Abstract

Background: The authors challenged the current pain treatment paradigm and its focus on the systemic treatment of pain by the oral administration of opioids, high dose non-steroid anti-inflammatory drugs, anticonvulsants, and psychotropic drugs and studied and retrospectively analyzed the efficacy of a transdermal emulsion on various chronic pain conditions. Case Reports: The clinician has an active chronic and acute pain practice and favors transdermal drug treatment for various pain conditions. The therapy consisted of a transdermal emulsion containing gabapentin and naproxen sodium in a 10% to 5% ratio. The treatment included 2-3/day application of emulsion to the target area. Substantial pain relief was obtained in the treatment of chronic and acute myofascial, musculoskeletal, and neuropathic pain. Conclusion: The authors offer transdermal combination drug therapy as an appropriate peripheral pain treatment alternative to systemic drug therapy and avoid the human and societal costs of opioids, high dose NSAIDs and psychoactive drugs.

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