I have had psoriatic arthritis for many years. I was turned onto a great product called Cryoderm by my massage therapist. It comes in a spray, cream, and roll on. It has been great for me. If i do not have at least 2 bottles in reserve, I get panicky. It worked great after hip and knee replacements and to help with muscle spasms after an anterior cervical fusion. I have tried almost every spray, rub and cream made but this is my favorite