Absolutely amazing creme for my arthritis in my finger jionts. Rub this creme each morning and the pain as eased significantly I'm able to use my hands much easier with less pain I used it twice a day as being a cleaner my hands are worked out a lot each day rubbing and scrubing Have found this creme more effective than other brands I live in Australia and have it sent over as nothing here can match this quality product for pain relief