Topical Analgesics for Arthritis Pain

When seeking relief for arthritis pain without the use of oral medications, topical gels, creams, patches and lotions are a viable option. According to the Mayo Clinic, common over-the-counter joint pain relievers used are counterirritants, salicylates and capsaicin creams.

Counterirritants

• Counterirritants are preparations made with ingredients such as turpentine oil, camphor, menthol, and eucalyptus oil. These topical treatments mask arthritis pain by producing a cool or warm sensation, and are applied three to four times per day.

Salicylates

• Oral salicylates such as aspirin, and topicals such as trolamine salicylate or methyl salicylate, treat arthritis pain and inflammation by inhibiting the release of prostaglandins. They are applied to the skin up to four times a day. People who are sensitive to aspirin or taking medications which may interact with aspirin are cautioned against salicylate use.

Capsaicin

• Capsaicin is a compound that produces the burning sensation associated with hot peppers. It reduces the neurotransmitter known as substance P which releases enzymes that cause inflammation, and triggers pain impulses to the brain. Capsaicin creams are applied to the affected joints three to four times per day, and it takes approximately two weeks for joint pain to diminish.

Pain Patches and Gels

• Prescription pain patches and gels contain NSAID (nonsteroidal anti-inflammatory drugs) and provide pain relief for osteoarthritis, sprains and muscle strains.

Side Effects

• Topical treatments are safe and have few side effects. They are for external use only and should not be used near the eyes, nose, mouth or open wounds. If severe skin reactions occur, discontinue use and consult a doctor.