I have gone from a very constant, and painful 8- 10 on the pain scale to virtually living pain free once again, after 5 and 1/2 years. Occasionally, I might get a twinge every now and then, but it does not last.
I tried different kinds of pillows without success. Now, I rub the cream in before I go to bed and am free of pain during the night, even with my old standard pillows.
I first applied the cream an hour after walking/standing for 2 hours. The pain was at a 4/10 at time of application. It settled to 1/10 by 14 minutes post application and lasted about 4 hours.