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Osteoarthritis Treatment Overview

Treatment focuses on managing arthritis pain and maintaining the ability to use the joint

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Osteoarthritis conservative treatments

Treatments for osteoarthritis are usually conservative and may include:

Rest and non-steroidal anti-inflammatory drugs (NSAID’s) to relieve the arthritis pain from osteoarthritis and inflammation

Some nutritional supplements may effectively reduce the symptoms of Osteoarthritis.

Traction and/or chiropractic manipulations to help control chronic symptoms or provide relief for more severe episodes of arthritis pain from osteoarthritis. Although osteoarthritis tends to be chronic, the symptoms may come and go, flaring up time to time.

Over the Counter arthritis painkiller

An over-the-counter arthritis painkiller, such as acetaminophen (Tylenol), can help to ease stiffness and arthritis pain. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin and others) or naproxen (Aleve, Naprosyn and others) also may help. However, NSAIDs may be unsafe for people at high risk of developing ulcers, including people who have had ulcers in the past and the elderly.

Non-selective NSAIDs

Non-selective NSAIDs were developed earlier than COX-2 inhibitors and have been widely used to relieve arthritis arthritis pain and inflammation for many years. Unlike COX-2 inhibitors, non-selective NSAIDs inhibit both major enzymes involved in the inflammatory process, COX-1 and COX-2. The non-selective NSAID category includes a number of different medications that are available in both prescription and over-the-counter (OTC) products.

COX-2 inhibitors

For people at a high risk of developing ulcers and the elderly do have limited access to newer medications  requiring a prescription called cyclooxygenase-2 (COX-2) inhibitors, such as celecoxib (Celebrex), may be less irritating to the stomach and intestines. COX-2 inhibitors are the newest members of the NSAID class of medications. Available by prescription only, they became widely used in recent years to reduce joint arthritis pain and swelling. COX-2 inhibitors work by selectively blocking, or inhibiting, one of the two enzymes associated with inflammation. Some experts have hypothesized that this selective inhibition may be the reason for the negative cardiovascular effects currently associated with COX-2 inhibitors.

However, recent controversy about the safety of arthritis pain medications for arthritis has left patients and health care professionals alike uncertain about which medications are safe to use. In fact, a recent survey by the Boston-based Rippe Lifestyle Institute indicated that many people with arthritis are suffering unnecessarily because they have stopped or reduced their use of arthritis pain relievers due to confusion about which drugs are considered safe.

To clarify the confusion around recent news about arthritis medications, here are some facts:

On April 7, 2005, the FDA announced the following:

All prescription NSAIDs must revise their labeling to include a “black boxâ€