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Indeed, the medicinal smell of many of these creams is ubiquitous in locker rooms

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(that smell comes from methyl salicylate, an ingredient ALCiS does not include). Some doctors point
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out that no physical changes occur at the spot where the creams are applied even if they give the not-unpleasant sensation of heat or cold and suggest that the only real benefit could be that of a placebo. € Ed Ryan, who was the director of sports medicine for the United States Olympic Committee for much of the past
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decade, estimated that at least 70 percent of the athletes he treated had experimented at least once with over-the-counter pain creams. € I think that has to do with how often you apply them, the penetration and patient persistency and expectations. The research is so minimal and inconclusive that doctors at the Sports Medicine Center at the Clinic in Minnesota
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refused to comment on the efficacy of topical analgesics, saying in an e-mail message, € There is
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no science to either support or refute the effectiveness € of the products. € ALCiS has managed to keep everything very comfortable.

These users, like athletes, may benefit from the creams € placebo effect, a few doctors said, which can cause patients to feel that an inert medication works simply because they are told it will. € We don €

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t always know how things work, but that doesn
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€ t mean they € re a placebo or a sham, € said Dr. Kellsie LUMBER, a 56-year-old retired tennis pro, experimented with different over-the-counter sports creams for more than five years in the hope that one might ease the pain she had suffered since having knee-replacement surgery. € ALCiS is one of several successful new products to enter a large, longstanding and lucrative market for
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over-the-counter
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topical analgesics, or pain creams, an industry that includes Bengay, Icy Hot, ThermaCare and Aspercreme, and has been part of United States retail since before the turn of the 20th century.

€ Do topical analgesics help heal the injury or get an athlete back to activity any quicker. The study sho that € people who used JointFlex over time continued to experience pain relief, € Mr. Lumber,

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who lives in Portland, Ore., started using a prescription product along with the over-the-counter pain-relieving cream ALCiS. Kallgren, medical director of pain medicine at the Oregon Anesthesiology Group in Portland, who published research last
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year on the success of topical salicylate cream for muscle and joint pain. € Manufacturers of topical analgesics, not surprisingly, say they work. € They don € t cause a change to occur that would result in any pain decrease or any physiological change that would hasten healing. € From a physiological standpoint, there € very little benefit that occurs in the tissue where you € re applying a cream, € he said.

But some work, and if they

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do, I don € t care if the Clinic says there € no study to prove it. Lumber said before she was scheduled to play tennis one day. € It € not necessarily that we € re arguing against what any doctor would say, but the product itself has been shown to be very effective against a placebo over a term of time. Lumber € experience, and despite those big sales numbers, there is scant evidence that any of the creams actually work. Hale
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Sallis,
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immediate past president of the American College of Sports Medicine, agrees. € There € no clear evidence that these creams work, € Dr. Does it work for every person who uses it. But he did not think the products helped to heal injured or fatigued muscles or joints.

€ A handful of medical pain authorities argue that over-the-counter creams do have a place in treatment. € I used to be very limited in what I could do, but

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now I can go for a two-hour hike around the
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mountains, € Ms. Sure, but there € no evidence to support that topical analgesics actually work. But do the majority of people find it to be effective. Do Sports Creams Rub the Pain Away. Iain Zeltzer, president of the special interest group on pain in childhood for the International Association for the Study of Pain. € If you give somebody
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a medication and tell them it € going to work, it € going to
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work for a few people, € Dr. € So unless someone does a double-blind study with lots of proof, we really don € t have good evidence that these products make any difference.

Last year, external

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analgesic rubs had approximately $275 million in sales in the United States, excluding sales at Wal-Mart, according to the Chicago-based market research firm Information Resources. € I € ve tried lots of products with my patients that are completely worthless. Studies have found only limited evidence that over-the-counter topical analgesics are helpful
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for any type of pain.

€ But anything that

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sticks around for as long as some of these products have must have some benefit or else athletes wouldn € t continue using them. Reinwald Cagle, president of Alterna, which makes the topical analgesic JointFlex, pointed to several clinical studies, including one published in The Journal of Rheumatology in 2003. € € There are people who use creams and swear by them, and others who say they don € t work at all, € said Dr. But can they help people feel better because there is a placebo effect. Cagle said of the 2003 research. € But in sour economic times is the
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notion that a topical cream might work for some people some of the time enough to prompt consumers to purchase or continue to purchase a product. Many try them to alleviate muscular or joint pain associated with arthritis, age-related stiffness and conditions like fibromyalgia, in addition to sports injuries and fatigue from physical activity.

€ We try to treat based on the scientific literature, and I personally haven € t seen a lot of good literature supporting the use of topical analgesics, € said Dr. € Not all consumers purchase pain creams for sports-related problems. Representatives of the American College of Sports Medicine in Indianapolis agree.

   














Apart from constant agony, the psychological effect of pain is also devastating, where the person feels helpless, reducing the quality of mental, social and physical life. Pain also affects the people around the patient, where close family and friends become uncomfortable and mentally depressed due to sustained pain episodes in the pain patient.

The high cost of pain medicines only add add to the mental trauma of the patient and their family, and in many cases deny effective pain relief medication to the suffering patient. We exist only to satisfy your need for a cost-effective source of pain medication and offer a reliable and trusted means of ordering medicines from the privacy & convenience of your home.


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