I have a hot spot on my left elbow at the moment and it's lasted about 10 days. For a few days I used some Aleve and then I bought some Voltaren Emugel after seeing the ad on tv. I asked the druggist if it was just another deep heat type of cream which never seem to work but she said it wasn't and that it is very effective. Used to be prescription only but now it's available OTC.. anyways,, it really does work well. The pain was gone almost immediately, provided I didn't do anything and now 2 days later it's pretty much gone. Buy a small tube and give it a try.