Hello,
I have used the roll on applicator at night for a month now, I roll it on under the 3rd and 4th toe on my right foot where the neuroma is supposed to be and then I place a separator between the two toes. It works as good as having a Lidocaine injection which I have pursued. The result is a dull sensation where it once was a sharp more intense pain. Since I also have BPH and also had TURP surgery for this back in June I still get up at 2 and 4 in the morning. The 4 am time is when I take 5mg of methyl B-12. I don't suggest putting capsaicin on top of the foot or any other tender spots of the body unless you enjoy unnecessary pain