4.7
It strikes without warning. That sudden, vicious muscle spasm that stops you mid-step or jolts you awake at 3 AM. The knot in your neck that makes turning your head feel impossible. The cramping in your calf that has you hopping around trying to make it stop.
You've tried stretching until you're sore. Heated up heating pads that only work while you're sitting still. Popped muscle relaxers that make you foggy without touching the deeper tension. Even gotten massages that feel great for an hour, then the knots come right back.
The truth? Generic muscle treatments can't break your specific pain cycle.
Twinge creates prescription strength formulas tailored to your exact muscle tension pattern because your neck spasms are completely different from someone else's leg cramps, and your path to lasting relief should be too.
Tell us about your specific muscle spasms and strains like where it hits, what triggers them, and how they disrupt your life. Our muscle strain and spasm focused assessment takes just minutes. No video calls or appointment scheduling needed.
A licensed physician reviews your case and prescribes a personalized compound targeting your specific muscle strain and spasm issues. Whether it's sudden spasms, trigger points, chronic tension, or acute strains from overuse or injury.
Our licensed pharmacy compounds your prescription strength cream and ships it directly to you. Everything's included in one transparent price. No hidden fees, no insurance battles, no refill hassles.
Fast acting muscle relaxants calm those sudden muscle spasms that hijack your day. Whether it's your back seizing up or your calf cramping mid-sleep.
Unlike oral muscle relaxants that knock you out, our topical formula helps tight muscles and muscle spasms let go while keeping your mind sharp and focused.
Goes deeper than surface pain, Twinge Health helps calm overactive nerves and release locked muscle fibers where muscle spasms actually start.
From stress-tightened shoulders to chronic muscle strain patterns, we target both the nerve signals and muscle fibers that keep you locked up.
Apply before bed for muscle cramp free sleep, after workouts for faster muscle recovery, or during the day for ongoing muscle strain and spasm relief non-greasy and fast-absorbing.
Pharmacist-formulated. Doctor-approved. And you can message a real expert anytime.
I strained my calf last month. Twinge reduced the soreness and helped me bounce back faster.
I get mid-back spasms weekly. Twinge soothes the muscle without that overpowering medicinal smell.
Sitting all day triggered awful back spasms. After a week with Twinge, I could move normally again.
This cream can help with muscle knots. Twinge eases flare-ups better than most pro products.
My quads seize up after long shifts. A little Twinge and the cramping dies down quickly.
I get stress-related neck spasms. This cream loosens the tension in under 20 minutes. Lifesaver.
My upper back was locked for weeks. Twinge softened the knots and brought mobility back.
Long hours and heavy lifting leave me stiff. Twinge relieves the ache without making my skin greasy.
I'd wake up with severe leg cramps. I started using Twinge and they're practically gone.
Unlike generic store bought creams that use the same formula for everyone, Twinge creates a personalized prescription strength compound based on your specific muscle spasm patterns, trigger points, and tension areas. We use prescription grade ingredients like muscle relaxants (baclofen, cyclobenzaprine), NSAIDs, and lidocaine that aren't available over the counter, delivered through an advanced transdermal base designed for deep muscle penetration.
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 time.
Our custom formulations are effective for various muscle issues, including muscle spasms, chronic muscle tension, trigger points, neck and shoulder knots, leg cramps, back muscle strains, and myofascial pain syndrome. We don't just treat the diagnosis—we treat your specific symptoms, whether that's sudden spasms, chronic tension, or painful trigger points.
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 muscle pain patients from getting effective topical treatments quickly.
Yes, our compounded topical formulations are designed for daily, long term use with a much lower risk profile than oral muscle relaxants. Topical muscle relaxants have significantly reduced systemic absorption, meaning less risk of drowsiness, dizziness, or dependency compared to oral 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 muscle rather than systemically throughout your body and brain. However, our telehealth consultation includes a thorough medication review to ensure your custom formula is safe with your current treatments, including oral muscle relaxants, pain medications, or sleep aids.
This is exactly why custom compounding exists. We can formulate your muscle 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 muscle treatments work best when combined with massage, stretching, and physical therapy. Our cream can be applied before therapy sessions to reduce muscle guarding or after treatment to maintain relaxation. Many patients find it enhances the benefits of their manual therapy treatments.
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 muscle relaxing benefits from baclofen and cyclobenzaprine build over time, with most patients experiencing significant improvement in muscle tension and spasm frequency 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 your muscles respond. This personalized approach means we keep refining until we find what works best for your specific muscle tension patterns.
Muscle tension and spasms rarely stay in one place, 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 neck, tomorrow your back—your cream can adapt to wherever tension shows up.
Your Twinge cream comes with clear dosing instructions specific to your formulation and affected muscle areas. Generally, a small amount (about the size of a quarter) is applied to the affected area 2 to 4 times daily, including before sleep for nighttime cramps. Our easy application design works perfectly even when muscles are tight or painful.
Yes, our formulations are designed to be flexible for wherever your muscle tension appears—neck, shoulders, back, legs, or multiple areas. The amount of cream you receive accounts for treating multiple muscle groups as discussed during your consultation, perfect for people dealing with widespread muscle tension.
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 muscle tension patterns change significantly or you want to adjust your formula based on results.
Your custom muscle 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 muscle relief will arrive, perfect for breaking those painful tension cycles quickly.
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.