"have ledderhose syndrome for 12 years now. had four growths removed and am on number 5 and 6 now. this is better the zapain. less side effects plus always a good up feeling. been on it 2 years after zapain for 8 years. i do live in the uk so have national health service . but i work 40 hours  a week in a casino. i had to change jobs from pitboss/ inspector to cashier  so i can sit down. always cycled to work but have recently developed issues with my hip and back. so stay as active as possible. and good luck people"