Hi Cliffman,

I have tried a variety of prescription topicals and found relief with one but not with others. It can take some tweaking. One was just too sticky and sat on my skin doing nothing. The lab you choose and the bases they use will make a difference.

My favorite is a cream with ketoprofen, ketamine and gabapentin in it. The lab I use puts in a little DMSO to help carry the meds through the skin. This med combo stays creamy and does help. We could've put in lidocaine but I liked having it separate.

Definitely ask your doc about options. They can be expensive and insurance coverage is sometimes iffy. I always asked the pharmacy to make me the smallest portion they can as a sample to start.