Are there topical pain products available by prescription?

Oral NSAIDs are a common treatment for osteoarthritis, but they can irritate the stomach. Topical NSAIDs, however, have a lower risk of stomach irritation.

In the United States, the Food and Drug Administration has approved several topical products (Voltaren, Solaraze, others) that contain the prescription NSAID diclofenac for the treatment of osteoarthritis in joints close to the skin's surface, such as the hands and knees.

Some studies indicate that many NSAID creams and gels work as well as their oral counterparts. For older people or those who can't tolerate oral NSAIDs, topical NSAIDs might be used instead.