As I was getting ready to write the review, I thought it best to refresh my memory of how it works. Imagine my surprise when I discovered the top turns so it is easier to spray the oil onto my hand? When last time I struggled to use it. My arthritic hand and fingers just could not move it for a while. And today, I got my laugh, when the top just turned for me! So, not only does one get good almost instant relief from pain, but can have a good chuckle as well. Happy I bought it and am in fact, recommending to two friends who also have some arthritic digits.