Capsaicin is a common naturally-sourced ingredient in many creams of this type. Unfortunately, here in the USA, doctors tend to prescribe steroids more often than not. So many patients aren't aware of the dangers of taking steroids on a regular basis."Capsaicin cream 0.075% 3-4 times a day is another alternative". Capsaicin is the substance that makes chili peppers hot.
Good advice. This is SO true. Doctors here don't keep up with such things. Our next door neighbor is a pharmacist. She says doctors call her all the time seeking help on what drug to prescribe next if one drug isn't working or had negative effects.,,,(many things can not be combined with prescription medication, and can in worst case be very dangerous. But pharmacists know what is safe to combine and what's not, so just ask at a pharmacy).