Topical remedies tackle mild arthritis pain.

If your arthritis pain is mild and you don't take oral pain medication every day, rubbing a topical pain reliever on the bothersome area can be a good alternative. Following are the most widely used topicals.

Counterirritants mask arthritis pain by stimulating the nerves to produce a slightly uncomfortable warm or cool sensation. That distractts you from the more intense joint pain. These products may contain menthol, camphor, eucalyptus oil, or oil of winter green. Brand names include Icy Hot Chill Stick, Ben Gay, and ArthriCare. These products cause a temporary redness of the skin and work best on joints near the surface, such as fingers, elbows, and knees.

Topical NSAID's contain salicylates, chemical cousins of aspirin, and relieve pain the same way oral NSAID's do. Their effects, however are restricted to the surface and avoid some of the problems associated with oral NSAIDs. Topical NSAIDs include Aspercreme, Sportscreme, and Myoflex. People who are allergic to aspirin or who take medications that interact adversely with aspirin shouldn't use a topical NSAID because a bit of it is absorbed into the bloodstream.

Capsaicin. The topical pain relievers Zostrix and Capzacin-P contain capsaicin, the chemical that gives hot peppers their bite. Capsaicin lowers levels of substance P, which relays pain impulses to the brain and is involved in inflammation. Capsaicin-based products must be applied three or four times a day for up to several weeks before their benefits are noticeable. Burning, stinging, and redness often occur in the first days of treatment, but then subside.

Do's and don'ts of topicals: Be sure to wash your hands after applying any topical pain reliever. Avoid contact with broken or irritated skin and the eyes, nose, and mouth. If severe irritation develops, stop using the product immediately. Some products warn users not to apply a bandage or heat to the treated area. Don't use a topical medication just before a workout, as perspiration can cause the skin to absorb too much of it.