NeuroTalk Support Groups - TPR 20, a new Topical Cream for Pain Management...

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- - TPR 20, a new Topical Cream for Pain Management... (https://www.neurotalk.org/peripheral-neuropathy/124981-tpr-20-topical-cream-pain-management.html)

I have had nerve conduction tests and many X-Rays and MRI, including a stand up MRI to show the spine in normal compression and they show various defects, including stenosis, that are par for the course at my age...

However, none that explain the sudden onslaught of PN, instead of it coming on in a progressive manner: one day absolutely nothing; the next, I could barely apply pressure to the brake pedals of the car I was driving from Paris to Spain. So, exactly 4 days after the fateful sacral adjustment, I felt unbearable burning pain in my feet when standing up and walking...

Btw, during the sacral adjustment, the lumbar curvature was increased slightly to cure lumbar pain, which it did so well that I bought a book on osteopathy the next day to learn more about it...

Since I could not find any doctor to fix the problem, I learned to adjust my sacrum myself: for years the pain was tolerable and I thought I might eventually succeed...

Now, my goals are more modest, as I try to find natural ways of managing the pain...

Quote:

Originally Posted by mrsD (Post 666837)

I don't believe you need the saran wrap all the time once you apply the cream. An hour or so is enough to drive the product into the skin. If the vehicle base is transdermal in type, it would penetrate faster, but I don't know what they use etc.

The Lidoderm patches have an aqueous adhesive impregnated with lidocaine that releases continuously thru the skin. The cream you use is a one time thing with no reservoir drug to be continually available. When using Emla for before surgery, the wrap is used for about 1 hr prior.

I would think using Lidoderm patches on the sacral area would be the way to go since you believe that is where your compression issues are. You would wear the patch there for 12 continuous hours, with 12 hrs off, and repeat.
It is also possible you have developed some spinal stenosis, and it would be prudent to see if that is happening. An MRI and Xrays would be a good idea so you could understand what is happening. It is always possible to have more than one thing going on and fixating on that "adjustment" in the past only, may be only part of a larger back problem.

I guess this has been discussed to death but I too use Capsaicin in the form of Zostrix Cream (over the counter). Myself I have found it works great in eliminating the burn many feel on the tops of their feet, especially in hot summer months. My family doctor recommended it to me and said it would take several days (maybe a week) to kick in and do its job, it did. After the initial few days it took I found I was completely pain free with regard to the burning on my feet. I realize I'm one of the lucky ones but I post this in the hopes it may help someone else. As I said in another post elsewhere, [be sure and ask your doctor about the use of this medication, or any meds, before starting its use.]

Comment: *edit* the product Zostrix Cream did not hurt or bother me in any way when applying it on my feet if they were already burning. This is not to say it wouldn't bother someone else, it could but even if it does it should, in time, alleviate your pain and make you more comfortable, at least I would think so. Let your doctor be your guide but I would encourage you, with your docs OK, to give it a try.

*edit*

Pete, thanks for confirming that 0.075% Capsaicin cream (Zostrix in your case) has helped you with the burning sensation on top your feet...

Some posters here complained that it burned them too much to use Capsaicin directly, so I tried it in conjunction with a prior application of 3.5% Menthol (Biofreeze) roll-on and it worked fine without any burning sensation at all...

It's all explained in the last page of this thread:

http://neurotalk.psychcentral.com/thread124004.html

I am now getting good results with 2 to 3 applications per day of TPR 20, that require the use of only one product, thus is done much quicker...

Quote:

Originally Posted by Pete (Post 668615)