Of all the chronic conditions, arthritis is probably the most  common in America today. In terms of those registered as disabled, it's  the most common cause cited. As those who have this painful condition  will know, it's very difficult to find an effective way of managing the  pain over the longer term. Although some treatments can and do produce  relief for a few days or weeks, the risk of side effects from long-term  use rules out extending the relief through drug use. So we need to begin  with a brief description of arthritis so we understand the problem. The  word is applied to a wide range of different conditions, but the common  denominator is pain the joints and damage to the surrounding muscles  when people keep trying to move despite the stiffness in the joints. The  most obvious symptoms are a swelling in the joints accompanied by pain  when moving. This shows most clearly in the mornings, people waking  stiff after lying still in bed.
As it stands, there's no recognized cure for any of the different  forms of arthritis. There are, however, a number of common treatments  that have proved partly effective. The first is drugs to reduce the  inflammation that builds up in the joints. This reduces the swelling  and, in most cases, also reduces the pain. With a reduction in the  inflammation, damage to the joint itself is slowed. Without this, the  need for surgery to replace joints becomes almost inevitable. Then comes  a detailed program of physical therapy supported by real and continuing  lifestyle changes. Because arthritis reduces mobility, physical therapy  becomes essential to maintain muscle tone, build endurance and  strength, and retain some flexibility. However, unless there is a  positive commitment to diet and lose weight, the situation will grow  rapidly worse. Inactivity and no change in diet quickly leads to  obesity. As the weight the joints has to carry increases, mobility  becomes more painful and the condition worsens.
If the drugs used to control inflammation are not sufficient to  control the pain, a separate painkiller will be required. It's always  better to start with a low dosage of a less powerful drug. Whatever you  take over time will slowly lose its effectiveness, forcing you to move  up to a more powerful drug. Hence, it's always best to start with the  lowest possible level of drug to reduce the pain. We then come to the  use of muscle relaxers. Over the short-term, these are very effective in  reducing pain and improving mobility. Some people with arthritis  experience painful spasms which respond immediately to a drug like Carisoprodol.  As part of the general treatment regime to improve mobility, these  drugs support the work of the physical therapists and help patients to  get a better night's sleep. Depending on how you react to Carisoprodol,  you may find it better to take it shortly before you go to bed. The drug  will work while you are asleep to reduce the amount of stiffness you  feel when you wake in the morning. If you also feel drowsy when you take  the drug, it will improve the quality of the sleep. However, if the  drug does not make you sleepy, it may be better to change the cycle so  you get the maximum relief during the day while you are alert.
 
Tramadol 100mg gives instnat relief from chronic arthritis pains with no harmful effects.
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