Pain away extreme cream is the best cream I have found for relieving the arthritis in my hands. Applying it once daily with the small spoon supplied for the correct amount rubbed into my hands is sufficient to relieve the pain and stiffness for all day relief. I have tried other products, and they give some relief from the symptoms, but I have to reapply several times each day which is quite a hassle compared to extreme pain away’s results. Hopefully the new formula being released will be as effective. In the meantime, I’ll try the new pain away formula that is available.