Sometimes we recommend the use of topical Mannitol cream at home after you have had a treatment at the clinic. Mannitol's chemical structure is a sugar alcohol, and works in the same way dextrose or glycerine injections do: by turning off pain receptors in the body and allowing nerve inflammation to rapidly diminish, so that nerves begin to function and move normally rather than getting tightly caught on openings in the fascia. This means pain goes away. Mannitol was originally discovered in the 14th Century. It comes from the sap of the European Flowering Ash tree, and was named after the Biblical food, manna, which God provided in the wilderness. The beauty of this cream is that it is extremely safe, and can be applied as often as you like, and unlike dextrose cream it is not sticky. However it does need to be compounded at a pharmacy to break up the tiny crystals, and placed into a carrier cream in order to be absorbed. You need to ask us for a prescription for a compounding pharmacy. A colleague is working on an over-the-counter cream which is not yet available.
Jannice is a family physician with an interest in the treatment of pain. Anything to help the process is added to this blog.