Alongside systemic medications, topical treatments — such as creams, gels, and patches — are widely used. These act locally, sparing the gastrointestinal tract and often providing fast relief.
Back and joint pain is one of the most common reasons people seek medical attention. According to the WHO, up to 80% of adults experience lower back pain at some point in their lives, and chronic joint discomfort is a frequent issue among older adults. Alongside systemic medications, topical treatments — such as creams, gels, and patches — are widely used. These act locally, sparing the gastrointestinal tract and often providing fast relief.
Let’s explore how topical painkillers work and which options are most effective depending on the root cause of your pain.
Back and joint pain can stem from many different sources — ranging from basic muscle fatigue to chronic degenerative conditions. According to the American College of Rheumatology, musculoskeletal pain is among the most prevalent reasons for doctor visits globally, especially among individuals over the age of 30.
Pain may be acute or chronic, inflammatory or mechanical in nature. Mechanical pain is most often caused by muscle overuse, poor posture, a sedentary lifestyle, or excessive physical strain. A typical example is lower back pain after long hours of computer work or lifting heavy objects.
Inflammatory pain is characteristic of arthritis and autoimmune disorders. This type of pain tends to be more intense in the morning and is often accompanied by swelling, redness, and stiffness.

Neuropathic pain is related to nerve damage — such as in sciatica, osteochondrosis, or intervertebral disc herniation. It can radiate to the legs, arms, or neck and may involve numbness or tingling.
Common causes of back and joint pain include:
It’s essential to remember that pain is a symptom, not a diagnosis. Effective treatment depends on correctly identifying the underlying cause. Systemic medications, physical therapy, and massage are often used, but topical pain relievers are particularly popular because they provide local action without systemic side effects.
If back or joint pain lasts more than a few days, or is accompanied by swelling, numbness, or movement restriction, it’s strongly recommended to consult a physician for accurate diagnosis and personalized treatment.
Finalgon is a dual-action warming ointment containing nicoboxil and nonivamide — ingredients that increase blood flow and create a strong warming sensation. This enhances tissue metabolism, relieves muscle spasms, and promotes recovery.
Finalgon is commonly used for:
It is also frequently applied before exercise to warm up joints and muscles.
When using Finalgon, apply a small amount to intact skin only. Use the applicator provided, avoid excess amounts, and wash hands thoroughly after application. Avoid contact with mucous membranes and eyes.
If your pain is accompanied by inflammation, Fastum Gel is a better choice. It contains ketoprofen — a nonsteroidal anti-inflammatory drug (NSAID) that penetrates deeply and suppresses the inflammatory response by blocking prostaglandins.
Fastum Gel is recommended for:
Fastum Gel is odorless, non-greasy, and does not stain clothing. It is ideal for patients who cannot tolerate oral NSAIDs due to stomach sensitivity or ulcers — making it one of the most popular over the counter anti inflammatory painkillers.
Nanoplast is a therapeutic patch that provides gentle magnetic and heat therapy. It doesn’t contain pharmaceutical ingredients but is proven to deliver pain-relieving and anti-inflammatory effects through:
Nanoplast is most useful for:
The patch is safe for long-term use, does not cause dependence, and can be used alongside systemic therapy, massage, or physical rehabilitation. It’s an excellent choice when ointments or gels are impractical for daytime use.
Important: While topical options are helpful, they are not a cure-all. If pain persists beyond 5–7 days or is accompanied by fever, numbness, or progressive weakness, seek medical advice — especially for individuals with chronic spinal or joint conditions.
Always consult a doctor before using any medication — especially during pregnancy, with allergies, or when taking other medications.
Your choice of topical treatment should be based on the pain’s nature: is it acute or chronic? Inflammatory or muscular? Superficial or deep tissue?
At USA Apteka, you’ll find a wide selection of products including:
You can also find systemic otc for joint pain that can be used in combination with topical therapies to relieve severe symptoms.
Don’t forget to explore our first aid equipment section, where you’ll find muscle rubs, sprays, elastic bandages, and pain relievers — everything you need for a complete home care kit.
For spasmodic pain, No‑Shpa may be beneficial — it relaxes muscles and improves circulation, making it a useful addition to your overall treatment plan.
Need help choosing the best topical joint medication? USA Apteka offers delivery across the U.S. and to over 100 countries worldwide. All products are original, carefully sourced from Russia, Ukraine, and other CIS countries. Plus, our friendly multilingual support team is available 7 days a week to assist you.
Alongside systemic medications, topical treatments — such as creams, gels, and patches — are widely used. These act locally, sparing the gastrointestinal tract and often providing fast relief.
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