Understanding Cognition, Oxytocin & Pain in Elders

Inclusion Criteria: * knee osteoarthritis/or back pain of at least six months duration, experience pain on more days than not, with moderate pain at baseline (i.e., \> 3/6 in the Visual Descriptor Scale), and who have elevated levels of plasma Imterleukin-6 (\>2.5 pg/ml) will be considered for participation. Exclusion Criteria: * Hypersensitivity to OT or vasopressin, * history of hyponatremia, syndrome of inappropriate antidiuretic hormone secretion, or psychogenic polydipsia, * on vasoconstrictors such as desmopressin, pseudoephedrine, or antidiuretic medication, * low sodium and high osmolality levels, * excessive smoking, * excessive drinking, * muscle pain as a result of systemic disease, * significant nasal pathology, * previous or concurrent use of narcotics delivered intranasally (e.g., cocaine), * gastroparesis. * individuals with heart problems (e.g., cardiomyopathy, history of myocardial infarction, arrhythmias, prolonged QT interval) * Participants will also be excluded if they have concurrent medical or arthritic conditions that could confound symptomatic knee osteoarthritis-related outcomes or coexisting disease that could preclude successful completion of the protocol including: * systemic rheumatic condition (e.g. rheumatoid arthritis, systemic lupus erythematosus, fibromyalgia); * a history of clinically significant surgery to the index knee; * uncontrolled hypertension (\>150/95); * poorly controlled diabetes (HbA1c\>7%); * neurological disease (e.g., Par…