I have used Kalaya Pain Relief for several years. First just Kalaya Pain Relief 6X, then Kalayar with Sativa, and now Kalaya with Arnica. The last couple of years, I just use Kalaya, no more other pain relief creams or rubs. I apply it several times a day, especially when I get up in the morning and before bed time at night. Even on days when the pain is quite uncomfortable, even with the daily Celebrex.