4.7
It starts the moment you try to get out of bed. That sharp reminder that your back isn't cooperating today. The careful, slow movements as you test what you can and can't do. The mental calculation of whether that task is worth the pain it might cause.
You've tried heating pads that only work while you're sitting still. Popped pills that make you foggy without touching the deeper ache. Even invested in expensive mattresses and ergonomic chairs that promised relief but delivered disappointment.
The reality? Generic back pain solutions can't address your specific problem.
Twinge creates prescription strength formulas tailored to your exact back pain pattern because the pain shooting down your leg is completely different from someone else's muscle spasms, and your relief should be too.
Tell us about your specific back pain like where it hurts, when it's worst, and what makes it better or worse. Our back pain focused questionnaire takes just minutes. No video calls or appointment scheduling needed.
A licensed physician reviews your case and prescribes a personalized compound targeting your specific back pain. Then a licensed Pharmacist compounds your formula with the right ingredients to target muscle spasms, nerve pain, inflammation, or stiffness around your spine.
Your prescription strength back pain relief cream is shipped directly to you via USPS 2 day priority mail. Everything's included in one transparent price. No hidden fees, no insurance battles, no refill hassles. Just pain relief to start off your day right.
Your back pain is predictable, worst in the morning, better as you move. Our overnight formula flips the script so you start your day ahead of the pain curve.
Get targeted healing, not whole-body side effects. Feel the powerful anti-inflammatory and anti-spasmatic formula delivered directly to your back without the GI bleeding, kidney damage, or heart risks that traditional pills come with.
Get powerful muscle relaxants to prevent those sudden seize ups that drop you mid step. Move with confidence again whether you're lifting, bending, or just getting through your day
Lower back stiffness? Sciatica shooting down your leg? Upper back knots? We compound your cream based on exactly where and how your back hurts not a one size fits all approach.
Pharmacist-formulated. Doctor-approved. And you can message a real expert anytime.
As a doctor, I was skeptical, but Twinge really eased my lumbar pain fast without side effects.
My back would ache by noon. Since using Twinge, workdays feel manageable again.
My lower back stiffness made walking hard. Twinge gave me real relief within a week.
I've tried everything for back spasms. This cream worked better than anything my doctor prescribed.
After years of heavy lifting, my back was wrecked. Twinge made a noticeable difference fast.
Stress builds in my back by afternoon. Twinge is the only thing that calms it quickly.
Sitting all day caused daily backaches. I apply Twinge at night and wake up pain-free.
I've had recurring back issues for decades. This cream made a real difference after two uses.
I expected mild relief, but my lower back pain almost vanished. Will definitely keep using it.
Unlike generic store bought creams that use the same formula for everyone, Twinge creates a personalized prescription strength compound based on your specific back pain symptoms, location, and triggers. We use prescription grade ingredients like NSAIDs (diclofenac, ibuprofen), lidocaine, and muscle relaxants that aren't available over the counter, delivered through an advanced transdermal base for better penetration to deep spinal tissue.
Yes, all Twinge formulations require a prescription because they contain prescription strength active ingredients. Through a telehealth visit, a doctor will write a prescription if medically necessary as part of the service. This complete package provides a compounded cream shipped to you as well. You can get started instantly with no appointment needed or waiting room.
Our custom formulations are effective for various types of back pain, including lower back pain, sciatica, muscle spasms, herniated discs, spinal stenosis, and chronic back pain conditions. We don't just treat the diagnosis—we treat your specific symptoms, whether that's muscle tension, nerve pain, inflammation, or stiffness.
Currently, Twinge operates on a direct pay model at $79, which includes your telehealth consultation, custom compounded prescription, and shipping. This transparent pricing eliminates insurance hassles, copays, and prior authorization delays that often prevent back pain patients from getting effective topical treatments.
Yes, our compounded topical formulations are designed for daily, long term use with a much lower risk profile than oral back pain medications. Topical NSAIDs have significantly reduced systemic absorption, meaning less risk of stomach upset, cardiovascular issues, or kidney problems compared to oral pain medications. Our pharmacists formulate each cream with safety as a priority.
In most cases, yes. Topical compounds typically have minimal drug interactions because they work locally at the spine rather than systemically throughout your body. However, our telehealth consultation includes a thorough medication review to ensure your custom formula is safe with your current treatments, including muscle relaxants, nerve medications, or oral pain relievers.
This is exactly why custom compounding exists. We can formulate your back pain cream without ingredients that trigger your allergies or sensitivities. During your consultation, we'll review your allergy history and create a formula that's safe for your specific needs—something impossible with mass produced creams.
Absolutely. Topical back pain treatments work best when combined with movement and physical therapy. Our cream can be applied before exercise to reduce muscle tension or after activity to manage inflammation. Many patients find it makes their physical therapy sessions more comfortable and productive.
Many patients notice initial relief within 15 to 30 minutes of application, especially from ingredients like menthol and lidocaine that provide immediate cooling and numbing effects. However, the anti-inflammatory and muscle relaxant benefits build over time, with most patients experiencing significant improvement in back stiffness and pain within 1 to 2 weeks of consistent use.
Every patient is different, which is why we offer follow up consultations to adjust your formula if needed. We can modify ingredients, concentrations, or add new components based on how you respond. This personalized approach means we keep refining until we find what works best for your specific back pain pattern.
Back pain rarely stays in one spot, and neither should your treatment. You can easily update your symptoms through our patient portal or schedule a follow up consultation to adjust your formula. We understand that today it might be your lower back, tomorrow your upper back—your cream can adapt to where you hurt most.
Your Twinge cream comes with clear dosing instructions specific to your formulation and affected areas. Generally, a small amount (about the size of a quarter) is applied to the affected area 2 to 4 times daily. Our easy application design eliminates the guesswork and allows you to apply without awkward twisting or reaching.
Yes, our formulations are designed to be flexible for wherever your back pain appears—lower back, upper back, between shoulder blades, or along your entire spine. The amount of cream you receive accounts for treating multiple areas as discussed during your consultation.
Once you've completed your initial consultation and received your first custom cream, refills are streamlined through our patient portal. No need to repeat the full consultation unless your symptoms change significantly or you want to adjust your formula.
Your custom back pain cream ships within 1 to 2 business days after your prescription is written and ships via 2 day priority mail via USPS. We provide tracking information so you know exactly when your personalized relief will arrive.
OTC Creams:
Grab off the shelf and hope it helps.
Oral Pills:
Doctor visits, insurance hassle, and pharmacy pickup.
Twinge Custom Cream:
Quick telehealth visit with a doctor, shipped fast to your door.
OTC Creams:
Immediate if it's in stock.
Oral Pills:
Wait in line or wait for it to kick in.
Twinge Custom Cream:
Order from home and ships in two days with USPS Priority.
OTC Creams:
Same formula for everyone.
Oral Pills:
One-size dose based on averages.
Twinge Custom Cream:
Tailored to your pain type, area, and history.
OTC Creams:
Capped by over‑the‑counter limits.
Oral Pills:
Prescription strength, fixed dose.
Twinge Custom Cream:
Prescription strength, calibrated to your body needs.
OTC Creams:
Can irritate your skin.
Oral Pills:
Risk of nausea, GI issues, liver/kidney strain, addiction.
Twinge Custom Cream:
Low systemic impact. No habit forming ingredients.
OTC Creams:
Masks surface symptoms.
Oral Pills:
Distributes through your entire body.
Twinge Custom Cream:
Pain cream base penetrates deep into the skin to deliver powerful active ingredients right where it hurts.
OTC Creams:
Fades fast, needs reapplying often.
Oral Pills:
Wears off unevenly, leaves you chasing the next dose.
Twinge Custom Cream:
Stays active longer so you get through the day.
OTC Creams:
$10 to $40 per tube.
Oral Pills:
$30 to $200 per month after copays and deductibles.
Twinge Custom Cream:
$79 all in — custom cream, physician consult, fast shipping.