This product has worked wonders to reduce neck, back, knee, ankle and foot pain. Even though the actual problems causing the pain don't change (because the problems are from structural problems), Elyxr immediately brings blood to the area (which will hopefully aid in healing) and the area starts feeling warm and MUCH BETTER! Honestly it has been surprising how much this product has helped. I have numerous other topical creams for pain relief, but Elyxr is my favorite. I am definitely going to purchase the sister product (the one with the hemp). I highly recommend Elyxr!