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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. Pain when moving along with the swelling of the joints are the most obvious symptoms of arthritis. 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. Joint damage is also slowed down if the inflammation in the joints is reduced. 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 lead to obesity. As the weight the joints have 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. Over time the needs to move on to more powerful drugs will become a necessity as the drugs that are being taken lose their effectiveness. 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 medication such as 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.