I tried the EMLA topicial use cream which consists of 2.5% lidocaine and 2.5% of prilocaine. When I put it on the area of pain in this case the neuroma I started getting leg jerks later in the night same with the Lidoderm patch. I just recently was sent Geritrex which is a analgesic balm for muscular pain relief. I don't give a high rating either. After 30 days of using the capzasin roll on under the 3rd and 4th toe at night and putting a soft spacer between them the pain is much less intense and painful. I believe I am killing the nerve that exist there. This is strong stuff and better see a Dr. if your thinking about using this especially if you don't heal easily.