Ointments with capsaicin: names, uses, reviews

To relieve pain of a rheumatic and neuralgic nature, as well as due to problems in muscles, ligaments and joints, local remedies in the form of ointments and creams are often used. They are considered the best because they do not cause systemic side effects, do not damage the gastrointestinal tract and have a direct therapeutic effect on the damaged area. Of all the remedies for inflammation of the joints and after closed injuries, ointments with capsaicin are the most popular. This substance, obtained from hot peppers, has been used in medicine for many years. It not only relieves pain, but also has a healing effect.

What is capsaicin

This natural alkaloid is obtained from hot peppers. A crystalline substance was isolated from this plant at the beginning of the twentieth century. Capsaicin does not dissolve in water, only in alcohol and some chemicals. It is the most pungent substance in the world. If it comes into contact with the skin, it causes a severe burn; the crystals can only be removed with vegetable oil, alcohol or vinegar.

Capsaicin has a strong effect on the respiratory system and mucous membranes, causing a burning sensation. This property is used when adding the substance to gas cartridges and pistols. Capsaicin is also used as an insecticide. But, besides this, it has been found to have many beneficial properties for human health. And recently, the production of medicines based on it has been launched.

Cayenne pepper for joints.

Treatment with red cayenne pepper: recipes - For radiculitis, red pepper is considered simply irreplaceable. Take a small pinch of ground red pepper, add 2-3 drops of vegetable oil (any) and rub the mixture on your lower back, then wrap yourself well in a blanket and sweat. The pain will surely go away. — By rubbing your heels with the mixture and wearing warm socks, you can quickly and without any problems get rid of an annoying cold. - For those who have a healthy heart and a good stomach, you can try a more radical remedy for colds - tincture of vodka with pepper (in any ratio). This tincture of red pepper is taken orally at night, in a small glass. — Those who suffer from bloating, flatulence and gases can be recommended to use this spice more often in their menu. Pepper can improve digestion and kill all putrefactive bacteria in the stomach and intestines. — To raise blood pressure, for those suffering from hypotension, you can use coffee with pepper. Just add a mixture of ground cinnamon and red hot pepper to your coffee, in an amount at the tip of a knife, and you are guaranteed increased tone for the whole working day! The coffee also tastes pleasant and original. Medicines are divided into intoxicating, cooling and neutral. If the patient is chilled and cannot warm up, if knees affected by arthritis are cold, feel free to take intoxicating remedies, especially cayenne pepper - Warming oil A warming antispasmodic agent that relieves spasms of the smooth muscles of the internal organs and relieves fever. It increases blood circulation, warms stiff areas and ligaments, and removes trembling from the bones. After using hot oil several times, they become so accustomed to it that they can no longer imagine their future life without it. 25 g cayenne pepper 2 tbsp. l. mustard powder 5 cm ginger root or 1 tbsp. l. dry ginger 2 tsp. ground black pepper 300 ml vegetable oil Mix the ingredients and prepare the hot oil according to the recipe for making an oil infusion. -Cayenne Pepper Gargle Recipes usually recommend adding a pinch of cayenne pepper, especially for gargling and gargling. Pepper is hot and has an antiseptic effect. 8 g parsley 8 g sage 1 full tbsp. l. cayenne pepper 10 cloves (to taste) 0.5 tsp. chopped nuts (to taste) 500 ml apple cider vinegar Mix the ingredients and leave for 2 weeks, remembering to stir regularly, then strain and bottle. Before use 1 tsp. add infusion to water. -Red pepper tincture - a solution to many problems. Red pepper tincture consists of vegetable pods and alcohol. The recipe for pepper tincture is very simple: you need to add pepper to half a liter of vodka (5-7 pods are enough) and leave for about two weeks in a dark, cool room.

The effect of drugs containing capsaicin

Nowadays, various ointments, gels, patches and rubs containing this substance are used for medicinal purposes. The extract obtained from hot peppers contains only 5-10% capsaicin. But still, it has a very strong effect on the body:

• when applied topically, it affects nerve endings and reduces the intensity of pain;
• stimulates the production of prostaglandins, which reduce the inflammatory process;

• dilates the superficial vessels of the skin and causes a feeling of warmth;
• eliminates swelling;
• improves tissue regeneration;
• thins mucus and accelerates its removal from the body;
• has an antioxidant effect;
• has a bactericidal effect.

What is capsaicin used for?

The ointment, the price of which is about 200 rubles, is affordable to many. And the positive effect of such funds has determined their widespread use. Preparations that contain capsaicin are used for migraines, indigestion, psoriasis and itchy skin. It is included in fat burning products and dietary supplements to speed up metabolism. Capsaicin helps with trigeminal neuralgia, diabetic neuropathy, and pain from herpes zoster. Recent studies have determined its ability to kill cancer cells and prevent their occurrence. But capsaicin is most often used in treatment for joints, muscles and ligaments.

Such drugs not only have an analgesic effect, but also relieve inflammation and improve tissue nutrition. The therapeutic effect appears only after 2-3 weeks of use, although capsaicin relieves pain immediately.

How to make red pepper ointment. Beneficial properties and harm

Red pepper tincture has valuable components that determine its effect on the body. It contains fatty acids, rare chemical compounds, and vitamins. But capsaicin gives the product a special piquancy. It is this substance that provides the specific hotness of pepper.

The tincture is easy to prepare at home. But during its manufacture, the recipe must be strictly followed. If you don’t want to bother, then buy the drug at the pharmacy.

Effects when used externally

Medicinal tincture is often used for local effect. It provides increased blood flow, which relieves pain, activates metabolism and improves tissue nutrition. The benefits of red pepper tincture when used externally include the following beneficial effects.

• Elimination of muscle spasms. As a result of irritating effects and increased blood flow, congestion can be eliminated. Nerve endings are activated, pain is eliminated, and spasmed muscles relax.
• Stimulation of hair growth. The use of alcohol tincture of red pepper for hair is especially in demand. The drug provides increased blood circulation and improves nutrition of hair follicles. This ensures increased growth of curls, gives them thickness and prevents split ends. The tincture has an antibacterial and antifungal effect. Thanks to such properties, as testified by trichologists, it is able to fight even advanced forms of alopecia and seborrhea.
• Elimination of cellulite. The drug activates local blood circulation and stimulates the functioning of blood vessels. Thus, it eliminates stagnant processes in tissues and triggers the mechanism for the breakdown of subcutaneous fats.

If we talk about the main medicinal properties of the pharmaceutical drug, the instructions for use describe it as a local irritant, useful for myalgia, neuralgia, radiculitis and chronic pain syndrome.

Risks and contraindications

Tincture is a potent medicine. Therefore, when using it, you must strictly follow the instructions. Otherwise, you may encounter a number of negative side effects, which manifest themselves in the form of:

• excessive burning in the area of ​​application;
• peeling and redness of the skin;
• allergic reaction in the form of a rash.

In such cases, you should immediately rinse your skin with cool water. To reduce the severity of negative symptoms, it is recommended to apply a cooling compress or use a soothing ointment to the damaged area. The tincture has the following contraindications for topical use:

• tendency to allergies;
• hypersensitivity to capsaicin;
• psoriasis;
• wounds, cuts, scratches on the skin;
• inflammatory processes in the skin.

It is strictly prohibited to use pharmaceutical or homemade red pepper tincture without consulting a doctor, especially for treating children. Extreme caution must also be observed when using it in the complex treatment of lumbar osteochondrosis in women with gynecological problems.

During heavy periods in girls with pathological growth of the endometrium (adenomyosis), a product applied to the lower back can cause additional blood flow to the pelvic organs. For such a pathology, this is unacceptable, as it will increase bleeding and cause painful contractions of the uterus. Also, pepper tincture cannot be used to treat the lower back during pregnancy.

Side effects of drugs containing capsaicin

The therapeutic effect of this substance is associated with its ability to cause a local increase in temperature and a burning sensation. But this property of capsaicin can also have a negative effect. Some people experience a strong burning sensation, reminiscent of a burn, and redness and swelling of the tissue at the site of application of capsaicin ointment. If the drug gets on the mucous membrane, it causes severe pain and swelling, lacrimation and mucus secretion. Capsaicin can cause spasm of the larynx and bronchi, loss of voice and even respiratory arrest. Such drugs are especially dangerous for the eyes - they cause burns to the cornea. It is not recommended to use capsaicin ointments for young children and women during pregnancy and breastfeeding. They are also contraindicated in case of individual intolerance, bronchial asthma and hypertension.

Rules for the use of such drugs

Before using capsaicin ointment, you should consult your doctor. And even if there are no contraindications to its use, it is important to strictly follow the instructions and safety rules:

• before the first use, you need to test the body’s reaction to the drug by applying it to a small area of ​​skin on the arm;

• apply a thin layer of ointment to the affected area 2-4 times a day;
• action lasts up to 6 hours;
• It is not recommended to use such drugs under a warming bandage;
• after applying the ointment, you need to wash your hands thoroughly so that the burning substance does not get on the mucous membranes;
• if a strong allergic reaction occurs, the ointment should be washed off not with water, but with vegetable oil, alcohol or vinegar;
• Do not use such preparations on inflamed or damaged skin, or immediately after a bath or shower.

Finalgon in the fight against pain

F

inalgon is a topical agent that is a combination of two vasodilators: nonivamide, a synthetic analogue of capsaicin, and nicoboxil, a derivative of nicotinic acid.
The drug belongs to the group of skin irritants
that cause:

1. Local effects: hyperemia, swelling, irritation of sensory receptors (pain, burning)

2. Reflex effects:

• axon-reflexes

• reflex irritation of the respiratory and vasomotor centers from any area of ​​the skin, especially from the skin of the face

• stimulation of the hypothalamus-pituitary-adrenal system, increased release of adrenocorticotropic hormone, glucocorticoids

3. Humoral effects: entry into the bloodstream of breakdown products of tissue proteins, histamine and other mediators.

The distracting effect of the drug is based on irritation of areas of the body surface, which is accompanied by a change in the functional state of certain organs. In addition, the influence of irritating substances is carried out on the corresponding organs through trophic reflexes - nervous influences on metabolism in tissues. The mechanism of the “distracting” action is very complex and has not been fully elucidated. However, it is known that all reflexes from skin receptors, including trophic ones, the so-called cutaneous-visceral ones, are directed mainly to internal organs that receive innervation from the same segment of the spinal cord. For this reason, it is necessary to rationally select the site of application of the irritating agent. The action of Finalgon differs from the mechanism of action of non-steroidal anti-inflammatory drugs that suppress cyclooxygenase and prostaglandin synthesis. The reduction of soft tissue tenderness achieved by using irritants is based on the principles described and is widely used in rheumatology and sports medicine. Irritants have an analgesic effect and increase blood supply to the muscle. Improved blood supply leads to muscle relaxation and increased cellular regeneration. This leads to relief of chronic pain due to degenerative and inflammatory lesions of the musculoskeletal system. Pain associated with muscle strain or injury is also reduced.

The mechanism of action of Finalgon is associated with the influence of its components on receptor complexes involved in the formation and perception of pain

. The natural substance capsaicin and its synthetic analogue, nonivamide, are acid derivatives of homovanillin, slightly different in the structure of the alkyl chain. Their pharmacological action is identical.

Painful stimuli act on nerve endings, which are represented by C-fibers, which have a 3-10 layer structure and a thickness of about 2 microns. 90% of pain receptors respond to thermal, mechanical and chemical stimuli. Being actually pain sensors, C-fibers carry the pain signal to the spinal cord, and then through ascending pathways it is sent to the brain, where pain suppression centers can affect the degree of pain. Understanding the fundamental cellular and molecular mechanisms of action of irritants has been made possible by the discovery of a potent capsaicin analog, resiniferatoxin, isolated from Euphorbia resinifera and the synthesized capsaicin antagonist, ofcapsazepine. When receptors are excited by capsaicin or its analog nonivamide, nonselective cation channels open, permeability to sodium and calcium ions increases, which leads to depolarization of the neuron membrane and the release of neuropeptides. In addition, stimulation of skin pain receptors of both C-fibers and thin myelin fibers, persistent depolarization of the membrane lead to depletion of neurotransmitters, in particular norepinephrine, and complete blockade of pain stimuli, which is perceived as analgesia [1,2].

Nicoboxil enhances the effect of nonivamide and causes direct expansion of capillaries, improving microcirculation. Therefore, the use of Finalgon is accompanied by redness, a feeling of warmth and the elimination of pain.

.

Finalgon compares favorably with other locally irritating drugs. It activates metabolism, ensures dilation of blood vessels, hyperemia, increased blood flow, increased extensibility of connective tissue and muscles while decreasing muscle tone.

Unlike Finalgon, drugs containing menthol cause a feeling of cold, combined with minor pain relief. With prolonged use of menovazine, dizziness, general weakness, and decreased blood pressure are possible. Preparations based on bee and snake venom often cause allergic reactions and have many contraindications (for example, acute infectious diseases, tuberculosis, hepatitis, diabetes mellitus, organic diseases of the central nervous system, pregnancy, etc.). Finalgon is usually well tolerated

. In rare cases, allergic skin reactions may occur. It is also not applied to wounds and areas of skin with impaired permeability, to the neck, inner thighs and abdomen.

Finalgon is used for pain in muscles and joints, injuries to muscles and ligaments, inflammation of the joints and peripheral circulation disorders.

. It is highly effective for radiculitis, arthritis, and neuralgia. Finalgon ointment acts as an effective irritant and as a thermal patch.

For a palm-sized area of ​​skin, it is recommended to squeeze out a column of the drug just 0.5 cm long from a tube (the tube contains a total of 180 doses of the drug, which allows for several courses of therapy). The drug is rubbed into the affected part of the body and surrounding tissue with light massaging movements.

Assessment of the effects of irritants was previously based solely on subjective methods. The degree of pain and dysfunction was usually assessed by patients, and objective recording of effects presented significant difficulties. The effectiveness of Finalgon was assessed using modern examination methods, including the laser method using Doppler equipment. Previously obtained information about the effectiveness of the ointment and its constituent substances was confirmed. When assessing the degree and rate of development of the hyperemia reaction, differences were identified in the onset and duration of action of nicoboxil and nonivamide. When used in combination in Finalgon ointment, the medicinal substances potentiated each other's effects. Hyperemia and analgesia developed almost immediately after applying the ointment and lasted for several hours, which clearly exceeded the results of using individual substances.

Josenhans [3] used Finalgon ointment in 60 patients with shoulder pain due to osteochondrosis of the cervical spine, which is often accompanied by impaired peripheral blood flow. He recorded an increase in skin temperature of 5°C at the site of application of the ointment and by 3.5°C on the skin of the index finger compared to the use of placebo ointment, which caused an increase in temperature of only 0.2°C.

The use of Finalgon was studied in 1791 patients with rheumatic diseases, neuralgia, soft tissue bruises, and peripheral circulatory disorders. In the observations of Brill [4], Haase and Haslreiter [5], Furtenbach [6], Geyer [7], Lemke [8] and Chitil and Ortner [9], all patients noted a feeling of warmth that arose after a short period of time and continued until 6 o'clock. The feeling of warmth was accompanied by a decrease in pain and easing of muscle tension. When first applied, the feeling of warmth was perceived by some patients as a burning sensation, which lost intensity with subsequent applications of the ointment. In addition, it was noted that the feeling of warmth arose again under the influence of external factors (bed, bath) and during exercise.

Benz [10] reported on 1234 patients in whom the use of Finalgon led to a satisfactory reduction in muscle tension and pain, with the majority of patients reporting the disappearance of pain.

More recent clinical data also confirm the high effectiveness of capsaicin in patients with osteoarthritis of the knees, hips and rheumatoid arthritis

[11,12].

The effect of Finalgon on sports injuries was studied by Hainbock [13]. In 70 cases of muscle bruises and sprains or joint injuries, he found an immediate decrease in muscle stiffness, pain relief, rapid resolution of effusions and swelling, and rapid restoration of tissue damage. An earlier start to training with active movements became possible for 50 student athletes (30 men and 20 women) and 121 professional athletes. Kochner [14] studied the preventive effect of Finalgon, prescribing the ointment in two ways - applying it daily in the morning before starting a workout or in the evening - to skin areas along the projection of painful muscles. The ointment was applied to large surfaces of the skin of the upper extremities, shoulder girdle and lower extremities. At the same time, no undesirable skin reactions, disorders of microcirculation, breathing or digestion were observed. Despite intense training, none of the athletes experienced muscle strain, and no tendon or ligament damage was noted.

In 56 athletes, Aicher et al used Finalgon for therapeutic purposes for sports injuries: muscle strain, hematomas, sprains, dislocations and bone fractures. In all cases, they observed an improvement in the condition: resolution of hematomas, disappearance of edema, increased muscle elasticity

[15].

In local irritant therapy, a combination of drugs acting on capsaicin-sensitive receptors (nicoboxil) with a vasodilator derived from nicotinic acid can be even more widely used. Information obtained in recent years about the preventive and therapeutic effects of Finalgon opens up new possibilities for the treatment of diseases accompanied by pain and trophic disorders.

The list of references can be found on the website https://www.rmj.ru

Combined preparation for external use –

Finalgon (trade name)

(Boehringer Ingelheim)
References:
1. Szolcsany J. (1991): Perspektive of Capsaicin-type Agents in Pain Therapy and Research. Kluwer Academic Publishers Winston C. B. Parris.

2. Maggi CA The pharmacology of the efferent function of sensory nerves. J. Auton. Pharmac.(1991) 11,173–208.

3. Josenhans G. (1954): Skin segment and peripheral blood circulation in rheumatic illnesses. Dtsch. med. Wschr. 79:505–507.

4. Brill F. (1952): Clinical Report on Final Point. Pro. Med. (Munisch), 21: 429–431.

5. Haase W. & E. Haslreiter (1953): Percutaneous heat-sensitising therapy. Arztl. Praxis 5:2.

6. Furtenbach W. (1954): Experience with Final point in the treatment of rheumatic illnesses. Vienna. med. Wschr. 104:853–854.

7. Geyer F., M.Neumayer & K.Schmidt (1956): Percutaneous heat-sensitising therapy with Final ointment. Vienna. med.Wschr.106:233–234.

8. Lemke W. (1957): Experience with hyperaemizing measures in non-rheumatic indications. Landarzt 33:1055–1057.

9. Chitil W. & H. Ortner (1959): Clinical experience with Final point in a total of 26 cases. Prakt. Arzt (Vienna) 13: 201–207.

10. Benz R. (1959): On the treatment of vertebragene pain symptoms with Finalgon ointment and liniment. Med. 48:2355–2358.

11. Deal C.; Schnitzer TJ; Lipstein E.; Seibold JR; Stevens RM; Levy MD; AlbertD. & Renold F. (1991): Treatment of Arthritis with Topical Capsaicin: A Double–blind Trial. Clin. Ther. 13: 383–395.

12. McCarhy GM & McCarthy DJ (1992): Effect of Topical Capsaicin in the Therapy of Painful Osteoarthritis of the Hands. J. Rheumatol. 19; 604–607.

13. Hainbock W. (1955): Experience with Final point in sports injuries. Vienna. med.Wsch. 105: 147–148.

14. Kochner G. (1955): Prevention and therapy of frequent sports injuries with hyperaemic substances. Sportmed.6: 42–44/56–57.

15. Aicher B, Dr.M. Stucker and Prof. Dr. P. Altmeyer. Medication for Skin–sensitising Therapy. Pharmacists Journal. Vol.11/96. 18th.Year. Pages 44–50.

What drugs contain capsaicin?

Now the medical industry produces several different ointments based on pepper extract. They have almost the same effect and application features.

• "Nicoflex" effectively relieves pain and inflammation, dilates blood vessels and warms.
• "Espol" contains capsaicin, essential oils of coriander and lavender, and effectively treats any joint and muscle pain.

• Anesthetic cream with capsaicin, in addition to pepper extract, contains aloe gel, which helps deeper penetration of the active substance.
• Gel "Rescuer Forte" with oil extract of pepper, essential oils and vitamins helps to recover from injuries.
• Capsaicin-based ointment "Efkamon" improves blood circulation and tissue nutrition, stops inflammation.
• “Camphocin” - in addition to the extract of capsicum, the warming effect is provided by turpentine and camphor.

How to prepare ointment with pepper. Technology for preparing healing ointment at home

Hello everyone! My dear readers, I want to tell you how to prepare the ointment with your own hands.

Having mastered this recipe, you can always make yourself almost any ointment based on any.

So, now I will tell you in detail how to prepare the ointment at home.

This will be an anti-inflammatory and healing ointment made from chamomile flowers.

It perfectly helps with sunburn, eczema, heals abrasions and bruises, cuts, chapped lips, softens and nourishes rough and chapped skin.

How to prepare ointment at home - technology

Any ointment consists of two phases:

• active phase (active substance)
• fat phase (base solid oils, fats)

The cooking technology is simple:

• the active phase is introduced into the molten fat phase by thoroughly stirring and extracting
• followed by filtration or grinding until smooth.

We will prepare this ointment using the extraction method.

Homemade chamomile ointment - recipe

To prepare my homemade ointment, I took the following ingredients:

• 3 tbsp. l butter (you can take it)
• 1 tbsp. l dried chamomile flowers
• 1 teaspoon Aloe Vera gel
• Lavender essential oil 2 drops

Cooking process:

1. Place the oil in a small saucepan and heat it in a water bath.
2. When the butter melts, add chamomile flowers and stir everything thoroughly.
3. Now reduce the heat and leave the chamomile oil on the stove for about 1 hour, covering it with a lid. During this time, we will undergo an intensive process of transferring the active components from chamomile flowers into oil.

During this time, your home will be filled with the aromas of chamomile tea and now you can proceed to the next phase of preparing homemade ointment:

1. Remove the butter mixture from the heat, cool it slightly and strain it through a double layer of cheesecloth into a ceramic bowl.
2. Carefully squeeze out the gauze with the remaining flowers in it. Add aloe vera gel (you can use ready-made or make it yourself, recipe) and. Mix everything very thoroughly.
3. And pour the prepared oil solution into a clean, dry jar with a lid.
4. Make a label and put an expiration date.
5. Store this ointment in the refrigerator for no more than 1 month and use it as directed.

I used approximately the same recipe to prepare a body cream with green tea, the recipe can be found here, and here you can read how to prepare it.

Nicoflex ointment: application

This is a combined drug for the treatment of bruises, sprains, arthrosis, neuralgia, sciatica and for warming up muscles before sports training.

The ointment contains 7.5 mg of capsaicin and has an irritating and analgesic effect. When applied to the skin, it expands superficial blood vessels, improves blood circulation and causes a feeling of warmth. "Nicoflex" not only relieves pain and reduces inflammation, but also improves joint mobility. You can use it 1-2 times a day on clean, dry skin.

Analogs of drugs with capsaicin

A large number of different warming ointments and gels makes it difficult to choose a medicine. But quite often doctors prescribe medications to patients that contain capsaicin. Their analogues are also effective, but the warming effect in them is ensured with the help of other substances. Based on natural ingredients, you can choose the following preparations:

• “Apizartron” contains bee venom, warms well and relieves pain;
• “Viprosal” based on viper venom is effective for various injuries and diseases of the musculoskeletal system;
• in the Sanitas balm, the warming effect is provided by camphor and turpentine;
• Sophia cream with bee venom relieves swelling and inflammation, restores joint mobility and reduces pain;
• bee venom also contains an effective gel “911”, which not only treats pain, but also restores joint tissue.

There is also an ointment containing an analogue of capsaicin - vanillamide. This is “Finalgon”, which is very popular as it effectively relieves back and joint pain.

Reviews about the use of such drugs

Despite the large number of ointments with a warming effect, many choose those that contain capsaicin. Reviews about such drugs are contradictory. This substance is very hot, and not everyone can withstand it. But those who are tired of suffering from pain consider warming ointments to be a salvation. In addition, a positive property of such drugs is that ointment containing capsaicin is inexpensive. Its price ranges from 100 to 300 rubles, with an average of 250. Therefore, any patient can be treated with such drugs. Doctors also often prescribe capsaicin ointments. They believe that the warming effect not only helps relieve pain and inflammation, but also treats many diseases of the musculoskeletal system. According to reviews from doctors and patients, such ointments improve blood circulation and tissue nutrition, help restore joint mobility and relieve muscle pain. Negative reviews are left by those who cannot stand the burning sensation and who have an allergic reaction to capsaicin.

DIY red pepper ointment. Pepper rub for joints

Pepper rubbing helps relieve pain and inflammation in the joints very well. We make such ointments from hot red pepper. You can also use kerosene and mustard for these purposes.

If your exacerbation is very severe, then in this case there is no point in rubbing yourself too intensely. You will only make things worse for yourself. The physiology there is as follows - an inflamed nerve root, after the blood leaves it, will begin to hurt with renewed vigor. Therefore, the composition should be rubbed into the body with gentle hand movements.

Well, the joint rub itself is prepared as follows:

You need to mix 250 grams of kerosene and 250 grams of unrefined sunflower oil. The composition should also include about 7 pods of hot red pepper. Pepper must be ground in a meat grinder. Mix all the ingredients and leave in a warm place for nine days. Shake the infusion well every day. Once infused, strain and use in treatment.

Rub into sore spots and then wrap them in a woolen cloth.

Additionally, make alcohol compresses - they also warm well

Scroll through a meat grinder the leaves of the Indian onion, as well as the golden mustache. Squeeze the resulting mass through cheesecloth and mix in a 1 to 1 ratio with vodka or alcohol. This tincture is a wonderful remedy for joint pain.

Another variation is to dilute a solution of furatsilin and alcohol in a one to one ratio. Then wet the bandage or gauze and apply it as a compress to the sore joints. It is advisable to place cellophane on top of the bandage, and it is better to secure everything with woolen fabric, such as a scarf or shawl. Apply a compress in the morning, walk all day, and put on a new one at night. So two weeks and the pain will go away.