Good news about the cream. I use one for my neck and it seems to me that some of the meds appear to accumulate or have some kind of additive effect. The longer I use it, the better the relief. It may be my imagination, I don't know, but the tetracaine in it is really good stuff. The capsacin in the cream should do that as well. It takes awhile to build up, but the relief is supposed to improve with use. Best wishes and low pain, ee