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Diclofenac relieves pain and reduces inflammation by blocking an enzyme called COX (cyclo-oxygenase), which plays a role in producing prostaglandins. Diclofenac relieves pain and reduces inflammation by blocking an enzyme called COX (cyclo-oxygenase), which plays a role in producing prostaglandins. VO: Osteoarthritis or OA is the most common form of arthritis and mainly affects cartilage In a controlled trial, before having a lower wisdom tooth surgically removed, 190 patients were blindly randomized to 2 parallel groups. VO: Osteoarthritis or OA is the most common form of arthritis and mainly affects cartilage In a controlled trial, before having a lower wisdom tooth surgically removed, 190 patients were blindly randomized to 2 parallel groups. Voltaren (diclofenac) helps to relieve pain and inflammation by blocking the effects of cyclooxygenase (COX) enzymes. Voltaren (diclofenac) helps to relieve pain and inflammation by blocking the effects of cyclooxygenase (COX) enzymes. 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Can you use voltaren gel before surgery