Easing Arthritis with Topical Gels

Q. I play the cello in a chamber group. It is becoming increasing difficult to enjoy my passion, since my finger joints have developed arthritis. I recently read an article about using topical gels to relieve pain. What do you think of them for my painfully arthritic fingers?
A. We are enthusiastic about topical NSAIDs (nonsteroidal anti-inflammatory drugs). Such products have been used around the world for decades to treat arthritis, bursitis, sprains, strains and muscle pains. They have not been widely available in the U.S. until recently.
Pills such as ibuprofen, naproxen or diclofenac (prescription only) are taken to relieve pain and inflammation. Oral NSAIDs can cause diarrhea, heartburn, stomach ulcers, high blood pressure, liver toxicity, kidney problems, anemia and heart trouble. Appropriate use of topical NSAIDs is much less likely to cause a systemic reaction.
For more details on topical NSAIDs and non-drug ways to treat arthritis pain, we are sending you our Guide to Alternatives for Arthritis.