Joint and muscle pain affects millions of UK adults across all age groups — from post-exercise soreness in younger people to osteoarthritis in the over-50s. Understanding which treatment is most appropriate for your type of pain makes a significant difference to outcomes.

Types of Joint and Muscle Pain

Acute injury — sprains, strains, muscle tears. Anti-inflammatory treatment most useful in first 48–72 hours. DOMS (Delayed Onset Muscle Soreness) — develops 24–48 hours after unaccustomed exercise. Self-limiting; gentle movement and magnesium help. Osteoarthritis (OA) — the most common form of arthritis in the UK (affecting ~10 million people). Cartilage breakdown leads to joint pain, stiffness and reduced range of motion. Rheumatoid arthritis (RA) — autoimmune; requires prescription disease-modifying treatment. See your GP.

OTC Oral Treatments

Ibuprofen remains the best OTC choice for inflammatory joint pain — it reduces both the inflammation driving the pain and the pain signal itself. Naproxen (Feminax Ultra, Aleve) is longer-acting and may be more convenient for chronic conditions. Paracetamol is appropriate when NSAIDs are contraindicated (stomach issues, kidney disease, elderly patients).

Topical Treatments

Diclofenac gel (Voltarol) — diclofenac is an NSAID with strong clinical trial evidence for localised joint and muscle pain. Topical delivery means much lower systemic absorption and fewer GI side effects. Ibuprofen gel — good evidence for soft tissue injuries and arthritis. Capsaicin cream — derived from chilli peppers; depletes substance P (a pain neurotransmitter). Effective for osteoarthritis of knee and hand; must be used 3–4 times daily for 2–4 weeks to see full effect; initial burning is normal. Menthol-based gels — counter-irritant effect; useful for acute muscle soreness.

Supplements for Joint Health

Glucosamine sulphate — widely used for OA; evidence is mixed in large trials but many patients report benefit, particularly for knee OA. 1500mg daily. Chondroitin sulphate — often combined with glucosamine. Omega-3 fatty acids — anti-inflammatory, reduces joint stiffness and morning pain in RA (strong evidence) and OA. Curcumin (turmeric extract) — anti-inflammatory; bioavailability is limited in standard supplements (choose high-absorption formulations). Vitamin D — deficiency is associated with joint pain; many people with OA are low.

Shop Joint & Muscle Pain products and joint supplements. Related: Pain Relief Guide, Bone Health Vitamins.