Management of Arthritis
Treatment options vary depending on the type of arthritis and include physical and occupational therapy, lifestyle changes (including exercise and weight control), medications and dietary supplements (symptomatic or targeted at the disease process causing the arthritis). Arthroplasty or joint replacement surgery may be required in eroding forms of arthritis.

Exercise regime
Arthritis experts emphasize that a well-designed exercise program can decrease the pain and stiffness you feel — while increasing your range of motion. Talk to your doctor about the kinds of exercise that best suits your particular needs.
While high impact activities such as running and floor aerobics can increase joint pain, regular gentle exercise (such as swimming, water aerobics and biking) has been shown to reduce or prevent joint pain. Exercise benefits your cartilage too as the action of the joints increases blood flow, which in turn brings nutrients to the joint and removes waste products. Building strong muscles around your joints can help to support them and reduce your chances of injury.

Weight Control
By reducing stress on your joints, controlling your weight helps prevent osteoarthritis of the knees and other weight-bearing joints. And it lessens pain in those who have it. To keep weight off, lose it gradually — no more than two to five pounds per month. Eat fewer calories and exercise more to lose weight.

Heat and Cold
Applying heat or cold to sore joints can temporarily relieve the pain and stiffness of osteoarthritis. Heat helps to relax aching muscles. Cold can numb the area to reduce pain. Ask your doctor or therapist which method is best for you.
Medicines

Nonsteroidal anti-inflammatory drugs - NSAIDs
Nonsteroidal anti-inflammatory drugs - NSAIDs - are widely used anti-inflammatory treatments of osteoarthritis and rheumatoid arthritis. NSAIDs differ from analgesics in an important aspect: while analgesics treat pain, NSAIDs treat both pain and inflammation. By blocking these actions of prostaglandins along with the inflammatory ones, traditional NSAIDs can lead to an upset stomach and peptic ulcers, or interfere with kidney function, according to Arthritis Today. For many people, NSAIDs are used as anti-inflammatory treatments of osteoarthritis and rheumatoid arthritis. Serious side effects include gastric upset and internal bleeding, so use of NSAIDs requires a doctor’s supervision.

Prescription analgesics / painkillers
Prescription analgesics are one of the many types of medication used to treat arthritis pain. They do not treat inflammation, or the underlying disease condition.
Prescription analgesics are classified as either narcotic or non-narcotic. They may be prescribed along with other types of arthritis medicine. Many doctors have sought to avoid prescribing narcotics for long term treatment due to concerns about drug dependency and addiction. There have also been concerns about side effects such as chronic constipation, dizziness, nausea, and breathing problems sometimes associated with narcotics as well as non-narcotic painkillers.

Disease Modifying Arthritis Drugs (DMARDS) for Rheumatoid Arthritis
For patients that have rheumatoid arthritis who show poor response to NSAIDS, a different class of medication called disease-modifying drugs or DMARDS is available. These drugs differ from each other and from other arthritis medications in their onset of action, method of administration, cost, potential side effects, and the need for monitoring for potential side effects. The severity of the arthritis, previous response to other medications, and history of other health problems will help determine which drug or combination of drugs will be prescribed for you.

Herbal remedies

Herbal remedies have gained popularity as a natural approach to other arthritis treatments. Herbs are the basis for many traditional medicines.

Shallaki herb [also known as Boswellia serrata] helps in reducing the problem of blood circulation, controls the swelling of joints, and relieves joint pain.
Taking Aswagandha two times per day with ½ glass lukewarm water is an efficient herbal remedy of arthritis. It will surely help improving the condition on regular use for at least 10-15 days at a stretch.
Prepare garlic paste and apply the paste on the affected joint; it is an effective herbal remedy for arthritis. Regular consumption of garlic cloves in raw condition reduces the problem of joint pains.
One teaspoon of honey and two teaspoon of lemon juice added in one glass of lukewarm water works well against the pain and swelling of arthritis. This is an efficient home based herbal remedy in controlling the pain of arthritis.
Add two teaspoon of honey and two teaspoon of apple cider vinegar in lukewarm water for regular consumption in the morning. Drinking turmeric powder added lukewarm water helps relieving pain of arthritis.

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