Medications
Those with OA have very little inflammation, pain relievers such as acetaminophen may be effective. Those with RA generally have pain caused by inflammation and often benefit from aspirin or other NSAIDs.
Heat or Cold?
Decisions to use either heat or cold for arthritis pain depends on the type of arthritis and should be discussed with your doctor or physical therapist. Moist heat, such as a warm bath or shower, or dry heat, such as a heating pad, placed on the painful area of the joint for about 15 minutes may relieve the pain.
Ice
Ice packs wrapped in a towel and placed on the sore area for about 15 minutes may help to reduce swelling and relieve pain. If you have poor circulation, do not use cold packs.
Joint protection
Using a splint or a brace to allow joints to rest and protect them from injury can be helpful. Your physician or physical therapist can make recommendations.
Transcutaneous electrical nerve stimulation (TENS)
TENS units are devices that directs mild electric pulses to nerve endings that lie beneath the skin in the painful area may relieve some arthritis pain. TENS seems to work by blocking pain messages to the brain and by modifying pain perception.
Massage
In this pain-relief approach, a massage therapist will lightly stroke and/or knead the painful muscle. This may increase blood flow and bring warmth to a stressed area. However, arthritis-stressed joints are very sensitive, so the therapist must be familiar with the problems of the disease.

