Living with arthritis can be challenging, but there are several non-prescription approaches that can help manage pain and improve function. Based on current research and expert recommendations, here are three effective options for arthritis relief that don't require a prescription.

1. Heat and Cold Therapy

Heat and cold therapy are among the oldest, most accessible, and safest forms of complementary treatment for arthritis pain. These therapies work in different but complementary ways to reduce discomfort and improve joint mobility.

How Heat Therapy Works

Heat therapy increases blood flow to affected areas, delivering more oxygen and nutrients to injured tissues. When you warm up a sore joint or tired muscle, your blood vessels get bigger, which allows more relaxation for stiff muscles and joints. Heat is particularly effective for:

• Morning stiffness
• Chronic pain and discomfort
• Preparing joints for activity or exercise
• Relaxing muscles and reducing spasms

You can apply heat through warm baths or showers, heated pools, heating pads, warm towels, or therapeutic heat wraps. For maximum benefit, apply heat for about 15-20 minutes before exercise and again afterward if needed.

How Cold Therapy Works

Cold therapy works by constricting blood vessels, which helps reduce inflammation and swelling. It can also numb pain signals, providing temporary relief. Cold therapy is particularly helpful for:

• Acute flare-ups with visible swelling
• Post-exercise soreness
• Reducing inflammation after activity

Apply ice packs or frozen gel packs wrapped in a thin towel to the affected area for up to 20 minutes at a time. Some people find alternating between heat and cold provides the best relief, though experts recommend waiting a couple of hours between applications.

According to the American College of Rheumatology and the Arthritis Foundation, heat and cold therapy are conditionally recommended for people with osteoarthritis of the knee, hip, or hand, though research continues to evaluate their long-term effectiveness.

2. Compression Gloves for Hand Arthritis

For those suffering from hand arthritis, compression gloves can provide relief from pain, swelling, and stiffness. These specialized gloves work by applying gentle pressure to the hands and fingers.

How Compression Gloves Work

Compression gloves are designed to lightly squeeze the veins in your hands to support healthy circulation while potentially reducing inflammation. They may help with puffy fingers, hand pain while sleeping, and morning joint stiffness, and might improve grip strength.

Different types of compression gloves are available, including:

• Basic compression gloves that provide gentle pressure
• Thermal gloves that offer both compression and warmth
• Fingerless designs that allow for better dexterity and use of touchscreens
• Full-finger options for maximum coverage

However, it's important to note that scientific evidence supporting compression gloves is mixed. While they've been prescribed since the 1980s, recent research indicates that the main benefit may simply be the warmth they provide, with specialized arthritis gloves showing no greater effectiveness than looser-fitting alternatives.

For innovative compression gloves with built-in grip strengthening features, check out the MetaFlex arthritis relief collection or their signature MetaFlex glove, which combines compression with resistance bands to help build grip strength while relieving pain.

If you decide to try compression gloves:

• Wear them for the recommended 8 hours (often overnight)
• Ensure proper fit—too tight or too loose won't provide benefits
• Look for breathable, washable materials
• Consider consulting with an occupational therapist for recommendations specific to your condition

3. Hand and Grip Strengthening Exercises

Strengthening the muscles that support arthritic joints is one of the most effective non-medicinal approaches to managing arthritis pain and improving function. This is particularly true for hand arthritis.

Benefits of Hand Exercises

Regular hand exercises can have significant benefits for people with arthritis. In a study published in The Lancet, people with rheumatoid arthritis who did daily hand exercises showed twice the improvement in hand function as those who didn't exercise, along with better grip strength and finger flexibility.

According to occupational therapists, increasing your grip strength is "one of the best things you can do to lessen the impact arthritis has on your life," as strong hands typically mean more productive and less painful hands.

Research has also found connections between grip strength and overall health. Studies show that grip strength is a stronger predictor of all-cause and cardiovascular mortality than systolic blood pressure, underscoring the importance of maintaining hand strength.

Effective Hand Exercises

Some effective and gentle exercises for arthritic hands include:

1. Gentle Fist: Start with your fingers straight, then slowly curl them into a loose fist, hold for 5-10 seconds, and release. Repeat 5-10 times on each hand.
2. Finger Bends: Bend each finger individually toward your palm, hold for a few seconds, then straighten. Work through all fingers on both hands.
3. Thumb Stretches: Extend your thumb away from your fingers as far as comfortable, hold for 5 seconds, then release. Repeat 5-10 times on each hand.
4. Grip Strengthening: Use a stress ball, therapy putty, or specialized grip strengthener. Squeeze gently, hold for 3-5 seconds, then release. Build up repetitions gradually.
5. Wrist Stretches: Extend one arm with the palm facing down, then gently pull the hand back toward your body with your other hand. Hold for 10 seconds, relax, and repeat on the other side.

These exercises should be performed gently and consistently—ideally daily or every other day. If you experience increased pain during or after these exercises, consult with a healthcare provider or physical therapist for modifications.

4. CBD Topicals for Arthritis Relief

CBD (cannabidiol) topicals have gained popularity as a potential natural remedy for arthritis pain and inflammation. While research is still emerging, several studies suggest promising benefits for joint pain sufferers.

Research on CBD for Arthritis

Scientific evidence supporting CBD for arthritis is growing. A landmark 2016 study published in the European Journal of Pain demonstrated that topical CBD significantly reduced inflammation and pain-related behaviors in a rat model of arthritis without evident side effects. The researchers concluded that "topical CBD application has therapeutic potential for relief of arthritis pain-related behaviors and inflammation."

More recently, a 2022 randomized controlled trial published in the Journal of Hand Surgery studied topical CBD (6.2 mg/mL with shea butter) in patients with thumb basal joint arthritis. The trial found that twice-daily application over two weeks "demonstrated significant improvements in thumb basal joint arthritis-related pain and disability without adverse events."

How CBD Topicals Work

CBD topicals interact with the body's endocannabinoid system—specifically with receptors in the skin, muscle tissues, and nerves. When applied directly to painful joints, CBD may:

• Help reduce inflammation in the joint
• Decrease pain signaling
• Provide localized relief without systemic effects
• Work alongside the body's natural pain management systems

Examples of CBD Products for Arthritis Relief

When selecting CBD topicals for arthritis relief, quality matters. Here are some options to consider:

• Aura Canna Buzz Balm - Lavender & Peppermint - Features a 1:3 THC
  
  
  ratio combined with soothing essential oils
• Ayrloom Restore Balm - A balanced 1:1 THC
  
  
  formulation with 1000mg total cannabinoids
• Boojum Life Deep Blue CBD Gel - Combines CBD with cooling ingredients for targeted joint relief

Visit reputable dispensaries like Boonetown NJ and Queen City NJ for a wide selection of high-quality CBD topicals specifically formulated for pain relief.

Important Considerations

When using CBD topicals for arthritis:

• Start with a small amount to test skin sensitivity
• Apply directly to the affected joints, massaging gently
• Be consistent with application for best results
• Consider additional joint support supplements like collagen, IV Drip therapy, or other alternative therapies to support your wellness holistically.
• Look for products with third-party testing and clear labeling
• Consult your healthcare provider, especially if taking other medications

While many arthritis patients report positive results with CBD topicals, individual responses vary. As the Arthritis Foundation notes, research into CBD's effectiveness for arthritis is promising but still evolving.

Taking a Comprehensive Approach

While these non-prescription options can provide significant relief for many people with arthritis, they work best as part of a comprehensive approach to arthritis management. For optimal results, consider combining these strategies with:

• Maintaining a healthy weight to reduce pressure on joints
• Following an anti-inflammatory diet
• Getting regular, appropriate exercise
• Using assistive devices when needed
• Taking over-the-counter pain relievers as recommended by your healthcare provider

Remember that arthritis management is highly individual, and what works best for one person may not be as effective for another. It's worth experimenting with different approaches to find the combination that provides the most relief for your specific situation.

Always consult with your healthcare provider before starting any new treatment regimen, even non-prescription options, especially if you have other health conditions or take medications that might interact with your arthritis management plan.

Scleroderma is an autoimmune condition that affects the hands, leading to stiffness, swelling, and joint contractures. Skin tightening and collagen buildup limit hand function, making daily tasks difficult. Research highlights that early intervention with conservative management can help maintain hand function and slow disease progression.

The Metaflex Glove, offering strengthening, compression, heat retention, and passive digit stretching, aligns with these principles and is PDAC-approved for conservative hand therapy. Medical professionals can bill L-Code 3912, making it a reimbursable option for patients.

The Metaflex Glove Supports Scleroderma Management

Compression for Swelling Reduction

Swelling and fluid retention in the hands are common early symptoms of scleroderma. Persistent edema may not be visible to the naked eye and is a strong predictor of current and future disability.

The Metaflex Glove provides gentle compression to:

• Reduce swelling and fluid buildup.
• Prevent tissue hardening for better flexibility.
• Improve circulation, especially for those with Raynaud’s.

Research supports that compression therapy reduces swelling and pain, improving hand function. By maintaining consistent compression, the Metaflex Glove helps preserve finger mobility.

Passive Stretching to Prevent Contractures

Scleroderma often leads to joint contractures, especially in the proximal interphalangeal joints. Early, frequent stretching is essential for maintaining range of motion.

The Metaflex Glove’s built-in extension bands:

• Gently stretch fingers to maintain flexibility.
• Counteract flexion contractures, keeping fingers straighter.
• Encourage gradual extension, aiding in reaching in preparation for gripping and fine motor tasks.

Low-load, prolonged stretching is more effective than short, aggressive stretches. The Metaflex Glove provides gradual, sustained extension, making it ideal for scleroderma hand therapy.

Heat Retention for Soft Tissue Flexibility

Scleroderma patients often experience cold intolerance and stiffness, especially in the morning. Heat therapy enhances circulation and softens connective tissue, improving flexibility.

The Metaflex Glove’s fabric:

• Increases circulation, reducing Raynaud’s episodes.
• Softens the skin, enhancing stretching effectiveness.
• Provides warmth, easing stiffness and pain.

Studies show that combining heat with stretching significantly improves hand function. By keeping hands warm, the Metaflex Glove enhances compression and stretching benefits.

Grip Strengthening with Resisted Bands

Scleroderma can lead to weakness in the hands, affecting grip strength and daily function. Strengthening exercises are essential to maintaining hand dexterity and preventing loss of function.

The Metaflex Glove’s resisted bands:

• Provide resistance for grip strengthening exercises.
• Help improve finger flexor strength.
• Support functional hand use for gripping, pinching, and holding objects.
• Encourage active movement, complementing passive stretching and compression therapy.

Incorporating grip strengthening alongside stretching and compression ensures a more comprehensive approach to hand function preservation.

Billing the Metaflex Glove Under L-Code 3912

Reimbursement for Healthcare Providers

As of March 6, 2025, the Metaflex Glove is PDAC-approved, allowing therapists and medical professionals to bill L-Code 3912 for reimbursement.

How Providers Can Use L-Code 3912:

To bill L-codes, providers must have a valid National Provider Identifier (NPI) and be enrolled as Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers through Medicare or relevant third-party payers.

✔ Bill insurance, Medicare, or third-party payers for the Metaflex Glove. ✔ Provide custom fitting and training for effective use. ✔ Prescribe the glove as part of a comprehensive hand rehab program.

With insurance reimbursement, more patients can access the Metaflex Glove without financial barriers.

Using the HAMIS Assessment to Track Hand Function

The Hand Mobility in Scleroderma (HAMIS) assessment is a standardized tool used to evaluate hand function in individuals with scleroderma. It measures nine key movements, including finger flexion, extension, and thumb abduction, providing a quantifiable score that helps track progression and treatment effectiveness.

How HAMIS Supports Metaflex Glove Use

✔ Establishes a baseline for hand function before starting therapy. ✔ Monitors improvements in flexibility, grip strength, and range of motion. ✔ Guides therapy adjustments by identifying areas needing more targeted intervention. ✔ Demonstrates effectiveness of conservative treatments, including the Metaflex Glove.

Clinicians can use HAMIS scores alongside range-of-motion measurements and functional assessments to fine-tune treatment plans and support insurance reimbursement for therapeutic interventions like the Metaflex Glove.

Interested in incorporating the Metaflex Glove as part of a comprehensive care plan?

The Metaflex Glove is a clinically supported, insurance-covered tool for managing scleroderma hands. Get started today with MetaFlex! 

Sometimes the most impactful innovations come from observing the everyday struggles of those closest to us. For Téa Phillips, founder of ATS Innovations and inventor of the Metaflex glove, the journey from engineering student to medical device innovator began with watching her grandmother's hands.

The Personal Connection

"My grandma had really bad arthritis and I watched her lose her mobility," Phillips shares. This personal connection became more than just inspiration – it became her driving force. "That's why this felt so important to me to bring to market." The impact of watching a loved one lose their ability to do what they love created a deep sense of purpose that would carry her through the challenges ahead.

Engineering Solutions for Arthritis Pain

As a mechanical engineering student at Tennessee Tech University, Phillips discovered her opportunity to make a difference. "We found compression and grip strengthening were two of the most recommended therapies that were non-medicinal," she explains. "Like opioids, just a holistic way to manage pain. And compression was easy enough, but people weren't doing their grip strengthening exercises because it's burdensome and it's time consuming."

This insight led to a breakthrough idea: "We made a wearable grip strengthener that allows you to build that strength, build that mobility, flexibility, range of motion as you're going about your day." For those interested in learning more about hand health and mobility, Phillips' team has created comprehensive guides on topics like managing carpal tunnel syndrome and staying active in cold weather.

The bands mimic the placement of EXTENSOR tendons, that provide passive resistance against the flexion for strengthening. When used to stretch, the bands helps the fingers extend, which helps manage many pathologies that may help prevent or delay more invasive options. (Trigger finger, carpal tunnel syndrome, dupuytren's, amongst many others). 

Understanding the Need For Compression Gloves

The innovation wasn't just about the technology – it was about creating a solution people would actually use. Phillips developed a device with:

* Resistance bands sewn into the fingertips that run the length of the fingers

* Natural hand motion design that mimics tendons

* Gentle resistance during hand closure to build strength during daily activities

* Compression features to help with circulation, pain, swelling, and stiffness

Learn how these features work together.

From Concept to Reality

Taking this concept from a university project to a market-ready product required more than just technical expertise. "I have something that I'm really passionate about and I have like a purpose and a reason for doing this," Phillips reflects. This sense of purpose drove her forward, even when facing challenges.

"This is the hardest job I've ever had," she admits candidly. "And I went to engineering school and got my way through that. And this is way more difficult because there's not a roadmap. Everybody is doing this differently and there's a million ways to do it."

Beyond the Original Vision

What started as a solution for arthritis has evolved far beyond its initial purpose. "We got it to market last year as a way to help people with arthritis and it's helped so many more people like atheletes and our users are using it in ways that I didn't expect," Phillips shares excitedly. "Like half of our users are using it to sleep to just keep their fingers extended during the night."

The impact has been profound. "I've got customers that say, 'Thank you. You changed my life. I can sleep at night. This is a miracle.' And it's kind of mind blowing to me to read those, but it's also like the fuel that keeps me going," she says. "If I hadn’t made something that was having such a big impact on people's lives, then I don't know if I'd still be on this journey."

The Power of Personal Connection in Innovation

Phillips' journey demonstrates how personal connection to a problem can drive innovative solutions. Instead of choosing an easier path – "I'd probably be making six figures as an engineer working for some large company" – she chose to pursue her passion project "on this mission to reinvent healthcare."

Her story offers a powerful lesson for aspiring innovators: sometimes the most meaningful solutions come from deeply personal experiences. As Phillips puts it, "I don't want to just share the highlights. I want to be real. I want people to know what it takes to do what I'm doing." It's this combination of personal motivation, technical expertise, and genuine desire to help others that can turn an observation about a grandmother's struggles into a medical innovation helping thousands of people maintain their quality of life and independence.

Ready to learn more about the Metaflex glove? Discover how this innovative solution might help you or someone you love.