13 Natural Treatments for People With Osteoarthritis 

Staff
By Staff
4 Min Read

Home and over-the-counter (OTC) remedies can support medical treatment for osteoarthritis.

Pain Relief Medication

OTC medication can relieve the pain and discomfort that occurs with osteoarthritis.

According to guidelines from the American College of Rheumatology and Arthritis Foundation (ACR/AF), it’s best to try topical gels before pills. Diclofenac (Voltaren) and gels containing capsaicin are available without a prescription.

Speak with a doctor before using OTC remedies. Some people may have adverse effects, depending on the drug and dose.

Heat and Cold Treatment

Alternating heat and cold applications can bring temporary relief from stiffness and inflammation.

ACR/AF guidelines support heat and cold treatment for knee, hip, and hand osteoarthritis. Heat and cold have different effects, but both can be useful.

If you’re alternating heat and cold, apply one for around 20 minutes then wait two hours before the next application.

Heat Treatment

Heat relaxes stiff joints. Applying heat enlarges the blood vessels. This improves circulation and allows more blood and oxygen to reach the joint.

Here are some options for applying heat:

  • Use a hot water bottle.
  • Take a warm bath or shower.
  • Buy an electric heating pad from the pharmacy.
  • Dip the hands or feet in melted paraffin wax from your pharmacy, then peel off when cool.

Tips:

  • You’ll get most of the benefit in the first 20 minutes.
  • Always check the heat before you apply to avoid burns.
  • Avoid heat if you have a flare or an injury.

Cool Packs

Cold packs reduce blood flow and decrease swelling and inflammation. Use cold therapy if you have a warm, swollen, or inflamed joint.

To make a cool compress, fill a plastic bag with ice and wrap it in a towel, or buy a cool pack from your pharmacy.

Tips:

  • Never apply ice directly to the skin, as it can burn.
  • As with heat, 20 minutes of cold application will give you the best benefits.

TENS Machine

Some people find a transcutaneous electric nerve stimulation (TENS) machine helps them manage osteoarthritis pain, although there’s not enough evidence to confirm this.

The ACR/AF 2019 guidelines did not recommend using TENS as studies haven’t shown any benefit for people with osteoarthritis.
At least one review since then has concluded it might improve pain and walking ability, but not joint stiffness. Still, there is not enough evidence to say definitively that it works.
A TENS machine is likely safe for most people to use, but it’s best to check first with a doctor. It’s not recommended for use during pregnancy or if you have epilepsy or a pacemaker.

Weight Management

Current guidelines strongly recommend managing your weight if you have osteoarthritis.

Moderate weight can prevent unnecessary strain on your joints.

Obesity can also increase the risk of systemic inflammation, which may worsen osteoarthritis.
Diet and exercise are important in weight management. Your doctor may prescribe weight loss medication or other treatments if they have particular concerns.

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