Other topical arthritis products

Other topical treatments recommended for knee and hand osteoarthritis are those that have capsaicin (kap-SAY-ih-sin). Capsaicin causes the burning feeling that comes from chili peppers.

Examples include Capzasin-HP and Zostrix. Capsaicin blocks a chemical in the nerve cells that sends pain messages. Capsaicin works best if used several times a day. It might take up to two weeks to feel relief.

Other topical treatments you can get without a prescription include:

• Salicylates. Salicylates (suh-LIS-uh-lates) are what relieve pain in aspirin. Topical treatments with salicylates include Aspercreme and Bengay.
• Counterirritants. These make the skin feel hot or cold. Those feelings might block pain signals. Counterirritants might contain menthol or camphor. Examples include Icy Hot and Biofreeze.
• Anesthetics. Topical anesthetics such as lidocaine cause numbness. The numb feeling reduces pain. Lidocaine comes in a cream, gel, spray or patch. Examples include LidoPatch and Topicaine.