"i have lived on a formal pain regimine for many years.  among other conditions, i live with psoriatic arthritis and deal with ibs/here from sensitivities to some medications.  my internist prescribed voltaren gel for me a few years ago. my pharmacist told me to use it sparingly, that with this product less is more.  i have followed her advice and use it on an as needed basis for pain that my regular meds  just don&#039;t  seem to control.  like when i blew a tendon in my foot walking my service dog or when i fell and wound up with a non-displaced fracture of my tibia.  using voltaren gel helped me control the pain so well that i was able to walk with a cane.  it is amazing how effective it has been for me."