Topical gel/Creams: Arthritis creams help relieve joint pain when applied on the skin. They provide short term but effective relief. These creams tend to work best on the joints that are close to the surface of the skin. Many of the creams include ingredients like capsaicin, camphor, eucalyptus oil, salicylates etc. It reduces pain by blocking skin’s pain receptors.
NSAIDs: There is a variety of pain medicines available in market ranging from over the counter anti-inflammatory medicines like NSAIDs (non-steroidal anti-inflammatory drugs) to other prescription medicines, all help relieve hip pain. Relief from pain medicines is perfect for early stages of osteoarthritis. However relief is temporary and as the hip osteoarthritis progresses, it is less likely that pain killers will continue to bring you relief.
Injection – Steroids, Hyaluronic acid: Our body naturally makes hyaluronic acid. It’s a natural part of the fluid that helps lubricate and cushion your joints and keep them working smoothly. When they are affected with osteoarthritis the hyaluronic acid in the joints get thin. Hyaluronic acid injections add to your body’s natural supply. Doctor’s refer to the injection as ‘viscosupplementation’. This literally means they help the fluid in your joints.
Osteoarthritis can have a big impact even in small joint. OA can restrain from even bending down. Getting a shot of steroid directly into a sore joint can ease pain quickly. Steroids help fight inflammation, redness, pain and swelling in an injured or inflamed part of the body. Steroid injections are given at advanced stage of osteoarthritis. These steroid shots relieve pain faster than anti-inflammatory pills. When steroids are injected into a joint, their effect are mostly limited to that joint.
Opioids: Opioids should not be used as a first line treatment for either acute or chronic symptoms of hip or knee osteoarthritis. When other non-opioids treatment modalities have failed and patients cannot undergo joint replacement surgery, opioids use may be considered in an extremely small subset of patients. These patients who are prescribed opioids for non-operative treatment of osteoarthritis should be educated on the risks of prolonged opioid use including addiction and dependency.