My in-laws both suffer from terrible arthritis. My father-in-law takes morphine for the pain. Mother-in-law was on Vioxx. Both have started on a new arthritis remedy called Lakota. I am not promoting this product except to say my mother-in-law takes the oral form and swears by it, she is off the Vioxx entirely and says its amazing how much better she is feeling. My father-in-law uses the topical form of the product as he doesn't want to take the oral with the morphine until his specialist tells him too...anyway, the swelling in his hands is gone, he can actually open and close his hands now, his knees aren't has painful as they were. To the best of my knowledge this product is available in Canada at your neighborhood drug store, if they can keep it in stock - it tends to sell out within days. Good luck.