac delivery result in only a small fraction of the diclofenac that actually reaches the systemic circulation compared with the oral route.” BACK TO TEXT
The omega-3 fatty acids found in abundance in fish oil derived from cod, trout, herring, salmon and other coldwater fish are proven natural remedies to reduce inflammation. Research from Cardiff University in Great Britain found that cod liver oil not only relieves pain, but also stops and even reverses the damage caused by osteoarthritis and rheumatoid arthritis. Omega-3s help morning stiffness, regenerate joint tissue and have been shown to also aid in autoimmune disease like RA, lupus and psoriasis.
Dr. Pergolizzi venture offers this exquisite sore muscle cream that is scientifically proven to be about 2X effective over aches and arthritis dilemma than its competitors at a most fast pace. The foremost pain relief cream reviews primarily upheld it for the Oxygenated Oil and Menthol nurtured composition, which provides an enduring and cool comfort over all sorts of muscle pulls and swellings. The sore muscle cream owns a Zero Stinking texture and is also effective to eradicate the issue of vein throbbing. The pain relief cream reviews also favor it for its functionality to make stiffened muscles relax and treat even bursitis sting. The ‘Oxy Rub’ salve is available in both 2oz and 4oz tubes.
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.
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.
You never want to put a heating pad on top of the topical product after it’s on your skin. It can cause skin irritation and possible burns. If you apply a lotion or gel having methyl salicylate, do not start exercising. Your body can absorb too much of it from your increased blood circulation and that’s not good. Do not put on areas such as broken skin, rashes, dermatitis, eczema, or irritated area. Pregnant and breastfeed women should not use topical pain relievers without consulting their doctor. Babies should not use these products, nor young children.
If you are the type of consumer who yearns for a natural muscle relaxer cream to help you solve the problem of experiencing sore muscles at different points in time more so after a tedious exercising activity then this is the type of cream to buy. With the cream, you would be able to deal with inflammation, chronic pain and sports injuries without much of a hustle.
Zeng C, Wei J, Persson MS, et al. Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies. Br J Sports Med. 2018 Feb. PubMed #29436380. “Topical NSAIDs were effective and safe for OA. Diclofenac patches may be the most effective topical NSAID for pain relief. No serious gastrointestinal and renal AEs were observed in trials or the general population.” BACK TO TEXT
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.
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)
Perhaps you bent the wrong way while lifting something heavy. Or you're dealing with a degenerative condition like arthritis. Whatever the cause, once you have low back pain, it can be hard to shake. About one in four Americans say they've had a recent bout of low back pain. And almost everyone can expect to experience back pain at some point in their lives.

You may get pain relief from nonprescription medications such as aspirin, acetaminophen (Tylenol), ibuprofen (Advil, Motrin) or naproxen (Aleve). Or your doctor can prescribe a stronger medication if those don’t work. But you may have side effects or the medications might not provide complete relief for you. Here are other proven methods you can try to soothe arthritis pain in addition to pills and medical treatments.
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.
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.
According to Susi Hately, owner of Functional Synergy, Inc., in Alberta, Canada, and author of several international best-selling yoga books, yoga can be very therapeutic for people with back pain as well. A review of scientific studies published in 2013 in the Clinical Journal of Pain found strong evidence that yoga can help reduce chronic low back pain. Yoga may help improve back pain by loosening tight muscles, building strength and range of motion, and improving breathing, explains Hately. Yoga also focuses on relaxation, which may help to relax your muscles as well as reduce pain perception.
Acupuncture: Acupuncture may provide even more relief than painkillers, according to one 2013 review. In 11 studies of more than 1,100 people, this Chinese medicine staple improved symptoms of lower back pain better than simulated treatments and, yes, in some cases, NSAIDs. The needles appear to change the way your nerves react and may reduce inflammation around joints (which is only one of the therapy's benefits), says DeStefano.
For short-term pain relief, over-the-counter pain relievers including acetaminophen and NSAIDs (non-steroidal anti-inflammatory drugs) are sometimes suggested. The most common NSAIDs include aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). Potential side effects of NSAIDs include stomach and liver problems. Talk to your doctor if you don't find relief after taking the recommended dose.
If these aches and pains sound all too familiar, then there’s a whole host of safe and effective treatments available to get back pain relief and to then relieve arthritis pain – herbal remedies, special foods, over-the-counter medicines, exercises, and more (see our Arthritis Solutions Special Report for details). But the quickest and safest way to soothe arthritis pain is with a topical cream that contains:
Over-the-counter (OTC) pain medications are fairly safe and somewhat effective in moderation and work in different ways, so do experiment cautiously. There are four kinds: acetaminophen/paracetamol (Tylenol, Panadol), plus three non-steroidal anti-inflammatories (NSAIDs): aspirin (Bayer, Bufferin), ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn). Don’t take any of them chronically — risks go up over time, and they can even backfire and cause nasty rebound headaches. They are all probably equally effective for acute injuries (Hung), but benefits vary with people and issues (chronic pain, headache, arthritis, etc). Acetaminophen is good for both fever and pain, and is one of the safest of all drugs at recommended dosages, but it may not work well for musculoskeletal pain (at all?) and overdose can badly hurt livers. The NSAIDs all reduce inflammation as well as pain and fever, but at any dose they can cause heart attacks and strokes and they are “gut burners” (they irritate the GI tract, even taken with food). Aspirin may be best for joint and muscle pain, but it’s the most gut-burning of them all. Voltaren® Gel Review is an ointment NSAID, effective for superficial pain and safer (Derry). Athletes, puh-lease don’t take “Vitamin I” to prevent soreness — it doesn’t work!
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.

Wasabi is another spicy food with natural painkilling properties. Scientists are studying the isothiocyanates in wasabi as potential pain relievers. Researcher from University of California San Francisco made a recent discovery suggesting that isothiocyanates could block an inflammation receptor, making it a potentially important natural painkiller. (2)
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.
Lower back pain and vaginal discharge: What to know Lower back pain and vaginal discharge are common on their own. When they occur together, this can point to specific medical issues. In this article, learn about seven possible causes of both lower back pain and vaginal discharge. We also describe risk factors, diagnostic methods, and treatment options. Read now
Chiropractic care involving spinal manipulation appears to reduce symptoms and improve function in patients with chronic low back pain, acute low back pain, and sub-acute low back pain, according to a research review published in the Journal of Manipulative Physiological Therapeutics. In their analysis of 887 documents (including 64 clinical trials), the review's authors concluded that combining chiropractic care with exercise is "likely to speed and improve outcomes" and protect against future episodes of back pain.
Endorphins are hormones made naturally in your body. What most people don't know is that they can be just as strong as any manufactured pain medication. When endorphins are released in your body, they help block pain signals from registering with your brain. Endorphins also help alleviate anxiety, stress, and depression, which are all associated with chronic back pain and often make the pain worse.

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!
Dr. Pergolizzi venture offers this exquisite sore muscle cream that is scientifically proven to be about 2X effective over aches and arthritis dilemma than its competitors at a most fast pace. The foremost pain relief cream reviews primarily upheld it for the Oxygenated Oil and Menthol nurtured composition, which provides an enduring and cool comfort over all sorts of muscle pulls and swellings. The sore muscle cream owns a Zero Stinking texture and is also effective to eradicate the issue of vein throbbing. The pain relief cream reviews also favor it for its functionality to make stiffened muscles relax and treat even bursitis sting. The ‘Oxy Rub’ salve is available in both 2oz and 4oz tubes.
Relief is the more natural alternative when compared with non-steroidal anti-inflammatory drugs (NSAIDs), all of which note they may cause stomach or intestinal problems, such as bleeding and ulcers, and may increase the chance of heart attacks and strokes. Relief is a totally vegan product that contains no animal or animal derived ingredients, and has never been tested on animals.

The InstaNatural™ pain relief gel is ohhh soo cooling for your sore aching back, chest, neck, elbows, arm muscles, knees, and arthritic conditions. Arthritis makes your bones ache and skin tender at that area. This will relax you and make you feel more comfortable. Arthritis stiffness is indeed very painful, especially in the fingers. This might provide relief to rheumatoid arthritis sufferers too, a more significant and painful condition. It performs well for tendonitis, carpal tunnel syndrome, sciatica, tennis elbow, golfer’s elbow, plantar fasciitis, fibromyalgia, and more aches and pains. The 2-ounce jar of gel will not stain your skin or clothes.


"Yoga Tune Up Therapy Balls ($15; yogatuneup.com). Hands down. They're like a surgeon's scalpel to your fascia. I use them on myself and with clients both pre-and post- workout to improve soft tissue and enhance mobility. They've really helped change my body for the better. Also, they're super easy to travel with." — Adam Rosante, fitness and nutrition coach and best-selling author of The 30 Second Body (BTW, we've got exclusive HIIT moves from his book here.)

There is nothing worse than having to wait for your pain medication to kick in when you’re in a bad way, only for it to wear off in a few short hours once it does start to work. What you need in these times is fast pain relief that acts fast and lasts for several hours. Thanks to the LUMINAS Pain Relief Patch, this is now possible, even without the use of harmful drugs.


The pump bottle is convenient to use never needing to remove a lid for an analgesic (no aspirin) providing instant and direct pain relief to muscles and joints, such as arthritic pain. There are no NSAIDs (nonsteroidal anti-inflammatory drugs), Ibuprofen, aspirin, or other salicylates. The gel penetrates fast for those strains and sprains in muscle tissues and works just as well on hands, wrists, elbows, arm, ankles, feet, knees—your entire body. The gel will give you temporary relief from minor aches and pains of sore muscles and joints from arthritis, backache, strains and sprains.
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.
Voltaren® Gel (topical diclofenac) is a particularly safe and useful medicine. It’s an anti-inflammatory cream, so it can be applied only where you need it, instead of soaking your entire system with a medication, avoiding or dramatically reducing common side effects like indigestion, as well as some serious safety concerns associated with oral diclofenac. In the US, this drug is FDA-approved to treat osteoarthritis in “joints amenable to topical treatment, such as the knees and those of the hands,” but it probably also works for some other painful problems, such as some repetitive strain injuries and back pain. The evidence shows that it “provides clinically meaningful analgesia.” So this product actually works and gets a pass from skeptics and critics — a rare thing in the world of pain treatments!
Enjoy essential oils. Essential oils have long been valued for their analgesic effects in many cultures. There are many ways to benefit from essential oils—some people inhale them (aromatherapy), others include several drops in their massage oil and enjoy as part of a therapeutic massage. Several oils in particular are thought to have an analgesic effect, including peppermint oil, rosemary, and lavender.
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
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.
Try taking one 250-milligram capsule of valerian four times a day. Some scientists claim that this herb’s active ingredient interacts with receptors in the brain to cause a sedating effect. Although sedatives are not generally recommended, valerian is much milder than any pharmaceutical product. (Valerian can also be made into a tea, but the smell is so strong-resembling overused gym socks-that capsules are vastly preferable.)
QUORA EXPERT - TOP WRITER 2018 Dr Sarah Brewer MSc (Nutr Med), MA (Cantab), MB, BChir, RNutr, MBANT, CNHC qualified from Cambridge University with degrees in Natural Sciences, Medicine and Surgery. After working in general practice, she gained a master's degree in nutritional medicine from the University of Surrey. Sarah is a registered Medical Doctor, a registered Nutritionist and a registered Nutritional Therapist. She is an award winning author of over 60 popular self-help books and a columnist for Prima magazine.
“Relief pain cream is my favorite vs. Icy Hot and Bengay, both of which I've never really liked due to their smell and their burning my skin. This stuff soothes & heals like no other! Relief has a pleasant and relaxing scent (including, but not limited to, lavender and menthol) and it doesn't hurt at all. I use it for muscle aches and headaches, allergies, colds (around temples, chest, neck, ears) AND on sunburns. Yep, this stuff is better than anything else I've tried on sunburns! I also use it occasionally for foot pain after being on my feet all day. I use essential oils, and I could probably blend my own version of this, but this blend is so perfect that I don't even want to try” *

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I’m often asked which is the strongest ibuprofen gel. If you’re looking for the best muscle pain relief, however, I recommend diclofenac gel rather than ibuprofen gel. Research shows that diclofenac gel (Voltarol) is stronger and more effective than even a strong ibuprofen gel. If you still prefer to use an ibuprofen gel, however, you can find them on Boots.com.


As I write in this month’s Harvard Men’s Health Watch, these so-called topical analgesics work best for more superficial joints like the knees, ankles, feet, elbows, and hands. “In those areas, the medication can penetrate closer to the joint,” says Dr. Rosalyn Nguyen, a clinical instructor in physical medicine and rehabilitation at Harvard Medical School.

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.
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