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Old 09-05-2015, 12:31 AM #1
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I bought some of this recently.... the lidocaine amount is just shy of a Lidoderm patch. There have been commercials for this on TV too lately. Lidocaine is the only active ingredient. It does not have the other ingredients that regular Aspercreme has.

I am using it and finding a preliminary benefit to my night time pain. I have long suspected my feet hurt alot as referred pain from my knees. (since I retired and don't stand for hours on end anymore).

I apply a small glob (it is a thick lotion and in a bottle, not tube)
on each knee at bedtime. I concentrate on the sides of the knee where the nerves are. And I have seen a marked reduction in pain and burning at night. My left ankle pain is reduced about 80% so far.

So I do think might be helpful for others here. I did find less relief when applied to the tops of the feet themselves. So reaching the nerves higher up seems to work better for me. Try applying it on the lateral sides of the knee, if you have lower leg pain, or ankle pain.

This is the website;
http://www.aspercreme.com/pain-relie...lidocaine.html

The regular Aspercreme works for me a little, but if I try to use it every day it starts to sting the area I apply to.

I believe hubby picked it up for me at Target:
http://www.target.com/p/aspercreme-l...z/-/A-16836627

If you have an allergic problem with --caine anesthetics, then you should avoid this product.








Mrs D:

Do you think the new creme would work for the SFN that I feel in both palms?

Thanks!

David
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Old 09-05-2015, 08:23 AM #2
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Mrs D:

Do you think the new creme would work for the SFN that I feel in both palms?

Thanks!

David
I would apply the lidocaine cream along your inner wrists for the palm pain. Is that the only place you have an issue?

We had a fellow here who was straining his hands doing push ups. His palmar pain went away when he stopped that activity.

Do you use the magnesium lotion? (Morton Epsom Lotion)...
This too applied to the wrists and inner arms may help.
Available at WalMart, Walgreen's and online at Amazon. Just a nickles diameter dollop on each wrist is all you need.

Both of these topicals are inexpensive and work for me to quell much of my discomfort.
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Old 09-05-2015, 11:38 AM #3
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I would apply the lidocaine cream along your inner wrists for the palm pain. Is that the only place you have an issue?

We had a fellow here who was straining his hands doing push ups. His palmar pain went away when he stopped that activity.

Do you use the magnesium lotion? (Morton Epsom Lotion)...
This too applied to the wrists and inner arms may help.
Available at WalMart, Walgreen's and online at Amazon. Just a nickles diameter dollop on each wrist is all you need.

Both of these topicals are inexpensive and work for me to quell much of my discomfort.









I believe that my palm discomfort is true SFN, as it is completely even in discomfort now in both palms, and my latest Therapath skin biopsy showed a big distal drop from 4.5 or so over the last 7 years to 1.99 in the latest report (the first done in 1.5 years)!

Thoughts?

Thank you!

David
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Old 09-05-2015, 11:46 AM #4
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I believe that my palm discomfort is true SFN, as it is completely even in discomfort now in both palms, and my latest Therapath skin biopsy showed a big distal drop from 4.5 or so over the last 7 years to 1.99 in the latest report (the first done in 1.5 years)!

Thoughts?

Thank you!

David
David,

Where exactly did they take your skin biopsies from?
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Old 09-05-2015, 11:50 AM #5
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If your damage is at the dorsal root level, I don't think topicals can work for you. If your pain is compressive in origin, then yes, I think the lidocaine may work, depending on where you apply it.

When I had my carpal tunnel emergency during my pregnancy.... not just my palms hurt, but my whole hands were on FIRE... it was truly awful.

https://ittcs.wordpress.com/2010/10/...-tigers-mouth/

This link has diagrams of the nerves in the hand. There are several diagrams. Notice that the nerve comes under the wrist ligament, and divides in the palm. If you had a sensory PN only there the fingers should hurt too, not just the palm.

Have you tried ice on your wrists? Compressions often respond to ice, by shrinking the tissue a bit and taking the pressure off.
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Old 09-06-2015, 06:18 PM #6
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[QUOTE=mrsD;1168839]If your damage is at the dorsal root level, I don't think topicals can work for you. If your pain is compressive in origin, then yes, I think the lidocaine may work, depending on where you apply it.




I don't understand what you mean by the dorsal root level as opposed to compressive neuropathy (which I do understand).

If this was purely a SFN issue without nerve compression at the wrist, then would the topical work or not?

Thanks!

David
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Old 09-06-2015, 07:13 PM #7
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Some nerve damage occurs at the dorsal roots. These are along
the spinal cord. This is where shingles lives, and causes much of its pain.

Damage to the dorsal roots, messes up signals from the periphery and eventually the peripheral nerves atrophy away, because the dorsal root area does not complete the feedback to them properly. (this has been shown in primates so far and is theorized to happen with humans)

this link has details about the dorsal roots:
http://neurotalk.psychcentral.com/thread147771.html

If your dorsal roots are damaged...I don't think applying lidocaine to the wrists would work much or at all.

Do you use solvents, cleaners alot? Apply them without gloves?
Do you exercise and put weight on your palms? Push ups and pull ups can damage the carpal tunnel.

The lidocaine Aspercreme is about $7... so get a tube and apply on the inner wrist areas of both hands and see what happens.
In fact you can try the discussed fingertip wrinkling test with the same product.

http://neurotalk.psychcentral.com/thread225598.html

Compressive neuropathy in the hands most often occurs at the inner wrist where the carpal tunnel is.
It can also occur at the facets of the vertebrae of the spine. This is basically mechanical or traumatic.

The dorsal roots are another location...and this damage is typically viral, infectious, and/or toxin/drug/chem in origin.
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Old 09-07-2015, 12:22 PM #8
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Default Thanks Mrs D

I have newly diagnosed diabetic neuropathy with burning at the bottom of my feet. So I have burning on the bottom of my feet so after reading your posts and reviewing leg and nerve anatomy I am guessing the best application point is right above the back of my knee or the sides of my knee where the nerve split off and go down the back of the leg to the bottom of my feet. I think you are saying no relief with putting on my back of my ankles. Or directly on the bottom of my feet. Which one????
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Old 09-07-2015, 12:25 PM #9
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Default Cost of this med

$7.99 Walgreen. $10.49 at CVS. $6.48 Walmart. Has anyone found any coupons. I am a big to the point of extreme couponer so I try to get a coupon for everything. I never pay retail. If they want me to buy their product they have to motivate me. Haha
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Old 09-15-2015, 06:38 AM #10
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Quote:
Originally Posted by mrsD View Post
I would apply the lidocaine cream along your inner wrists for the palm pain. Is that the only place you have an issue?

We had a fellow here who was straining his hands doing push ups. His palmar pain went away when he stopped that activity.

Do you use the magnesium lotion? (Morton Epsom Lotion)...
This too applied to the wrists and inner arms may help.
Available at WalMart, Walgreen's and online at Amazon. Just a nickles diameter dollop on each wrist is all you need.

Both of these topicals are inexpensive and work for me to quell much of my discomfort.

I would love to try something like the Aspercreme with Lidocaine but it's illegal in my country. Just tried Amazon to see if it was possible but it blocked me. I have severe burning pain in my feet and hands and nothing helps. It's meant I'm now in a wheelchair. It's incredibly frustrating knowing there are a wide range of medications available overseas that could be helpful that I'm never going to be able to access.

This is partly a slightly depressed rant and also wondering if some others face this difficulty? If so any ideas about solutions?

I found out today I'm being discharged from the pain clinic who have seen me for the last 9 months. So it's sort of end of the line. I pretty much know what's available to me and also know it's not enough as I'm steadily
deteriorating. It means I'll have no specialist care but I think there's a recognition that they don't have anything else to offer me. They've been very good to me and I'm grateful but I'm also scared. My quality of life is not high. Guess the frustration is knowing there could be something out there that could make things more bearable but I can't access it simply because of the country I live in. Sorry if this sounds very negative. Just a bit worn out.
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