Newswise — Morning back and joint pain that keeps you in slow motion until you limber up could be osteoarthritis.

Millions of Americans over age 65 have arthritis, and the most common form is osteoarthritis. It involves wearing away of the tough, slippery lubricated cartilage that normally cushions the ends of the bones in a joint. The remaining cartilage becomes inflamed and you feel pain.

Fortunately, there are numerous ways to manage the pain and maintain mobility, according to the August issue of Mayo Clinic Health Letter. Ask your doctor which is best for you.

Topical pain relievers: Various over-the-counter creams, gels and sprays offer temporary relief. Products include Aspercreme, Sportscreme, Zostrix, Icy Hot and Bengay.

Nonsteroidal anti-inflammatory drugs (NSAIDs): These pain relievers fight inflammation. Common over-the-counter NSAIDs include aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve). These medications also are available in prescription strength.

COX-2 inhibitors: These prescription drugs offer relief similar to other NSAIDs.

Other drugs: Over-the-counter acetaminophen (Tylenol, others) and prescription tramadol (Ultram) can offer pain relief but have limited anti-inflammatory effect. Certain antidepressants also can help.

Beyond medication, regular exercise, maintaining normal weight, hot or cold packs and relaxation techniques also can help manage or reduce pain.

Mayo Clinic Health Letter is an eight-page monthly newsletter of reliable, accurate and practical information on today's health and medical news. To subscribe, please call toll-free 800-333-9037, extension 9PR1.

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