Dr. Howard Smith Oncall

Vidcast: https://youtu.be/Q0cF8rNJvN0 Those compounded creams and gels you buy to rub on your aching muscles and joints may be worthless to you for relieving pain.  They are worth gold to the hucksters who manufacture and market them to the tune of at least 6 million dollars a day. Pain specialists at Johns Hopkins and the Walter Reed Hospital studied nearly 400 subjects with 3 types of pain: 1. neurogenic pain such as that due to diabetes or shingles; 2. nociceptive pain due to tissue injuries or burns, or 3. mixed pain.  Half the patients in each pain category received a topical product with active ingredients tailored to the type of pain under treatment including anesthetics, NSAID analgesics, sedatives, antidepressants, anti-seizure meds, and muscle relaxers.  The others were given a mediction-free placebo.  Neither the scientists nor the subjects knew which agent they were rubbing in. Each subject dutifully rubbed on the products 3 times a day for 6 months.  When the code was broken, the expensive topica