Relieve arthritis pain with OTC medications like ibuprofen, naproxen, and topical creams - effective short-term solutions for osteoarthritis and mild rheumatoid arthritis.

5 Effective Over-the-Counter Arthritis Pills and Pain Meds You Should Know About

Relieve arthritis pain with OTC medications like ibuprofen, naproxen, and topical creams - effective short-term solutions for osteoarthritis and mild rheumatoid arthritis.

Last Updated on November 18, 2025 by Ugurkan Demir

5 Effective Over-the-Counter Arthritis Pills and Pain Meds You Should Know About
5 Effective Over-the-Counter Arthritis Pills and Pain Meds You Should Know About 2

At Liv Hospital, we understand the challenges of managing arthritis pain. Millions of people worldwide seek relief from joint discomfort, and we’re committed to providing trusted guidance on effective treatment options. Over-the-counter (OTC) medications play a crucial role in this journey, offering accessible relief for those affected by arthritis.

We recognize the importance of arthritis pain management and are dedicated to supporting international patients with comprehensive care. Our approach focuses on empowering individuals with knowledge about available OTC arthritis pain medicines, enabling them to make informed decisions about their health.

Key Takeaways

  • OTC medications are a vital component of arthritis pain management.
  • Liv Hospital is committed to providing world-class healthcare support.
  • Understanding available treatment options is crucial for effective relief.
  • Empowering patients with knowledge is at the heart of our mission.
  • Comprehensive care for international patients is our priority.

Understanding Arthritis and Its Impact on Daily Life

A well-lit still-life composition showcasing an assortment of over-the-counter arthritis medication. In the foreground, a selection of pill bottles, capsules, and tablets are arranged neatly on a clean, reflective surface, casting soft shadows. The middle ground features a few common arthritis-related items, such as a compression brace or mobility aid, highlighting their supportive role in managing the condition. The background is a soft, blurred environment, conveying a sense of calm and focus on the medical products. The overall scene exudes a professional, educational tone, suitable for illustrating the impact of arthritis and available treatment options.

Arthritis, a complex and multifaceted condition, requires a comprehensive understanding to manage its effects on daily life effectively. We will explore the various types of arthritis and their impact on joint function, providing insights into the importance of effective management strategies.

Common Types of Arthritis

There are several types of arthritis, each with distinct characteristics and effects on the body. The most common forms include osteoarthritis and rheumatoid arthritis. Osteoarthritis is characterized by the breakdown of cartilage in joints, leading to pain and stiffness. Rheumatoid arthritis, on the other hand, is an autoimmune disease that causes inflammation and pain in the joints.

Other significant types of arthritis include psoriatic arthritis, which occurs in conjunction with psoriasis, and gout, characterized by sudden, severe attacks of pain and swelling. Understanding these different types is crucial for determining the most appropriate treatment approach.

Type of Arthritis Primary Characteristics Common Symptoms
Osteoarthritis Cartilage breakdown in joints Pain, stiffness, limited mobility
Rheumatoid Arthritis Autoimmune inflammation of joints Pain, swelling, joint deformity
Psoriatic Arthritis Inflammation associated with psoriasis Joint pain, swelling, skin lesions
Gout Sudden uric acid crystal buildup Severe pain, redness, swelling

How Arthritis Affects Joint Function

Arthritis significantly impacts joint function, leading to pain, stiffness, and reduced mobility. In osteoarthritis, the loss of cartilage allows bones to rub against each other, causing discomfort and limiting movement. Rheumatoid arthritis causes inflammation that can lead to joint damage and deformity if not properly managed.

The effect on daily life can be substantial, making everyday activities challenging. Simple tasks like dressing, cooking, or even walking can become difficult due to joint pain and stiffness. Effective management of arthritis is crucial to maintaining joint function and overall quality of life.

By understanding the different types of arthritis and their impact on joint function, individuals can better navigate the available treatment options, including otc meds for arthritis and other management strategies. We will continue to explore these options in subsequent sections, providing a comprehensive overview of how to manage arthritis effectively.

Arthritis Pills Over the Counter: How They Work to Relieve Pain

A neatly arranged still life of various over-the-counter arthritis pills and pain medications. In the foreground, a collection of colorful capsules, tablets, and gel caps in shades of white, red, and green are displayed on a clean, light-colored surface. The middle ground showcases a few recognizable brand name bottles and containers, their labels visible. The background is softly blurred, hinting at a plain, uncluttered studio setting with gentle, natural-looking lighting from the side, casting subtle shadows and highlights that accentuate the textures and shapes of the pharmaceutical products. The overall mood is one of clinical precision and informative clarity, suitable for illustrating a section on effective over-the-counter arthritis remedies.

The science behind OTC arthritis pills reveals a complex interplay of anti-inflammatory mechanisms and pain signal blocking that provides relief to arthritis sufferers. We will explore how these medications work to alleviate pain and inflammation, focusing on their impact on the body’s physiological processes.

Anti-inflammatory Mechanisms

OTC arthritis medications, particularly NSAIDs like ibuprofen and naproxen, work primarily by reducing inflammation. They achieve this by inhibiting the enzyme cyclooxygenase (COX), which is responsible for producing prostaglandins. Prostaglandins are pro-inflammatory mediators that cause pain and swelling in the affected joints.

By blocking COX enzymes, NSAIDs decrease the production of prostaglandins, thereby reducing inflammation and associated pain. There are two isoforms of COX: COX-1 and COX-2. COX-1 is involved in maintaining the protective lining of the stomach, while COX-2 is more directly associated with inflammation. Traditional NSAIDs inhibit both COX-1 and COX-2, which can sometimes lead to gastrointestinal side effects.

NSAID COX-1 Inhibition COX-2 Inhibition
Ibuprofen Moderate High
Naproxen Moderate High

Pain Signal Blocking

In addition to reducing inflammation, OTC arthritis medications also work by blocking pain signals to the brain. NSAIDs achieve this by inhibiting the production of prostaglandins, which not only cause inflammation but also sensitize nociceptors (pain receptors) to painful stimuli.

By reducing prostaglandin levels, NSAIDs decrease the sensitivity of nociceptors, thereby reducing the transmission of pain signals to the brain. This dual action of reducing inflammation and blocking pain signals provides effective relief from arthritis pain.

Understanding how OTC arthritis medications work can help individuals make informed decisions about their treatment options. While these medications provide significant relief, it’s essential to follow the recommended dosage and consult with a healthcare professional if necessary.

Ibuprofen (Advil, Motrin): The Versatile NSAID

Ibuprofen, known by brand names such as Advil and Motrin, is a popular over-the-counter medication for arthritis pain. As a nonsteroidal anti-inflammatory drug (NSAID), ibuprofen works by reducing inflammation and blocking pain signals to the brain.

Overview

Ibuprofen is widely used for its analgesic and anti-inflammatory properties, making it an effective option for managing arthritis symptoms. It is available in various forms, including tablets, capsules, and liquid gels, allowing patients to choose the formulation that best suits their needs.

Pros

One of the key advantages of ibuprofen is its rapid onset of action, providing quick relief from arthritis pain. Additionally, its anti-inflammatory properties help reduce swelling and stiffness in the joints. Ibuprofen is also widely available and relatively inexpensive compared to prescription medications.

Benefits of Ibuprofen:

  • Fast pain relief
  • Anti-inflammatory effects
  • Available over-the-counter
  • Cost-effective

Cons

While ibuprofen is generally well-tolerated, it can cause gastrointestinal side effects such as stomach upset, nausea, and diarrhea in some individuals. Long-term use may also increase the risk of cardiovascular events and kidney damage. Patients should consult their healthcare provider before taking ibuprofen, especially if they have pre-existing medical conditions.

Best Uses for Arthritis Pain

Ibuprofen is particularly effective for managing mild to moderate arthritis pain. It is often recommended for patients with osteoarthritis and rheumatoid arthritis. The typical dosage for arthritis pain relief is 400-800 mg every 6-8 hours, not exceeding 3200 mg per day.

Dosage Frequency Maximum Daily Dose
400-800 mg Every 6-8 hours 3200 mg

For targeted relief, topical NSAIDs like Voltaren Gel can be used in conjunction with oral ibuprofen. However, patients should be cautious not to exceed the recommended dose to minimize potential side effects.

Naproxen Sodium (Aleve): Longer-Lasting Relief Option

Naproxen Sodium, commonly found in Aleve, offers extended pain relief for arthritis sufferers. As an over-the-counter (OTC) NSAID, it is widely used for managing arthritis pain. We will explore its benefits, potential drawbacks, and best practices for use.

Overview of Naproxen Sodium

Naproxen Sodium is known for its longer duration of action compared to some other NSAIDs like ibuprofen. This means that patients can experience relief from arthritis pain for a longer period, typically up to 12 hours. Its mechanism involves inhibiting the production of prostaglandins, which are chemicals in the body that cause pain and inflammation.

Pros of Using Naproxen Sodium for Arthritis

Naproxen Sodium has several advantages for arthritis patients:

  • Longer-lasting relief: Provides pain relief for up to 12 hours, making it convenient for daily management.
  • Effective for various types of arthritis: Useful for both osteoarthritis and rheumatoid arthritis.
  • Available over-the-counter: Easily accessible without a prescription.

Cons of Naproxen Sodium

While Naproxen Sodium is beneficial, it also has some potential drawbacks:

  • Gastrointestinal side effects: Can cause stomach upset, nausea, and heartburn, especially with long-term use.
  • Cardiovascular risks: NSAIDs, including Naproxen Sodium, may increase the risk of heart attack or stroke.
  • Interactions with other medications: Can interact with blood thinners, blood pressure medications, and other drugs.

Best Uses for Arthritis Pain

Naproxen Sodium is best used for:

  1. Managing chronic arthritis pain.
  2. Relieving pain from osteoarthritis and rheumatoid arthritis.
  3. Providing longer-lasting relief, making it suitable for patients who need extended pain management.

It’s essential to follow the recommended dosage and consult with a healthcare professional, especially for patients with a history of gastrointestinal issues or cardiovascular disease.

Acetaminophen (Tylenol): A Non-NSAID Alternative

When NSAIDs aren’t suitable, acetaminophen can be an effective choice for alleviating arthritis discomfort. Acetaminophen, commonly known by the brand name Tylenol, is a widely used over-the-counter medication that provides relief for various types of pain, including arthritis.

Overview

Acetaminophen works by affecting the way the brain perceives pain. Unlike NSAIDs, it doesn’t have significant anti-inflammatory properties, but it’s still effective for managing mild to moderate pain. This makes it a valuable option for those who cannot tolerate NSAIDs due to gastrointestinal issues or other contraindications.

Pros

One of the main advantages of acetaminophen is its safety profile for certain groups of people. It’s generally considered safe for individuals with stomach problems or those who are at risk of NSAID-related gastrointestinal complications. Additionally, acetaminophen is often recommended for people with certain medical conditions or those taking medications that interact with NSAIDs.

Key benefits include:

  • Fewer gastrointestinal side effects compared to NSAIDs
  • Suitable for individuals with certain medical conditions or medication interactions
  • Available in various forms, including tablets, capsules, and liquid gels

Cons

While acetaminophen is generally well-tolerated, it’s not without risks. One of the primary concerns is the potential for liver damage when taken in high doses or combined with alcohol. It’s crucial for users to adhere to the recommended dosage and consult their healthcare provider if they have any concerns.

Potential drawbacks:

  • Risk of liver damage with excessive use
  • Less effective for inflammatory pain compared to NSAIDs
  • May not provide the same level of pain relief for everyone

Best Uses for Arthritis Pain

Acetaminophen is best suited for managing mild to moderate arthritis pain. It’s particularly useful for individuals who need to avoid NSAIDs or are looking for an additional medication to use in combination with other treatments. However, it’s essential to follow the recommended dosage and consult with a healthcare professional to determine the best treatment plan.

By understanding the role of acetaminophen in arthritis pain management, individuals can make informed decisions about their treatment options. As with any medication, it’s crucial to weigh the benefits and risks and consult with a healthcare provider to ensure safe and effective use.

Topical NSAIDs (Voltaren Gel): Targeted Relief

Topical NSAIDs are becoming increasingly popular among arthritis sufferers due to their ability to provide relief without the systemic side effects associated with oral NSAIDs. We will explore how these medications work and their benefits and drawbacks in managing arthritis pain.

Mechanism and Application

Topical NSAIDs, such as Voltaren Gel, are applied directly to the skin over the affected joint. They work by penetrating the skin and underlying tissues to reduce inflammation and pain locally. This targeted approach can be particularly beneficial for patients who experience gastrointestinal issues with oral NSAIDs.

Advantages

One of the primary advantages of topical NSAIDs is their ability to provide localized relief with minimal systemic exposure. This reduces the risk of gastrointestinal and cardiovascular side effects commonly associated with oral NSAIDs. Additionally, topical application can be more convenient for patients who have difficulty swallowing pills or experience stomach upset with oral medications.

Potential Drawbacks

While topical NSAIDs offer several benefits, they are not without potential drawbacks. Some patients may experience skin irritation or allergic reactions to the active ingredients or other components of the topical formulation. Furthermore, the efficacy of topical NSAIDs can vary depending on the severity of the arthritis and the specific joint being treated.

Best Uses for Arthritis Pain

Topical NSAIDs are particularly effective for managing pain in superficial joints, such as those in the hands and knees. They can be used alone or in combination with other arthritis treatments to achieve optimal pain relief. The following table summarizes the key points to consider when using topical NSAIDs for arthritis pain.

Feature Description Benefit
Application Directly to the skin over the affected joint Targeted relief
Mechanism Reduces inflammation and pain locally Minimal systemic side effects
Ideal Use Superficial joints like hands and knees Effective for localized pain

By understanding the benefits and potential drawbacks of topical NSAIDs, patients and healthcare providers can make informed decisions about their use in arthritis management. We recommend consulting with a healthcare professional to determine the best treatment plan for your specific needs.

Capsaicin Products: Natural Pain Relief

Capsaicin, the active compound in chili peppers, has been increasingly recognized for its potential in alleviating arthritis symptoms. As a natural pain reliever, capsaicin offers an alternative to traditional OTC arthritis medications.

Mechanism of Action

Capsaicin works by reducing the production of a chemical called substance P, which transmits pain signals to the brain. By applying capsaicin topically, individuals can experience localized pain relief without the systemic side effects associated with oral medications.

Key Benefits: Natural origin, localized pain relief, and minimal systemic absorption.

Advantages

One of the primary advantages of capsaicin products is their natural origin, making them appealing to those seeking alternatives to pharmaceuticals. Additionally, capsaicin can be applied topically, providing targeted relief directly to the affected area.

  • Natural pain relief without oral medication
  • Targeted application to affected joints
  • Low risk of systemic side effects

Potential Drawbacks

While capsaicin products offer several benefits, there are also potential drawbacks to consider. Initial application can cause a burning sensation, which may be uncomfortable for some users. Furthermore, the efficacy of capsaicin can vary among individuals, and it may require repeated applications to maintain relief.

It’s essential to start with a small amount to gauge tolerance and gradually increase as needed.

Product Type Concentration Application Frequency
Capsaicin Cream 0.025% – 0.1% 3-4 times daily
Capsaicin Gel 0.025% – 0.1% 3-4 times daily
Capsaicin Patch Varies As directed

Best Uses for Arthritis Pain

Capsaicin products are best used for localized pain relief in conditions such as osteoarthritis and rheumatoid arthritis. They can be particularly effective for pain in the hands, knees, and other peripheral joints.

“Topical capsaicin is a useful adjunct in the management of arthritis pain, offering a favorable safety profile when used appropriately.”

— Arthritis Foundation

By understanding the benefits and limitations of capsaicin products, individuals with arthritis can make informed decisions about incorporating these natural pain relievers into their treatment regimen.

Combining OTC Arthritis Treatments for Maximum Relief

When managing arthritis pain, combining over-the-counter (OTC) treatments can offer enhanced relief. We understand that arthritis pain can be complex and multifaceted, often requiring a comprehensive approach to manage effectively.

Safe Medication Combinations

Combining different OTC arthritis medications can be beneficial, but it’s crucial to do so safely. For instance, you can pair oral NSAIDs like ibuprofen (Advil, Motrin) with topical creams such as diclofenac gel (Voltaren Gel) for targeted relief. However, it’s essential to follow the recommended dosages and consult with a healthcare professional to avoid potential interactions.

Some safe combinations include:

  • Using acetaminophen (Tylenol) during the day and an NSAID like naproxen sodium (Aleve) at night for sustained relief.
  • Applying capsaicin cream topically to affected areas while taking oral NSAIDs for comprehensive pain management.

Integrating Topical and Oral Treatments

Integrating topical and oral treatments can provide a dual-action approach to managing arthritis pain. Topical treatments like capsaicin products or diclofenac gel can be applied directly to the skin over affected joints, while oral medications like ibuprofen or naproxen sodium work systemically to reduce inflammation and pain.

This combination can be particularly effective for managing localized pain while also addressing overall inflammation. For example, using Voltaren Gel on a specific painful joint while taking oral NSAIDs can enhance relief without significantly increasing the risk of side effects.

Creating an Effective Pain Management Plan

Creating an effective pain management plan involves understanding your specific needs and tailoring your treatment accordingly. We recommend keeping a pain journal to track the effectiveness of different treatments and identify patterns in your pain levels.

When developing your plan, consider the following:

  1. Assess the severity and location of your arthritis pain.
  2. Evaluate your response to different OTC treatments.
  3. Consult with a healthcare professional to ensure your plan is safe and effective.

By combining OTC treatments thoughtfully and creating a personalized pain management plan, you can achieve maximum relief from arthritis pain. Remember to regularly review and adjust your plan as needed to ensure ongoing effectiveness.

Potential Side Effects and Safety Considerations

OTC arthritis medications can provide relief, but understanding their safety profiles is essential. As we explore the various options available, it’s crucial to be aware of the potential side effects and take necessary precautions to ensure safe use.

Risks Associated with NSAIDs

NSAIDs, such as ibuprofen and naproxen sodium, are commonly used for arthritis pain relief. However, they can cause stomach irritation, increase the risk of bleeding, and may affect kidney function in some individuals.

Common NSAID Side Effects:

  • Stomach upset and heartburn
  • Increased risk of gastrointestinal bleeding
  • Kidney damage with prolonged use
NSAID Common Side Effects Precautions
Ibuprofen (Advil, Motrin) Stomach upset, dizziness Avoid with stomach ulcers, kidney disease
Naproxen Sodium (Aleve) Heartburn, drowsiness Use with caution in heart conditions

Acetaminophen Safety Concerns

Acetaminophen is generally considered safe when used as directed. However, exceeding the recommended dose can lead to liver damage.

Key Considerations:

  • Do not exceed the maximum daily dose
  • Be cautious with alcohol consumption
  • Monitor liver function with long-term use

Topical Treatment Reactions

Topical NSAIDs and capsaicin products are generally well-tolerated but can cause skin reactions in some users.

Possible Reactions:

  • Skin irritation or redness
  • Itching or burning sensation
  • Rash or hives

By understanding the potential side effects and taking appropriate precautions, individuals can safely use OTC arthritis medications to manage their pain effectively.

When to Consult a Healthcare Professional

While OTC arthritis treatments can provide relief, there are times when professional medical help is necessary. As we navigate the complexities of arthritis management, it’s crucial to recognize when our current treatment plan isn’t sufficient.

Warning Signs That OTC Treatments Aren’t Enough

If you find that your arthritis symptoms are worsening or not improving with OTC medications, it’s a clear sign that you need to consult a healthcare professional. Severe pain, increased stiffness, or reduced mobility are indicators that your treatment plan may need adjustment.

Additionally, if you’re experiencing any of the following, you should seek medical attention: persistent fever, unexplained weight loss, or signs of infection around the affected joints. These could be signs of a more serious condition that requires professional diagnosis and treatment.

Medication Interactions to Be Aware Of

When managing arthritis with OTC treatments, it’s essential to be aware of potential interactions with other medications you’re taking. For instance, combining certain NSAIDs with other prescription drugs can increase the risk of side effects. Always consult with a healthcare professional before starting or stopping any medication.

As noted by the Arthritis Foundation, “It’s crucial to inform your doctor about all the medications you’re taking, including over-the-counter drugs and supplements, to avoid potential interactions.”

Developing a Long-Term Arthritis Management Plan

A long-term management plan is vital for effectively managing arthritis. This plan should be developed in consultation with a healthcare professional and may include a combination of OTC treatments, prescription medications, lifestyle changes, and alternative therapies.

  • Regular check-ups with your healthcare provider to monitor your condition and adjust your treatment plan as needed.
  • Incorporating physical activity and exercise tailored to your abilities and limitations.
  • Making dietary changes to manage weight and reduce inflammation.

By working closely with a healthcare professional and being proactive about your treatment, you can achieve better control over your arthritis symptoms and improve your quality of life.

Conclusion

We have explored various over-the-counter arthritis medications that can provide relief from arthritis pain. Options like ibuprofen (Advil, Motrin), naproxen sodium (Aleve), and acetaminophen (Tylenol) are commonly used arthritis pills over the counter that help manage pain and inflammation.

Topical NSAIDs, such as Voltaren Gel, and capsaicin products offer targeted relief without the systemic side effects associated with oral medications. Understanding the mechanisms, benefits, and potential drawbacks of these over the counter arthritis pain medicine options is crucial for effective pain management.

While these medications can provide significant arthritis relief without prescription, it’s essential to follow the recommended dosages and consult with a healthcare professional, especially when combining treatments or managing long-term arthritis care. At Liv Hospital, we emphasize the importance of personalized care in managing arthritis, ensuring that patients receive comprehensive support tailored to their needs.

By understanding the available options and working closely with healthcare providers, individuals can develop an effective pain management plan that improves their quality of life.

FAQ

 

 

What are the most common over-the-counter medications for arthritis pain?

The most common over-the-counter medications for arthritis pain are NSAIDs like ibuprofen (Advil, Motrin) and naproxen sodium (Aleve), as well as acetaminophen (Tylenol). Topical NSAIDs like Voltaren Gel and capsaicin products are also popular options.

How do NSAIDs work to relieve arthritis pain?

NSAIDs work by blocking the production of prostaglandins, which are hormone-like substances that cause pain and inflammation. By reducing prostaglandin levels, NSAIDs help to alleviate arthritis pain and inflammation.

What are the potential side effects of taking ibuprofen for arthritis pain?

Common side effects of ibuprofen include stomach upset, nausea, and dizziness. More serious side effects can include stomach ulcers, bleeding, and kidney damage. It’s essential to follow the recommended dosage and consult a healthcare professional if you experience any adverse effects.

Can I take naproxen sodium and ibuprofen together for arthritis pain?

No, it’s not recommended to take naproxen sodium and ibuprofen together, as they are both NSAIDs and can increase the risk of side effects like stomach ulcers and bleeding. Consult a healthcare professional before combining any medications.

Is acetaminophen a suitable alternative to NSAIDs for arthritis pain?

Acetaminophen can be a suitable alternative to NSAIDs for arthritis pain, especially for those who cannot tolerate NSAIDs or have certain medical conditions. However, it’s essential to follow the recommended dosage and be aware of the potential risks, such as liver damage.

How do topical NSAIDs like Voltaren Gel work for arthritis pain?

Topical NSAIDs like Voltaren Gel work by delivering the active ingredient directly to the affected area, reducing inflammation and pain. This targeted approach can minimize systemic side effects and provide effective relief.

Can I use capsaicin products for arthritis pain relief?

Yes, capsaicin products can be used for arthritis pain relief. Capsaicin works by blocking the production of a chemical called substance P, which transmits pain signals to the brain. However, it may cause an initial burning sensation, and it’s essential to follow the recommended usage.

How can I minimize the risks associated with over-the-counter arthritis medications?

To minimize risks, always follow the recommended dosage, consult a healthcare professional before combining medications, and be aware of potential side effects. Additionally, inform your healthcare professional about any pre-existing medical conditions or allergies.

When should I consult a healthcare professional about my arthritis pain?

You should consult a healthcare professional if your arthritis pain persists or worsens, or if you experience any warning signs like increased pain, swelling, or difficulty moving. They can help you develop a long-term management plan and adjust your treatment as needed.

Can I combine different over-the-counter arthritis treatments for maximum relief?

Yes, combining different over-the-counter arthritis treatments, such as oral NSAIDs and topical creams, can provide maximum relief. However, it’s crucial to consult a healthcare professional to ensure safe medication combinations and avoid potential interactions.

What are some best practices for creating an effective pain management plan for arthritis?

To create an effective pain management plan, start by consulting a healthcare professional to determine the best course of treatment. Then, consider combining different treatments, such as oral and topical medications, and lifestyle changes like exercise and stress management. Regularly review and adjust your plan as needed to ensure optimal relief.

30
Years of
Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical expertise and hospitality to every individual who walks through our doors.  

Book a Free Certified Online Doctor Consultation

Doctors

Table of Contents