After coming off Oxycodone and Valium after my two level TLIF spinal fusion on February 22nd, I am still having pain. Due to a terrible withdrawal from the medications, I have refused any more oral pain meds. I was offered a pain cream that is compounded from a pharmacy. It contains Ketamine, Gabapentin, Flexeril and Lidocaine. I have used it for two days with no success. Has anyone used a pain cream before and had success? Is there something I could do to make it more effective?