How effective are topical pain relievers for treating arthritis?

The mechanism of action of topical pain relievers is an issue of some debate, and they may be underutilized because there has not been as much research about them as the other arthritis medications. Skeptics argue that very little of the active ingredient is actually absorbed through the skin, and that many topical solutions, including those that contain menthol, act by irritating the surrounding tissue, which increases blood flow to the joint or other painful area. This, in turn, would then presumably increase the elimination of inflammatory waste products.

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