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Pain relief guides

Arthritis pain is personal.

Pain and stiffness can change how you move, rest and get through the day. Understand the different types of arthritis, what the evidence says about massage, and when to ask for support.

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Understand it

First, what is going on

How it can feel

A stiff knee on the stairs. Pain in your hands when you open a jar. An aching hip that interrupts sleep. Arthritis can affect people differently, and the type of arthritis matters. New or persistent joint symptoms deserve a proper assessment, not a guess.

What may help

Massage may offer short-term symptom relief for some people, particularly those with knee osteoarthritis. The evidence is limited, and massage does not replace exercise, medicines or other care recommended for you. Hands-on massage and a percussion device are not the same intervention.

When to see someone

Speak to a GP about persistent joint pain, swelling or stiffness, especially if it affects everyday activities. Ask for individual advice before trying massage if your joints are inflamed, damaged or very tender, or if you have another condition that could make it unsuitable.

Know the difference

Arthritis is not one condition

Osteoarthritis

Osteoarthritis can cause joint pain and stiffness. The knees, hips and small joints of the hands are commonly affected. NICE recommends tailored therapeutic exercise, information and support; weight management can also help where appropriate. Your care should reflect your symptoms and what matters to you. [1,2]

Rheumatoid arthritis

Rheumatoid arthritis is an inflammatory autoimmune condition. Medical treatment can help control the disease and protect joints. Massage may be an additional comfort option for some people, but it must not replace prescribed treatment or delay an assessment. Evidence from osteoarthritis cannot simply be applied to rheumatoid arthritis. [3,4]

The evidence

Can massage help arthritis symptoms?

Hands-on massage

A review of 12 trials involving 737 people found some short-term improvements in knee osteoarthritis pain, stiffness and function. The evidence was low to moderate quality, and lasting benefit was not established. NICE says manual therapy should only be considered for hip or knee osteoarthritis alongside therapeutic exercise, not on its own. The ACR/Arthritis Foundation guideline is more cautious and conditionally recommends against massage for knee or hip osteoarthritis. This reflects uncertainty in the evidence, rather than proof that nobody can benefit. [1,5,9]

For rheumatoid arthritis, research is smaller and less certain. The American College of Rheumatology conditionally recommends massage as an additional option for pain, based on very low-certainty evidence. Technique, pressure and the therapist's experience with rheumatoid arthritis matter. [4]

Percussion devices and vibration

A massage gun is not equivalent to a therapist's hands, a local-vibration device or a whole-body vibration platform. Findings from one cannot automatically be used to support another. Massage-gun research remains limited, and the evidence reviewed does not establish that Recovapro devices reduce arthritic joint inflammation, repair cartilage or slow the disease. [6]

What this means for you

Some people may find massage helpful for comfort or symptoms. That is different from showing that it treats the underlying arthritis. Benefits vary, and neither a device nor a single routine is the right answer for everyone.

Support options

Find a next step that fits you

1

Start with an assessment. If you do not know what is causing your joint symptoms, speak to a GP. Knowing the type of arthritis helps you choose appropriate support.

2

Build on your care plan. For osteoarthritis, ask about exercise suited to your needs and abilities. For rheumatoid arthritis, keep following your prescribed treatment and review symptoms with your care team. [1,3]

3

Ask before adding massage. A clinician or physiotherapist can help you decide whether massage is suitable. If you choose hands-on massage, look for someone experienced in working with arthritis. Tell them about painful joints, recent surgery, osteoporosis, skin problems and medicines that affect bleeding. [7,8]

4

Be cautious with percussion. Do not use this guide as a massage-gun routine for arthritis. Ask a qualified clinician whether a device is suitable for you and where it could be used. Do not apply percussion directly over painful, swollen or inflamed joints. Stop if pain worsens. [6,7]

5

Notice what changes. If you try an agreed approach, note whether it helps the activities that matter to you. Share worsening symptoms or unwanted effects with your care team. Do not push through pain to finish a routine.

Safety

Before you try massage

Extra care is needed with inflamed or damaged joints, severe osteoporosis, recent surgery or joint replacement, fragile skin, reduced sensation, bleeding problems or a history of blood clots. Gentle hands-on massage and forceful percussion have different risks. Ask for individual advice rather than assuming all massage is either safe or unsuitable. Rare serious injuries have been reported with massage, particularly vigorous techniques and in people at higher risk. [6,7,8]

Related guides

Explore related guides

Sources

Read the evidence

  1. NICE NG226, Osteoarthritis: recommendations, especially 1.3.1 and 1.3.6-1.3.7.
  2. NHS, Osteoarthritis symptoms.
  3. NCCIH, Rheumatoid Arthritis: In Depth.
  4. 2022 American College of Rheumatology guideline for exercise, rehabilitation, diet and additional integrative interventions for rheumatoid arthritis, published 2023.
  5. Wu et al., 2022, systematic review and meta-analysis of massage for knee osteoarthritis.
  6. Ferreira et al., 2023, systematic review of massage guns.
  7. Arthritis Foundation, Benefits of Massage, safety considerations.
  8. NCCIH, Massage Therapy: What You Need To Know.
  9. 2019 ACR/Arthritis Foundation osteoarthritis guideline, published 2020.
The promise

Said plainly

Clear about the research

Some hands-on massage studies report short-term symptom relief. That does not establish that a Recovapro device treats arthritis, reduces joint inflammation or changes the disease. Read the evidence above and make the choice with your care team.

90-day money-back guarantee

If you choose to buy, the returns policy gives you 90 days from purchase. This is a purchase policy, not a promise of arthritis relief. Items must be returned in the same sellable condition with accessories; return shipping is not covered. Read the returns terms.

Persistent pain? Know when to get help.

Speak to a GP about persistent joint pain or stiffness. Sudden severe joint pain, swelling, a change in skin colour, or joint pain with fever or feeling unwell: seek an urgent GP appointment or NHS 111. Do not wait for massage to help. NHS urgent joint-pain advice.

RecovaSmart

More than a pain score.

We are developing RecovaSmart around the full story of pain: what it feels like, what it changes and what you have tried.

See what we are working towards

In development. Not a service you can use today.

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