"after trying this gel i feel much improvement in my knees and hands from arthritis. even tho the swelling  is not diminished, the pain is improved so that i can sleep. after many months of chiropractic adjustments, i still suffered from periformis pain, and some sciatica as i recovered from stroke that postponed walking for about 1.5 yrs. after a triple-bypass surgery that left me without the use of my right side.  this gel helped significantly. that is when i became acquainted  with it&#039;s uses as a pain reliever. i don&#039;t use oral nsaids after such surgery, as it&#039;s not recommended, but i find no side effects using the salve."