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when we have an injury or degeneration of our cartilage or our vertebrae, our body responds with inflammation around the area affected.  This inflammation causes muscle spasms, sharp pains, and achiness.  It’s a vicious cycle reducing the inflammation to relieve the pain.  That’s why I works temporarily, but pain and inflammation returns when the muscle warms up.  Cortizone injections is another option for reducing inflammation that most people agree is not effective.  The best part of the Cortizone shot is the lidocaine that goes with it.  none of the topical medication on the market absorbs any deeper than the epidural skin layer.  This combination allows everything to be absorbed right down to the cartilage and the bone. The more you keep the inflammation down, the longer you’ll be pain-free.  
Nothing on the market is effective for bone pain, rheumatoid and osteoarthritis, tension in migraine headaches, tendinitis, bursitis, and muscle strained.  Most of us have spent way too much for minimal results.  Pain is depressing, exhausting, and miserable, so stop suffering now. Nothing on the market is formulated to to reduce nerve inflammation that is the reason for pain.  This formulation is most effective when applied every time you feel pain.  The more you’ll use it - the less you’ll need it.  Always shake the bottle before using.