Tansdermal research has given us the ability to compound Percutaneous (Transdermal) Gels which allows medication to be absorbed through the skin for almost immediate results. These gels can be formulated to contain combinations of ingredients that provide quick relief without unwanted side effects such as: sedation, impaired cognitive function, stomach upset and ulceration, etc.
Because pain, no matter what its origin, is multifactiorial, pharmacological interventions must use a multifaceted approach to provide better control.
Our compounding pharmacists, working with your physician, have the ability to identify multiple agents together with different actions to increase pain control and decrease adverse drug effects and intercations.
Let's look at some of the agents we are currently using to compound pain relieving formulations:
Non-steroidal Anti-inflammatory Drugs (NSAID's): such as ketoprofen, diclofenac and piroxicam
Muscle Relaxants: such as cyclobenzaprine
I don't know what any of this stuff is, but some of it like the NSAIDs would work like ibuprofen cream and might be effective for pf. For nerve problems, some of the other medications might work-- a neurologist, good doctor or good podiatrist (rumored to exist) might know.
I have to get to work-- maybe someone with time on their hands might research the drugs listed here so that we could find out what might help those of us with pf, nerve entrapements, tts and all of the above. That info might be helpful in prodding the script writers for the prescription.
thanks, alan k