1. Rubefacients: Usually capsaicin is applied sparingly to the affected area 3-4times/day. The arthritis society of Canada has a webpage on capsaicin for patients. You can access it here: Capsaicin
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| Capsaicin is a potential alternative for osteoarthritis (OA) pain not relieved with acetaminophen or for people who cannot tolerate or are reluctant to use oral medications. What types of arthritis is capsaicin used for? Capsaicin is a potential alternative for osteoarthritis (OA) pain not relieved with acetaminophen or for people who cannot tolerate or are reluctant to use oral medications. |
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2. MBSR: You are correct in that there are a variety of app/websites, etc. for MBSR which is great improving accessibility for a lot of people! However, there are differences in the quality and price of the apps (not to mention the technology itself) which do limit accessibility for some people. Additionally, there are people who are not interested in MBSR.
3. Patient subgroups: The role of shared decision making within our guideline ensures that options are quite open for the provider and patient to discuss. A patient with MDD, for example, might benefit from use of an antidepressant or psychological strategies which may help both their MDD and their pain.
4. Opioids: These cases are very tricky. The guideline does not say "do not use opioids". Rather, it says that treatments where the harms may outweigh the benefits be avoided in most patients. There are cases where a small amount of opioids will be in the best interest of that patient. I would suggest ensuring they are physically active and reassessing the need for continued opioids periodically.
5. Water-based exercises: these are likely fine. We want people moving. If water-based exercise if what they want to do, then go for it!
6. Hypnosis: no, we did not investigate this as it is not typically done in a family physician's office.
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Maia Mudric [Designation]
CMN Member Services Coordinator
[Phone]
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