Joint Pain Remedy

Joint pain stems from many sources; the most common are athletic strain/injury, and arthritis. Joint pain and injury from sports or athletic stress are typically mild, and can be treated with rest, heat or ice, and aspirin. More serious injury or damage can require surgery or the use of casts or braces to allow the joint to heal. Chronic joint pain is typically an indication of either severe injury, or a symptom of arthritis. Joint pain is the most common symptom of osteoarthritis and rheumatoid arthritis, both of which are chronic diseases that can affect sufferers over a long period of time. Arthritis cannot be cured, but the symptoms can be treated through a variety of over-the-counter and prescription products as well as natural and medical methods. Learning how to manage your joint pain over the long term is an important factor in controlling the disease and maintaining a good quality of life. This is a brief overview of some of these products and methods arthritis sufferers can use to alleviate many of the symptoms of arthritis, specifically joint pain.

Over-the-Counter Products

Acetaminophen

Acetaminophen is a pain reliever but does not reduce swelling, which is a common symptom associated with injury and some types of arthritis, specifically rheumatoid arthritis. As such, acetaminophen, the best known of which is Tylenol, may be effective for people afflicted with osteoarthritis which often times have very little inflammation. In addition, acetaminophen does not cause stomach irritation and is less likely than nonsteroidal anti-inflammatory drugs (NSAIDs), described later, to cause long-term side effects. Research has shown that acetaminophen relieves pain as effectively as NSAIDs for many patients with osteoarthritis. People with liver disease, people who drink alcohol heavily, and those taking blood- thinning medicines or NSAIDs should use acetaminophen with caution.

Ibuprofen

Ibuprofen is a pain reliever that combines anti-inflammatory properties with pain relief. People afflicted with rheumatoid arthritis generally have pain caused by inflammation and often benefit from aspirin or ibuprofen, the best know of which are Motrin and Advil. Unfortunately, ibuprofen products and aspirin typically cause some stomach discomfort if taken without food and have been linked to ulcers with long-term use.

Glucosamine and Chondroitin

Both glucosamine and chondroitin are synthesized by the body and are components of natural joint cartilage. Studies indicate that glucosamine and chondroitin can help alleviate joint pain related to osteoarthritis and rheumatoid arthritis through improvements to the general joint function including greater joint flexibility. It appears that together they help offset joint space narrowing, which is the loss of cartilage within the joint, seen with osteoarthritis by stimulating production of new cartilage. Researchers theorize that glucosamine assists in the creation of new cartilage, while chondroitin slows cartilage destruction. Some studies indicate that glucosamine may help as much as nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, naproxen, and tolmetin in relieving symptoms of osteoarthritis, particularly in the knee, with fewer side effects.

Prescription Products

Prescription Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

This class of drugs includes aspirin and ibuprofen as well as Vioxx (rofecoxib), Celebrex (celecoxib), and Bextra (valdecoxib), which are classified as COX-2 inhibitors. Aspirin and ibuprofen are used to reduce pain and inflammation, as noted above, and may be used for both short-term and long-term relief in people with osteoarthritis but are more commonly used to treat symptoms of rheumatoid arthritis. The other drugs under NSAIDs are COX-2 inhibitors that work by blocking an enzyme known to cause an inflammatory response. COX-2 inhibitors had been approved for short-term use in the treatment of pain, and for longer-term use to treat the signs and symptoms of osteoarthritis and rheumatoid arthritis.

**Please see latest FDA Alerts regarding Vioxx, Celebrex, and Bextra recall.**

Biological Response Modifiers

This class of drugs includes Enbrel and Remicade, and is often used for the treatment of joint pain associated with rheumatoid arthritis by reducing the inflammation in the joints. Biological response modifiers theoretically block the reaction of an immune system protein involved in immune system response called tumor necrosis factor.

Disease-Modifying Antirheumatic Drugs (DMARDs)

This class of drugs includes Arava, methotrexate, hydroxychloroquine, penicillamine, and gold injections. Because of the likelihood of side effects, these drugs are used to treat people with rheumatoid arthritis who have not responded to NSAIDs or are no longer taking NSAIDs because of the FDA recall of Vioxx, Celebrex, and Bextra (COX-2 inhibitors). It is theorized that these drugs influence and correct abnormalities of the immune system responsible for a disease like rheumatoid arthritis and other rheumatic diseases. Due to the likelihood of adverse side effects, treatment with these medications requires careful monitoring by the physician.

Corticosteroids

Corticosteroids are hormones that can be taken by mouth or given by injection directly into the affected joint. Prednisone is the corticosteroid most often given by mouth to reduce the inflammation of rheumatoid arthritis. In both rheumatoid arthritis and osteoarthritis, the doctor also may inject a corticosteroid into the affected joint to stop pain. These hormones are very effective in treating arthritis but cause many side effects, including damage to the cartilage. In fact, frequent injections may cause damage to the cartilage, and as such, they should only be done once or twice a year.

Hyaluronic Acid Products

These drugs include Hyalgan and Synvisc. It is theorized that these drugs mimic a naturally occurring body substance that lubricates the knee joint and permits flexible joint movement without pain.

Natural Methods of Relief

Heat and cold

Heat and/or cold therapy is not recommended to alleviate symptoms associated with all types of arthritis and as such, the decision whether to use it or not should be discussed with your doctor or physical therapist. If your care provider determines that the use of heat and/or cold is appropriate for use on your arthritis pain, it must be determined which kind of temperature treatment should be used. Moist heat, such as a warm bath or shower, or dry heat, such as a heating pad, placed on affected joint for about 15 minutes may relieve the pain. An ice pack or bag of frozen vegetables wrapped in a towel and placed on the sore area for about 15 minutes may help to reduce swelling and stop the pain. If you have poor circulation, do not use cold packs.

Joint protection

In order to relieve the stress of everyday activity on an afflicted joint, which can exacerbate the condition and may lead to additional injury, a splint or brace can be used to allow joints to rest and keep them from being used. As with many other treatments, a medical care provider such as a physician or physical therapist can make recommendations and possibly provide you with the brace.

Massage

Massage is associated with temporarily relieving joint pain, one of the major symptoms associated with arthritis, rather than treating the underlying cause of a loss of cartilage. A massage therapist will typically lightly stroke and/or knead the muscles around the joint, which increases blood flow to the stressed area. It is important to realize that arthritic joints are very sensitive, so the massage therapist must be familiar with the disease and problems associated with the affected joints.

Exercise

Low-impact exercises such as stretching exercises, swimming, walking, low-impact aerobics, and range-of-motion exercises may reduce joint pain and stiffness while increasing joint mobility. A physical therapist or gym trainer can help plan an exercise program that will give you the most benefit with the least stress on the arthritis-stressed joints.

Weight Reduction

In addition to alleviating some symptoms, the weight loss associated with an exercise program is beneficial in relieving the extra stress that extra pounds put on weight-bearing joints such as the hips and knees. Studies have shown that overweight women who lost approximately 10 pounds substantially reduced the development of osteoarthritis in their knees. In addition, these studies suggested that if osteoarthritis has already affected one joint such as the knee or hip, weight reduction would reduce the chance of it occurring in the other knee or hip. A physical therapist or gym trainer can help plan an exercise program that will give you the most benefit with the least stress on the arthritis-stressed joints.

Medical Methods

Transcutaneous electrical nerve stimulation (TENS)

Transcutaneous electrical nerve stimulation uses a small device that is placed near the joint afflicted with arthritis and directs mild electric pulses to nerve endings in and around the arthritic joint. It is theorized that TENS blocks the pain messages sent to the brain from the nerves and modifies the body's perception of pain. Although TENS relieves some joint pain associated with arthritis, it doesn't offset the joint inflammation that is associated with arthritis.

Surgery

In some extreme cases of persons with severe injury or arthritis, surgery may be necessary. The surgeon may perform an operation to remove the synovium, realign the joint, or in extreme cases, replace the damaged joint with an artificial one. Total joint replacement provides not only dramatic pain relief but also significant improvement in joint motion and mobility for many people with arthritis or severe damage from injury.

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I used to think that stiff, swollen joints were just something that went along with getting older. Since prescription medicines never agreed with me,
I'd given up on finding an effective treatment.
Then a friend recommended Synotrex,
and I've rediscovered what it's like
to live without joint pain.
Valerie K,
Age 55, Providence, RI

Synotrex is a great product. I have been using it for 6 months straight and it has made a huge difference. Before Synotrex, playing basketball with my kids was tough. I could play for awhile, but eventually my knees
would just hurt too much. With Synotrex, it feels
like my knees are lubricated with WD-40 :-)
and I donít feel a thing.
Lydia Whitney,
Age 41, Portland, OR

Before finding Synotrex, I was really starting to miss out on a lot lifeís special ďmomentsĒ. Iíve had arthritis for years and have always struggled with it. Iíve never really was an active person, but when my grandchildren started to run around a lot more, I struggled to keep up. Thatís what prompted me to start looking for a good solution. I found Synotrex online and it seemed to address my needs. Well, after using it consistently for 4 months, Iím a new
person. My RA has gotten a lot better and more
importantly, I can keep up with the little ones.
I no longer feel like Iím missing out!
Beatrice Williams,
Age 64, Chicago, IL

After suffering a pretty bad knee injury in college 20 years ago, I have been dealing with bad knee pain. Iíve tried all kinds of stuff, but no matter what, nothing really makes it feel better. My wife saw an ad for Synotrex guaranteeing that it would work, so she bought me some. I took it reluctantly, but amazingly
enough it really worked. Synotrex has made a
huge difference and am now able to be
active again (pain free).
Woody Jackson,
Age 43, Denver, CO

Synotrex is the best! Iíve tried all kinds of home remedies (I refuse to take joint pain medication) and it is by far the most effective supplement out there. I have wasted my money on all kinds of products and I can guarantee you, nothing works as well as Synotrex. It has all of the right ingredients to reduce
joint pain. Donít waste your time and money like
I did trying other products. Get Synotrex today
and start feeling better!
Carl Brown,
Age 51, Dallas, TX

I used to think that stiff, swollen joints were just something that went along with getting older. Since prescription medicines never agreed with me, I'd given up on finding an effective treatment. Then a friend recommended Synotrex, and I've rediscovered what it's like to live without joint pain.

Valerie K,
Age 55, Providence, RI

Synotrex is a great product. I have been using it for 6 months straight and it has made a huge difference. Before Synotrex, playing basketball with my kids was tough. I could play for awhile, but eventually my knees would just hurt too much. With Synotrex, it feels like my knees are lubricated with WD-40 :-) and I donít feel a thing.

Lydia Whitney,
Age 41, Portland, OR

Before finding Synotrex, I was really starting to miss out on a lot lifeís special ďmomentsĒ. Iíve had arthritis for years and have always struggled with it. Iíve never really was an active person, but when my grandchildren started to run around a lot more, I struggled to keep up. Thatís what prompted me to start looking for a good solution. I found Synotrex online and it seemed to address my needs. Well, after using it consistently for 4 months, Iím a new person. My RA has gotten a lot better and more importantly, I can keep up with the little ones. I no longer feel like Iím missing out!

Beatrice Williams,
Age 64, Chicago, IL

After suffering a pretty bad knee injury in college 20 years ago, I have been dealing with bad knee pain. Iíve tried all kinds of stuff, but no matter what, nothing really makes it feel better. My wife saw an ad for Synotrex guaranteeing that it would work, so she bought me some. I took it reluctantly, but amazingly enough it really worked. Synotrex has made a huge difference and am now able to be active again (pain free).

Woody Jackson,
Age 43, Denver, CO

Synotrex is the best! Iíve tried all kinds of home remedies (I refuse to take joint pain medication) and it is by far the most effective supplement out there. I have wasted my money on all kinds of products and I can guarantee you, nothing works as well as Synotrex. It has all of the right ingredients to reduce joint pain. Donít waste your time and money like I did trying other products. Get Synotrex today and start feeling better!

Carl Brown,
Age 51, Dallas, TX

 

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