Arthritis means inflammation in the joints. Inflammation gives rise to pain, swelling, redness and increase in the temperature of the local area. This is of several types.

Osteoarthritis, Rheumatoid arthritis, Gouty arthritis, Juvenile Rheumatoid arthritis (JRA), Arthritis after Rheumatic fever- to name a few.

Osteoarthritis (OA) is by far the most common arthritic disorder involving human being. By default, arthritis is referred to Osteoarthritis.

Knee or hip arthritis has affected more than 100, 000 persons in the United States leading to so disablement that they are unable to move across the rooms. Even they are not capable to go to toilet. The basic reason behind OA is destruction of the articular cartilage of the joint spaces (the cartilaginous material that covers two ends of the bones forming a joint).

Rheumatoid arthritis occurs after bodily response to certain types of infection. It is a host-infection type reaction. RA (Rheumatoid arthritis ) factor gets increased in the body. The joints are mostly affected giving rise to pain and deformity.

There is deposition of Uric acid crystals in the joint spaces in Gout.

All the types of arthritis cause pain in the joint. And to get relief from arthritis pain, the following procedures are followed by the doctors. In the infants and adolescents, the specific type of arthritis occurs what is called JRA. JRA is genetically determined. Rheumatic fever also causes some specific types of joint deformity.

Reduction of weight- Osteoarthritis causes destruction of the articular cartilages. And if the person suffering is overweight, there will be more loss of cartilaginous tissues.

So the first and foremost criterion in virtually any kind of arthritis is reduction in the load of the joint. Weight reduction by various methods is very much helpful to achieve this. Only 24% of the patients suffering from the report that they are involved in some kind of physical activity. But sedentary lifestyle also increases the risk of other diseases like Diabetes, Hypertension, and Coronary Artery Disease etc.

For this reason, doctors prescribe some form of free hand exercise initially to reduce weight in the patients suffering from Arthritis. Gradually, the amount and the magnitude are increased.

Pain relief from arthritis with Thermal modalities- hot fomentation is one of the commonest and age old treatment modalities. Various forms of hot fomentation techniques are available in the market. Hot water bath is the best method in regard to patient compliance.

Patient education- for effective pain control among the patients suffering from Arthritis, reassurance, encouragement, proper guidance towards useful pain relief and recommendations regarding actions to unload the arthritic joint may become fruitful in a comprehensive pain relief from it.

Medication- first line drug for any type of pain in the body is NSAIDs (Non Steroidal Anti Inflammatory Drug). Drug therapy for arthritis is only palliative. Arrays of NSAIDs are available in the market. Still the first generations Paracetamol, Ibuprofen, Nimesulide, Diclofenac or the combination of these are prescribed by the doctors.

Modern Selective COX-2 selective inhibitors have proved their efficacy for successful pain control. Intra-articular injection of steroids is helpful to suppress the arthritic pain for a prolonged period of time although this is an invasive procedure.

Intra-articular injection of Hyaluroran is beneficial to relieve Osteoarthritis.