Joint Pain
Joint pain is a feature of joint inflammation (eg. arthritis, such as rheumatoid arthritis and osteoarthritis) and infection, and extremely rarely it can be a cause of cancer of the joint. Pain within the joint is a common cause of shoulder pain, ankle pain, and knee pain. Joint pain is also referred to as arthralgia.
Symptoms and signs associated with joint pain can include:
- joint redness,
- joint swelling,
- joint tenderness,
- joint warmth,
- limping,
- locking of the joint,
- loss of range of motion of the joint,
- stiffness,
- weakness.
Joint Pain: Why Do My Joints Hurt?
Joints form the connections between bones. They provide support and help you move. Any damage to the joints from disease or injury can interfere with your movement and cause a lot of pain.
Many different conditions can lead to joint pain, including osteoarthritis, rheumatoid arthritis, bursitis, gout, strains, sprains, and other injuries. Joint pain is extremely common. In one national survey, about one-third of adults reported having joint pain within the past 30 days. Knee pain was the most common complaint, followed by shoulder and hip pain, but joint pain can affect any part of your body, from your ankles and feet to your shoulders and hands. As you get older, painful joints become increasingly more common.
Joint pain can range from mildly irritating to debilitating. It may go away after a few weeks (acute), or last for several weeks or months (chronic). Even short-term pain and swelling in the joints can affect your quality of life.
According to the Mayo Clinic, causes of joint pain include:
- Adult Still’s disease
- Ankylosing spondylitis
- Avascular necrosis
- Bone cancer
- Broken bone
- Bursitis
- Complex regional pain syndrome
- Dislocation
- Fibromyalgia
- Meralgia paresthetica
- Gonococcal arthritis
- Gout
- Hypothyroidism (underactive thyroid)
- Juvenile rheumatoid arthritis
- Leukemia
- Lupus
- Lyme disease
- Osteoarthritis
- Osteomyelitis
- Paget’s disease of bone
- Polymyalgia rheumatica
- Pseudogout
- Psoriatic arthritis
- Reactive arthritis
- Rheumatoid arthritis
- Rickets
- Sarcoidosis
- Septic arthritis
- Sprains and strains
- Tendinitis
Joint Pain Relief: medication
Medications to ease pain, relieve inflammation, slow bone loss, modify the course of an inflammatory disease or prevent joint damage are an important part of treatment for many hip problems. The types of medications commonly used in treating hips are:
• Nonsteroidal anti-inflammatory drugs. Including more than a dozen different drugs, some of which are available without a prescription, nonsteroidal anti-inflammatory drugs (NSAIDs) are used to help ease arthritis pain and inflammation. They are used for all forms of arthritis and other painful hip problems. By far, most NSAIDs are taken orally. Recently, however, new topical preparations, such as Voltaren Gel and Pennsaid, have been approved.
• Corticosteroids. These quick-acting drugs, similar to the cortisone made by your own body, are used to control inflammation. If hip inflammation is due to a systemic autoimmunme disease, such as rheumatoid arthritis or polymyalgia rheumatica, your doctor may prescribe oral corticosteroids. If inflammation is limited to your hip or an inflamed bursa, your doctor may inject a corticosteroid preparation directly into the inflamed joint or bursa.
• Analgesics. Analgesics are among the most commonly drugs for many forms of arthritis, including hip arthritis. They may also be used to relieve pain from hip injuries and surgery. Unlike NSAIDs, which target both, pain and inflammation, analgesics are designed purely for pain relief. For that reason, they may be safe for people who are unable to take NSAIDs due to allergies or stomach problems, for example. When used as directed, they’re also an appropriate, and possibly safer, choice for people whose arthritis causes joint pain but not inflammation.
• Opioids. These prescription pain drugs change the way you feel pain, but they don’t prevent inflammation. They’re habit-forming and powerful. They can be combined with other treatments that aren’t sedating and habit-forming.
Opioids can make you sleepy or impair your balance, which is a bad combination for people with mobility problems and arthritis. Doctors often only prescribe opioids for severe OA or occasional use, or when people are recovering from surgery. You should not drink alcohol while taking these drugs.
Opioids include:
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- codeine
- acetaminophen with codeine
- fentanyl
- hydrocodone
- acetaminophen with hydrocodone (Vicodin)
- hydromorphone
- morphine
- meperidine (Demerol)
- oxycodone (Oxycontin).
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• Disease modifying anti-rheumatic drugs. Disease-modifying anti-rheumatic drugs (DMARDs) are drugs that work slowly to modify the course of inflammatory disease. Different DMARDs may be useful for a number of different forms of arthritis of the hip including rheumatoid arthritis, lupus, ankylosing spondylitis and psoriatic arthritis.
• Gout medications. Some medications for gout are designed to reduce levels of uric acid in the blood to prevent future attacks of joint pain and inflammation. Others are designed to relieve the pain and inflammation of an acute attack. Many people with gout take both types of medication.
• Biologic response modifiers. The newest category of medications used for rheumatoid arthritis and a few other inflammatory forms of hip arthritis are the biologic agents. There are currently eight such agents approved by the Food and Drug Administration. Each blocks a step in the inflammation process without suppressing the entire immune system. In addition to rheumatoid arthritis, certain biologic agents may be used in juvenile arthritis, ankylosing spondylitis and psoriatic arthritis.
• Osteoporosis medications. Osteoporosis medications are those used to slow the loss of bone or help the body build new bone. Although they are not used specifically to treat hip problems, strong bones are less prone to fracture. Certain medications – called bisphophonates – in this category are also used to treat Paget’s disease of the bone, which, rarely, is a cause of hip pain.
Joint Pain Relief: foods, exercises, and home remedies that bring on pain relief naturally
The book Kitchen Cabinet Cures, 1,001 Homemade Remedies for Your Health, by Sara Hops & Dr. Pamela Altshul, suggests the following foods, exercises, and home remedies to try:
Sip ginger tea
Numerous studies have found that ginger can mimic NSAIDs, the front-line drugs for arthritis pain relief. It seems to work by curbing pain-causing chemicals that are part of the body’s inflammatory response—without side effects of medication. Use powdered, raw, or lightly cooked fresh ginger liberally on food. Make your own ginger tea by simmering slices of ginger for 15 minutes in a few cups of boiling water, or buy ginger tea bags at the supermarket.
Eat inflammation-fighting foods
Ditch the fast food, junk food, fried food, and processed food. A Swedish study of rheumatoid arthritis patients found that those who switched to a Mediterranean style-eating plan (think fresh fruits, veggies, whole grains, fish, olive oil, nuts, garlic, onions, and herbs) had less inflammation and regained some physical abilities as a result.
Sniff some fragrant spices
Pleasant aromas like lavender can alter the perception of pain, studies show. Japanese researchers found that lavender reduces levels of the stress hormone cortisol, which can make you feel relaxed and less aware of pain. But lavender isn’t the only pleasant aroma that works as a natural home remedy. Korean researchers found that arthritis patients experienced less pain and were less depressed when they were exposed to the aromas of a variety of kitchen spices, including marjoram, rosemary, and peppermint. For a pain-soothing aromatherapy treatment, adding a teaspoon or so of one of these dried herbs to a quarter-cup of vegetable oil. Take a whiff frequently.
Wash dishes by hand
It sounds counterintuitive, but if your hands ache, this simple kitchen task can relieve arthritis pain. First, dipping your hands in hot water can help relax muscles and joints and relieve stiffness. Second, the exercise helps keep your hands and fingers mobile.
Make your own heat pad
Fill a cotton sock (don’t use a synthetic fiber, which can melt if heated) with any kind of uncooked rice from your pantry and seal it. Microwave on high for 2-3 minutes. When it cools down slightly but is still nice and warm, place it on a sore, stiff joint for pain relief. It should stay warm for about half an hour. You’ll love how the rice shapes to your body and provides soothing heat. If you have lavender or another fragrant herb on hand, toss it in the sock for a little relaxing aromatherapy, too.
Make your own capsaicin cream
Now an over-the-counter treatment for arthritis and back pain, this old home remedy reduces levels of a compound called substance P, which transmits pain signals to the brain. You can whip up some by mixing a few dashes of ground cayenne with 2-3 teaspoons of olive oil. Apply it with gauze to unbroken skin at the painful joints several times a day. The first few doses will cause a mild burning sensation, but you’ll become desensitized after a week or so. Just keep it away from the mouth, eyes, and other mucous membranes.
Apply a chamomile tea poultice
Chamomile tea is an anti-inflammatory that may help ease arthritis pain. Brew a strong infusion using four chamomile tea bags in a cup or so of hot water. Steep, covered, for 20 minutes, then squeeze and remove tea bags. Soak a clean cloth in the liquid and apply to an achy joint.
Give joints the cold-hot treatment
You’ll need two containers. Fill one with cold water and a tray of ice cubs; the other with hot water at a temperature you can tolerate to touch. Starting with cold, immerse the hurting joint for a minute, then switch to the hot water and immerse for 30 seconds. Then switch from cold to hot for about 15 minutes, immersing the affected joint in each for 30 seconds each time. Finish with cold water for a minute.
Go for a swim
Swimming has long been recommended as a good exercise for people with arthritis; the weightlessness from the water reduces impact on your joints. A Taiwanese study found that working out in water significantly improves knee and hip flexibility, strength, and aerobic fitness. Meanwhile, an Australian study found that such programs also resulted in less joint pain and better overall function. Ask your local health club, hospital, or swimming pool about classes specifically designed for people with arthritis.
Sip 4 cups of green tea a day
Case Western Reserve University researchers gave mice the equivalent of four cups of green tea a day. Then they gave the mice a substance that would normally produce rheumatoid arthritis. The tea-drinking mice were far less likely to develop arthritis than the mice that drank water. Other research found that tea’s polyphenol antioxidants were anti-inflammatory, improved arthritis-related immune responses, and significantly reduced cartilage damage.
Stir in some turmeric
The yellow spice found in curries and ballpark mustard contains a powerful compound called curcumin, which inhibits enzymes and proteins that promote inflammation. Several studies have found that turmeric specifically reduces pain and swelling in arthritis patients. In one study of people with knee osteoarthritis, those who ate just 2 grams a day (less than a teaspoon) had pain relief and increased mobility equal to those who took 800 milligrams of ibuprofen. Sprinkle ½ teaspoon on rice or in vegetables daily. Or keep some packets of ballpark mustard in your pocket—they’re the perfect dose.
Make sure you get enough vitamin C
Vitamin C not only helps produce collagen, a major component of joints, but sweeps the body of destructive free radicals, which are harmful to joints. One of the best-known studies looking into vitamin C and arthritis found that people whose diets routinely included high amounts of vitamin C had significantly less risk of their arthritis progressing. Spread out your intake throughout the day because your body doesn’t store vitamin C; rather, it takes what it needs from the bloodstream at any given time and flushes out the rest. So a megadose in the morning doesn’t really do as much good as you would think. Sip citrus drinks or eat C-rich fruits and vegetables such as strawberries or melon, broccoli, or sweet peppers.
Add cloves to your diet
Cloves contain an anti-inflammatory chemical called eugenol that interferes with a bodily process that triggers arthritis. In one animal study, eugenol prevented the release of COX-2, a protein that spurs inflammation (the same protein that COX-2 inhibitor drugs like Celebrex target). Cloves also contain antioxidants, which are important in slowing the cartilage and bone damage caused by arthritis. Aim for ½ to 1 teaspoon a day.
Load up on omega-3 fatty acid
Omega-3 fatty acids are excellent at relieving inflammation and soothing joints. Coldwater fish such as salmon and tuna are among the best dietary sources. But your body may need more omega-3s than you can consume from eating fish alone, so talk to your doctor about adding an omega-3 supplement. And always cook with canola oil over corn oil. Canola contains omega-3s while corn oil contains omega-6 fatty acids, which can actually make inflammation and arthritis pain worse.
Stick to low-allergenic foods
Food allergies may play a part in autoimmune illnesses like rheumatoid arthritis. Researchers at the University of Oslo in Norway found that people with the autoimmune disease had higher levels of antibodies to cow’s milk, eggs, codfish, and pork than people who didn’t have the disease. In one study, people with rheumatoid arthritis who followed a diet that eliminated common foods associated with allergies, such as grains (especially gluten-containing wheat products), nuts, milk, and eggs for 10 to 18 days had significant improvement in symptoms. When they started eating these foods again, they felt worse. Other studies have found that corn, wheat, oranges, oats, rye, eggs, beef, and coffee may also be problematic. Many of these foods help produce arachidonic acid, a body chemical linked to inflammation.
Make a ginger poultice
Applying crushed ginger to a painful joint can deplete the body’s stores of substance P, a brain chemical that carries pain messages to your central nervous system. One study of 56 people found that ginger eased symptoms in 55 percent of people with osteoarthritis and 74 percent of those with rheumatoid arthritis. To make, peel and finely mince a 3-inch piece of fresh ginger. Mix with just enough olive oil to form a paste, then apply to the painful joint. Depending on where the pain is, you may need to wrap the ginger in place with a gauze or ace bandage. Leave in place for 10-15 minutes.
Turn up the tunes
Listening to your favorite music can ease pain (it may raise levels of hormones that reduce your pain sensitivity). In one Cleveland Clinic Foundation study of people with back, neck, or joint pain, one group was given a play list of relaxing tunes, a second group chose their own soundtrack, and a third didn’t get a musical prescription. The two music-listening groups had lower rates of arthritis pain, depression, and disability than the non-music group, which experienced an increase in pain. The study also indicated that the kind of music you listen to doesn’t matter, as long as you like it. People who chose their own tunes experienced a greater reduction in pain, depression, and disability than those who listened to generic relaxing music.
Walk barefoot
Going au naturel reduces the load on knee joints, minimizing joint pain and disability from osteoarthritis by 12 percent compared to walking with shoes, according to a Rush University Medical Center study of 75 people with osteoarthritis. When you must don shoes, find footwear that mimics the natural arch and heel contour, but doesn’t lift up the heel, which puts more pressure on the joints. Orthotics might be another option.
Switch over to spicy food when joint pain and arthritis flairs
Spices such as cayenne pepper, ginger, and turmeric contain compounds that reduce swelling and block a brain chemical that transmits pain signals. Look up some spicy Mexican, Indian, and Thai recipes (or keep a bottle of hot sauce on your table at all times!).
Up your calcium intake
Getting too little calcium raises the risk of osteoporosis, a brittle-bone condition that accelerates if you have rheumatoid arthritis. All women should get about 1,200 milligrams a day after age 50. Dairy is the most famous source of calcium, but cooked foods made with milk can be a surprisingly good source (one large waffle may contain up to 12 percent of your daily calcium requirement). Calcium is also found in such veggies as cauliflower, cabbage, Brussels sprouts, kale, kohlrabi, broccoli, and turnip greens. These foods have less calcium than dairy products, but contain a form that’s easier for the body to absorb.
Soak up some sun
Many people with arthritis are deficient in vitamin D, which appears to play a role in production of collagen in joints. Studies find that getting more vitamin D may protect joints from osteoarthritis damage. To boost your D levels, get in the sun for 10 to 15 minutes, two to three times a week—that’s all it takes for you body to synthesize what it needs. Dairy products are also a great source of vitamin D.
Make a spice rack joint rub
Add a little cayenne, rosemary, or thyme to ½ cup olive or vegetable oil and use it as a soothing rub. All these herbs have pain-soothing properties.
Here is what looks to me like two of the better TENS units on the market: xxxx
Consider these supplements
Ask your doctor whether any of these supplements might be right for you. Ginger extract twice a day. Researchers from the University of Miami found ginger significantly reduced knee pain in patients with osteoarthritis of the knee, as well as improved how the knee worked. Ginger has anti-inflammatory effects, just like ibuprofen. Fish-oil capsules. A British study found that 86 percent of people with arthritis who took cod liver oil had far fewer enzymes that cause cartilage damage compared to those who got a placebo. Plus, they had far fewer pain-causing enzymes. Cod liver oil is a fish oil, so your basic fish-oil supplement will do fine. Vitamin E containing pure alpha-tocopherols. A German study found taking 1,500 IU of vitamin E every day reduced pain and morning stiffness and improved grip strength in people with rheumatoid arthritis as well as prescription medication. Glucosamine/chondroitin. This combination supplement may provide long-term joint pain relief and slow the degeneration of cartilage. (It tends to help some patients and not others; if it’s working for you, you should experience relief within two to three months. If you don’t see a benefit by then, you’re probably not going to). It has also been found that glucosamine and condroitin can actually repair damaged cartilage. After about a month you should be getting enough pain relief from the glucosamine to stop taking ibuprofen.
Joint Pain Relief: alternative therapies
In my post entitled Drug-Free Pain Relief that worked for me, I mentioned a couple of therapies that have given me quite a bit of pain relief:
- CBD — Cannabidiol.
In my research, I found that CBD is one of many cannabinoid molecules produced by Cannabis, second only to THC in abundance. These plant-derived cannabinoids, or phytocannabinoids, are characterized by their ability to act on the cannabinoid receptors that are part of our endocannabinoid system. While THC is the principal psychoactive component of Cannabis and has certain medical uses, CBD stands out because it is both non-psychoactive and displays a broad range of potential medical applications. These properties make it especially attractive as a therapeutic agent. Perhaps the most remarkable thing about CBD is the sheer number and variety of its potential therapeutic applications.Why Does CBD Have So Much Therapeutic Potential?
CBD is famous for the promise it holds for treating treatment-resistant forms of childhood epilepsy. But there is also evidence that CBD may have neuroprotective, anti-inflammatory and analgesic (pain-relieving) properties, and potential therapeutic value in the treatment of motivational disorders like depression, anxiety, and addiction.What’s the biological basis for this wide range of potential medical uses? A key part of the answer lies in CBD’s promiscuous pharmacology—its ability to influence a wide range of receptor systems in the brain and body, including not only cannabinoid receptors but a host of others.CBD Influences Many Different Receptor Systems. Although it is a cannabinoid, CBD does not directly interact with the two classical cannabinoid receptors (CB1 and CB2). Instead, it affects signaling through CB1 and CB2 receptors indirectly. This partly explains why, in contrast to THC, CBD is non-psychoactive. In addition to its indirect influence on the CB1 and CB2 receptors, CBD can increase levels of the body’s own naturally-produced cannabinoids (known as endocannabinoids) by inhibiting the enzymes that break them down.Even more intriguing: CBD also influences many non-cannabinoid receptor systems in the brain, interacting with receptors sensitive to a variety of drugs and neurotransmitters. These include opioid receptors, known for their role in pain regulation. Opioid receptors are the key targets of pharmaceutical-grade pain killers and drugs of abuse such as morphine, heroin, and fentanyl. CBD can also interact with dopamine receptors, which play a crucial role in regulating many aspects of behavior and cognition, including motivation and reward-seeking behavior.So, I had to try CBD. I started with pure CBD products that you swallow — capsules and a liquid pure form of CBD. Noticed benefits were limited. Might have helped some but not so much. I kept searching and found that the digestive process strongly dilutes the efficacy of CBD that is swallowed. Then I found a new company that produces a pure form that you “vape”. Vape Bright (affiliate link) is the company and their product is Thrive. I started with their Starter Pack. With this, I noticed a substantial pain relieving effect. It also seemed to have the effect of boosting my overall mood. But there was no marijuana high or psychoactive effect whatsoever. I reduced my NSAID dosing from twice a day down to once a day and sometimes none. Hopefully, soon, no more NSAIDs for me. - ActiPatch is an electronic device that provides localized pain relief. It can be worn for 720 hours. ActiPatch (affiliate link) can be removed, turned off, then turn it on later and put it back on for a total of 720 hours. After it dies in 720 hours, a refill costs less than the first one. It can pretty much be worn all day and night.I had tried a TENS device (transcutaneous electrical nerve stimulation) that my chiropractor recommended. It provided minimal pain relief. I eventually stopped using it because it was cumbersome to use and interrupted the flow of my activities to attach and remove it. ActiPatch, on the other hand, can be worn all day unobtrusively.
I am new to ActiPatch so will have to post again later after I have more experience with it. So far, I seem to be noticing a positive result. It seems to have potential. Interestingly, the manufacturer claims that, in addition to relieving pain, it produces a healing effect in the body to reverse damage. This part I really like if it actually works.Here is a $5 off coupon for ActiPatch.
In addition to these, I have also tried a TENS (transcutaneous electrical nerve stimulation) device with a small noticeable effect. TENS involves the use of electric current produced by a device to stimulate the nerves for therapeutic purposes. TENS, by definition, covers the complete range of transcutaneously applied currents used for nerve excitation although the term is often used with a more restrictive intent, namely to describe the kind of pulses produced by portable stimulators used to treat pain. The unit is usually connected to the skin using two or more electrodes. A typical battery-operated TENS unit is able to modulate pulse width, frequency and intensity. Generally, TENS is applied at high frequency (>50 Hz) with an intensity below motor contraction (sensory intensity) or low frequency (<10 Hz) with an intensity that produces motor contraction. While the use of TENS has proved effective in clinical studies, there is controversy over which conditions the device should be used to treat.
- iReliev is a battery operated TENS unit (affiliate link) with no wires to the electrodes enabling you to wear it while doing normal daily activities. It claims, not only to reduce pain, but also to help build muscle strength.
- The Healthmate Forever TENS unit (affiliate link) has eight electrodes so that it can more precisely target the painful areas. It is highly rated by its users with over 5,000 positive reviews on Amazon.
Turmeric and Curcumin (affiliate link) have also shown efficacy in pain relief in clinical studies.
To your good health and relief!
~ Wes ~