I do have various pain creams including Lidocaine Foot Pain Cream (4% Lidocaine), Topricin Pain relief Cream, and Maximum Strength Zostrix Capsaicin Cream (0.1% Capsaicin). So far the 4% Lidocaine Gel-Patches have been working the best for me. I cut one in half and apply one half to each foot and add tight socks. The gel feels cooling. I really like the Careland brand versus Welmate brand which was hard to apply.