have you tried capsaicin cr? it comes in two strengths. It's best to start at the lower strength and then if needed move up to the higher strength. it works by depleting a substance at the nerves that send the pain signals. it has to be used several times a day every day. It stings but if used long enough that goes away. It can work, but most people don't have the patience or fortitude to use it for a long enough time. the few patients I dealt with who did use it religiously said it worked well.
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