But for many people, pain takes on a very dramatic meaning, especially when the pain comes from a condition such as arthritis. Arthritis can affect the entire body and causes pain to the bones, tendons and muscles. Some people have resorted to the use of arthritis pain relief medications in an attempt to alleviate the pain. Others have a higher pain tolerance or pain threshold and do not necessarily need to take medication to stop arthritic pain.

Medically speaking, pain tolerance refers to just how much pain a person can withstand before breaking down emotionally or psychologically. In some cases, it may also refer to how much pain a person can endure before passing out. However, some people afflicted with arthritis claim that pain tolerance may also refer to the body and mind’s ability to incorporate or endure pain on a daily basis without it severely impacting on their daily routines. Interestingly, pain tolerance can be actually developed by training the mind and the body to “ignore” pain. However, the use of the term “ignore” might be a misnomer in this case. Patients who refuse to take arthritis pain relief medications attest that those who have pain tolerance don’t so much as ignore pain as simply “live with it.” The idea is that people with a high level of pain tolerance have developed a threshold that can be compared to people with a high alcohol tolerance; some people can drink a lot without actually getting drunk. Some people can naturally cope with pain that is more frequent and at higher levels than other people.

Pain tolerance is still the subject of much debate in scientific circles. There are many patients who claim that it is real and that they can actually demonstrate their ability to withstand pain. On the other hand, people who have taken arthritis pain relief medications claim that the drugs can dull the mind’s ability to drown out the sensation of pain. They further claim that the dulling sensation also prevents them from performing other daily tasks.

However, despite reported side effects, most prefer to stick to using arthritis pain relief medication. For one thing, most people would rather not have to spend the time needed to grow accustomed to the pain. Another obvious reason is that not everyone can develop a high tolerance for pain. In many ways, pain tolerance is affected by a person’s psychology and outlook.

Deciding who needs to take drugs to control arthritis is an important task for a pain control specialist or doctor. Since a person’s state of mind determines how much he or she can mentally handle before breaking down, a doctor cannot simply decide if medication is needed without a thorough consultation. In addition, there is also the possibility of developing drug dependence due to long-term use of arthritis pain relief.

Whether patients can develop pain tolerance when taken off arthritis pain relief treatments is arguable at best; not everyone has the capacity for the same threshold of pain as those who don’t take medication. The choice to take medication or not is not the only factor to be considered. Other determinants such as physical conditioning, psychological state, and other physiological factors also have an effect on the development of pain tolerance.

It can be purchased without a prescription, and does not irritate the stomach like other medication such as aspirin or ibuprofen. It is supplied in time release caplet form, meaning that the drug is released over an extended time period. This means that the medication need not be taken as frequently as other pain killers.

Tylenol Arthritis Pain does not appear to have any side effects, but if you have an existing condition alongside arthritis you should consult with your doctor before taking it or you are taking other medication. Tylenol should not be taken with other pain relieving medication, such as aspirin, ibuprofen, ketoprofen, prescription medication or any other product containing acetaminophen.

Many arthritis sufferers have found some pain relief from taking Tylenol Arthritis Pain, so it may be worth discussing this with your doctor or physician.

Symptoms; You may notice increased stiffness in the spine, which can be worse in the morning or after periods of inactivity. There will also be pain, which may be exacerbated by movement and which may come and go. There may be additional pain or numbness in the neck, shoulders, arms or legs, including the Sciatic nerve.

Movement of the spine may be limited and you may find bending difficult. In extreme cases, the spine may become deformed. Often, bony growths occur which can form ‘spurs’, which can cause increased pain or restriction of movement. You may also notice a ‘crunching’ or clicking sound or sensation on moving.

If the arthritis develops in the lower spinal region, it can affect the nerves to the legs and buttocks. Arthritis in the cervical area can similarly affect the arms and shoulders.

If you think you may have spinal arthritis, consult your doctor, who may refer you for an x-ray for diagnosis and the extent of the damage.

Treatment; As with other forms of arthritis, there is currently no known cure, but a range of treatments are available to relieve symptoms.

Medications which may be prescribed include anti-inflammatory drugs, steroids or painkillers.

Losing excess weight will help to reduce pressure on the spine and soft tissue. Diet can be important; eating calcium and nutrient rich foods can help maintain bone density and strength and slow the rate of deterioration. Exercise has also proven beneficial in improving flexibility and relieving pain. A health professional or physiotherapist should be able to put together a suitable exercise or diet program for you.

Heat or ice treatment applied regularly has also proved to relieve pain and discomfort in sufferers.

Arthritis of the spine can cause the invertebral discs within the spine to deteriorate, which may then require further treatment. The joints of the spine can be affected by formation of bony growths on the spine, which may be removed by surgery.

Having spinal arthritis need not restrict you. A lot of people experience only minimal symptoms, and pain can be managed with appropriate medication and support.

Arthritis creams have very few side effects and are generally safe to use, but if you are planning on using them you should consult your doctor as there is a chance that they could affect other medication you may be taking. If you have sore or broken skin, you should also be wary of using them.

The main types of arthritis cream available are;

Trolamine Salicylate Topical Analgesic creams, containing the active ingredient Trolamine Salicylates. These work by reducing the inflammation and swelling in the joints and muscles affected by arthritis. People who are allergic to aspirin or who are taking blood-thinners should discuss with their doctor before taking these as they could affect this medication. Trolamine Salicylate Topical Analgesic creams include Aspercreme and Sportscreme.

Topical Analgesic creams containing the active ingredient, Capsaicin, which is derived from chili pepper seeds. It is thought to work by decreasing the levels of the substance responsible for transmitting pain in the body (substance P). These creams are thought to work best on joints which are closest to the skin, such as finger joints. These creams include Zostrix.

Counter-irritants, which generally contain combinations of eucalyptus, camphor, Methyl Salicylate and menthol. These creams work by causing irritation to the skin where it is applied. This stimulates the body’s sensory receptors to heat and cold, which then produces a counter irritant response which provides a temporary relief from the pain and discomfort of the arthritis symptoms. Counter-irritant creams include Bengay Products

There are also various other arthritis creams available, including;

Voltaren Gel; this is a NSAID product which typically contains diclofenac sodium in a topical gel formation. Voltaren Gel should not be used by patients with a sensitivity to diclofenac. Patients taking oral NSAIDS and aspirin should not use Voltaren Gel as there is an increased risk of adverse side effects.

Glucosamine Cream; the benefits of taking Glucosamine supplements to relieve arthritis symptoms are well known. Glucosamine is also available as a cream, and is known to be effective at relieving joint pain and discomfort and increasing joint function.

Tiger Balm Arthritis Rub;
this is a counter-irritant cream but also works by soothing the joint pain and muscular aches associated with arthritis. Active ingredients include clove oil, camphor, cajuput oil and menthol.

Arthritis is caused by the degeneration and deterioration of the cartilage layer surrounding the joints. This causes the bones to rub against each other, causing discomfort, pain and deformity of the bones. Glucosamine works by stimulating the body’s natural production of the proteins which rebuild and replenish the damaged cartilage. This means that the Glucosamine is treating the cause of arthritis rather than just the symptoms.

Glucosamine is classed as a nutritional supplement rather than a herbal medication. It can be obtained from a variety of sources, including health food shops and online stores. As it is a natural product, any side effects from taking Glucosamine are much milder than those caused by other medications. It is generally not recommended for diabetics, as it is a carbohydrate and can cause fluctuations in insulin levels. Individuals with shellfish allergies should be aware that most Glucosamine on the market is derived from shellfish, although some companies now offer corn derived Glucosamine. It is also recommended that pregnant or breast feeding women do not take Glucosamine; there is no evidence to suggest that it would be harmful, but there is not yet sufficient evidence to guarantee 100% safety.

Generally the benefits of taking this supplement can far outweigh any side effects and it has generally be proven t be safe and effective. It is often marketed as Glucosamine Sulphate, and daily recommended doses vary with each manufacturer. As it can take some time to be absorbed into the system you may need to take it for 1- 3 months before you start seeing the benefits.

Taking Glucosamine supplements, when taken early enough, can also help to prevent joint conditions such as arthritis by enabling the body to repair cartilage on an ongoing basis and maintain joint strength and function.

If you would like to try the benefits of Glucosamine for yourself, click Here.

Joint Advance is a natural product containing Glucosamine and has been proven to be effective at strengthening joints and preventing the symptoms of arthritis. Read more about Joint Advance here.

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Painkillers or Analgesics
Painkillers come in different strengths, from those that can be bought over the counter to the strongest ones which must be prescribed by a doctor. They may also contain anti-inflammatory medication.

Ibuprofen
Rheumatoid arthritis in particular causes pain from inflammation, which can be eased by taking Ibuprofen based medication or other anti-inflammatory drugs. Ibuprofen also provides some pain relief, but there is a risk of ulcers if it taken over a long period of time. Ibuprofen can also irritate the stomach, so is best taken with food.

Acetaminophen
Osteoarthritis, on the other hand, is often accompanied by very little inflammation. Acetaminophen based medications relieve the pain but not inflammation. There is less risk of irritation of the stomach which can be caused by ibuprofen, and less likelihood of long term damage. However, if you are taking blood thinning medication such as Warfarin, or have a history of liver disease, then Acetaminophen based medication should be taken with caution.
Other painkillers include Aspirin and Codeine.

Glucosamine Sulphate
Glucosamine Sulphate is the same compound produced by the body and found naturally in cartilage and connective joint tissue. Cartilage lines the joints and acts as a natural shock absorber. As the body ages, its ability to manufacture Glucosamine reduces, which can lead to joint problems and eventually arthritis. When taken as a supplement it can stimulate the natural manufacture of Glucosamino-glycans, which can improve and repair joint function, lead to greater flexibility and prevent further degeneration. It can also help to reduce joint pain caused by arthritis. There are few side effects associated with Glucosamine.

Prescription Medication

Prescription Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs help to reduce swelling in the joints and inflammation and also provide pain relief. These include ibuprofen and aspirin based medication prescribed to reduce pain and inflammation. More NSAID’s include Naproxen, Diclofenac, Piroxicam, and Nabumetone. Newer types of NSAIDS have recently been developed, such as Celebrex, Rofecoxib and Bextra. These are classed as COX-2 inhibitors and are designed to lessen the risk of stomach irritation. Side effects can include the risk of cardiovascular problems, so if you have a history of heart disease or strokes, you will need to discuss this with your doctor.

Corticosteroids
Corticosteroid medication are either injected directly into the arthritic joint (corticosteroids) to reduce pain from osteo and rheumatoid arthritis, or given by mouth (Prednisone) to reduce the inflammation caused by rheumatoid arthritis. However, the Corticosteroid injections, although effective at treating the condition, can cause damage to the cartilage, so are usually limited to one or two injections in a year. It is also recommended that those taking steroid medication have annual flu and pneumonia vaccinations.

Anti- TNF & Biological Response Modifiers
These drugs work by blocking the reaction of a chemical known as tumur necrosis factor (TNF). TNF is thought to exacerbating the inflammation and degeneration prevalent in inflammatory arthritis. They include Enbrel, etanercept, infliximab and adalimumab, usually administered by injection or infusion.

There are some associated side effects, and they won’t be suitable for everybody. However, people with psoriatic arthritis and very severe rheumatoid arthritis may find these drugs beneficial. They are often taken in conjunction with Methotrexate.

Disease modifying anti-rheumatic drugs (DMARDs) These are often used to treat forms of inflammatory arthritis such as rheumatoid arthritis and lupus.
They  include immunosuppressants which slow down the activity of the immune system. This can therefore slow the progress of the disease and can be instrumental in reducing the amount of damage it does. They are often used very soon after the condition has been diagnosed. These include leflunomide, sulphasalazin, ciclosporin and methotrexate.
However, the side effects can be severe, so use must be carefully monitored by a doctor.

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Diet The importance of a healthy diet cannot be underestimated, and will enable the body to heal itself from within. It is thought that some dietary carotenoids can alleviate arthritis symptoms. Carotenoids are nutrients found in foods such as sweet potatoes, pumpkins and other yellow, red, deep green and orange vegetables.

For more information on foods to eat to alleviate arthritis symptoms, click here

Being overweight can exacerbate the symptoms of arthritis, so a reduction of weight if required would be beneficial. Excess weight can place extra stress on load bearing joints, especially hips and knees. Even a relatively minor reduction in weight could have a big impact on relieving pain and discomfort, and maintaining a healthy weight can help to prevent arthritis developing. Exercise can be difficult for arthritis sufferers, so low impact exercises such as walking and swimming are recommended.

Regular exercise can also increase joint mobility and function, plus reduce joint stiffness and pain. Targeted exercises can also alleviate symptoms and increase joint function; a physical therapist should be able to work with you to plan a suitable exercise program.

Read more about the best and most effective exercises for arthritis, click here.

Massage This includes light kneading or gentle stroking of the affected muscle to stimulate increased blood flow to the area. This will provide temporary relief from the symptoms of pain and discomfort. Make sure that you use a massage therapist who is familiar with the condition as the affected joints will be very sensitive.

Transcutaneous electrical nerve stimulation (TENS) machine This is a device which can be placed over the affected area. This then directs mild electrical ‘pulses’ to the nerve endings in and around the affected joints. Although this doesn’t reduce inflammation it helps to relieve joint pain by blocking the pain messages to the brain.

Joint supports Some people use a brace or splint can ensure that joints are rested and not subjected to overuse, which could exacerbate symptoms and pain. If you would like to try this, ensure that a brace is fitted by a qualified physical therapist or doctor.

Heat and Ice Packs; These have been found to provide some pain relief, but use should be discussed with your doctor or physical therapist to determine which kind of treatment is best for your condition.

For more ways of treating and relieving the symptoms of arthritis without medication, click here

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