How is Twinge different from OTC heel pain creams?

Unlike generic store bought creams that use the same formula for everyone, Twinge creates a personalized prescription strength compound based on your specific heel pain symptoms, underlying cause, and activity level. 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 designed for plantar fascia penetration.

Do I need a prescription for Twinge heel pain cream?

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 painful trips to waiting rooms.

What types of foot and heel pain does Twinge help with?

Our custom formulations are effective for various foot conditions, including plantar fasciitis, heel spurs, Achilles tendonitis, arch pain, and foot muscle trigger points. We don't just treat the diagnosis—we treat your specific symptoms, whether that's morning stabbing pain, chronic aching, or activity-related heel discomfort.

Is Twinge covered by insurance?

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 heel pain patients from getting effective topical treatments quickly.

Is it safe to use Twinge cream long term for heel pain?

Yes, our compounded topical formulations are designed for daily, long term use with a much lower risk profile than oral heel pain medications. Topical NSAIDs have significantly reduced systemic absorption, meaning less risk of stomach upset, kidney problems, or cardiovascular issues compared to oral pain medications. Our pharmacists formulate each cream with safety as a priority.

Can I use Twinge cream with my current foot pain medications?

In most cases, yes. Topical compounds typically have minimal drug interactions because they work locally at the heel and plantar fascia 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 oral NSAIDs, steroid injections, or other pain medications.

What if I'm allergic to certain ingredients?

This is exactly why custom compounding exists. We can formulate your heel 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.

Can I use Twinge cream with physical therapy or other foot treatments?

Absolutely. Topical heel pain treatments work best when combined with stretching, physical therapy, proper footwear, and activity modification. Our cream can be applied before therapy sessions to reduce pain or after treatment to maintain comfort. Many patients find it enhances the benefits of their other heel pain management strategies.

How quickly do I see heel pain improvements with Twinge?

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 benefits from NSAIDs build over time, with most patients experiencing significant improvement in morning heel pain and daily discomfort within 1 to 2 weeks of consistent use.

What if the cream doesn't work for my heel pain?

Every heel pain 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 heel responds. This personalized approach means we keep refining until we find what works best for your specific plantar fasciitis or heel condition.

What if my heel pain gets worse or spreads to other areas?

Heel pain can sometimes affect other parts of your foot or even cause compensation pain in your leg or back. Your treatment shouldn't stay static either. You can easily update your symptoms through our patient portal or schedule a follow up consultation to adjust your formula. We understand that foot pain rarely stays isolated to just one spot.

How much cream should I use and how often?

Your Twinge cream comes with clear dosing instructions specific to your formulation and affected heel areas. Generally, a small amount (about the size of a quarter) is applied to the affected area 2 to 4 times daily, including before putting weight on your feet in the morning. Our easy application design works perfectly even when reaching your feet is uncomfortable.

Can I use it on both feet if I have bilateral heel pain?

Yes, our formulations are designed to be flexible for wherever your heel pain appears—one foot, both feet, heels, arches, or entire plantar surface. The amount of cream you receive accounts for treating multiple areas as discussed during your consultation, perfect for people dealing with bilateral plantar fasciitis.

How do I get refills?

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 heel pain pattern changes significantly or you want to adjust your formula based on activity changes or results.

How long does shipping take?

Your custom heel 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 foot relief will arrive, perfect for managing those painful morning episodes quickly.

Prescription Foot & Heel Pain Relief Cream — $79

Every Step Should Feel Like Freedom, Not Punishment.

From morning heel strikes to evening soreness, each ingredient tackles a different aspect of foot pain so you can walk with confidence again.

Camphor

Relieves deep heel inflammation and improves circulation.

When your plantar fascia is inflamed and your heel feels like it's bruised from the inside out, camphor's penetrating warmth helps reduce that deep tissue inflammation while improving blood flow to promote healing.

Reduces deep inflammation in plantar fascia and heel tissue.
Improves blood flow to promote healing in damaged foot structures.
Ideal for morning heel stiffness and chronic plantar fasciitis.

"I've been compounding for 22 years, and camphor is essential for plantar fasciitis patients. It helps reduce the deep tissue inflammation that causes that brutal morning pain while improving circulation to the healing tissue."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Menthol

Cools the burning, stabbing pain instantly.

When your heel pain goes from manageable to excruciating—whether from taking a wrong step or standing too long—menthol provides immediate cooling relief that overrides those sharp pain signals.

Instant cooling relief for acute heel pain flares.
Perfect for sudden stabbing pain that takes your breath away.
Works fast when you've aggravated your plantar fasciitis.

"Menthol is invaluable for foot pain patients experiencing acute flares. Within minutes, it's creating that cooling distraction while the anti-inflammatory ingredients get to work on the underlying tissue irritation."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Lidocaine

Numbs the sharp, electric heel pain that stops you in your tracks.

Plantar fasciitis often creates sharp, shooting pain that feels like stepping on a nail. Lidocaine quiets those hypersensitive pain nerves so you can walk without wincing.

Blocks sharp, shooting heel pain characteristic of plantar fasciitis.
Helps with nerve irritation around heel spurs and inflamed fascia.
Especially effective for morning pain and prolonged standing discomfort.

"Lidocaine is a game changer for patients whose heel pain has that sharp, stabbing quality. I can adjust the concentration based on their pain severity—it's like having a volume control for that excruciating morning step."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

NSAIDs (Diclofenac, Ibuprofen, Ketoprofen)

Targets plantar fascia inflammation right at the source.

The inflammation in your plantar fascia that causes heel pain gets direct treatment with prescription strength anti-inflammatories. All the power of oral NSAIDs without the stomach upset that can disrupt your day.

Prescription strength inflammation control for plantar fascia tissue.
Reduces heel swelling and morning stiffness.
No stomach bleeding or cardiovascular risks like oral NSAIDs.

"This is where topical really excels for foot pain. I can deliver the same anti-inflammatory power patients would get from oral NSAIDs, but right to the inflamed plantar fascia. Less than 6% goes systemic, so virtually no GI risk while maximizing healing where it's needed."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Amitriptyline

Calms nerves that chronic heel pain has hypersensitized.

Months of heel pain change how your foot processes pain signals. Your heel starts hurting with minimal pressure. Amitriptyline helps reset that hypersensitivity so normal walking doesn't trigger pain.

Reduces constant background heel ache in chronic plantar fasciitis.
Helps with foot pain that never fully goes away between flares.
Especially effective for long-standing heel pain conditions.

"Chronic plantar fasciitis changes how foot nerves process signals. Amitriptyline helps reset that hypersensitivity. I use it especially for patients who say their heel hurts even when they're not walking on it."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Baclofen

Relaxes tight muscles that contribute to heel pain.

Heel pain often causes the muscles in your foot and calf to tighten up protectively. This muscle tension can actually make heel pain worse by pulling on the plantar fascia. Baclofen helps break that cycle.

Releases protective muscle tension in foot and calf.
Reduces strain on plantar fascia from tight surrounding muscles.
Helps improve flexibility and reduce morning stiffness.

"Patients don't realize how much their calf and foot muscles guard around a heel injury. That protective tension actually increases strain on the plantar fascia. Baclofen helps relax those muscles so the fascia can heal without constant pulling."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Cyclobenzaprine

Stops muscle spasms that develop from favoring your heel.

When your heel hurts, you automatically change how you walk to protect it. This compensation creates muscle spasms in your foot, calf, and even your back. Cyclobenzaprine interrupts that painful compensation pattern.

Prevents compensation muscle spasms from altered walking patterns.
Breaks the pain-limp-more muscle tension cycle.
Helps you walk naturally without protective guarding.

"I see this constantly with heel pain patients—they develop compensation patterns that create new problems. Cyclobenzaprine interrupts those protective muscle spasms so they can walk normally while their heel heals."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Transdermal Pain Cream Base

Delivers relief deep into plantar fascia and heel tissue.

Heel pain occurs deep in the thick plantar fascia and heel pad where regular creams can't reach. Our pharmacist developed base carries active ingredients through tough foot skin to reach the actual source of your pain.

Penetrates thick plantar skin to reach deep fascia tissue.
Sustained release provides hours of heel pain relief.
Specifically designed for foot anatomy and plantar fascia delivery.

"The foot presents unique challenges for topical delivery because of the thick plantar skin. Our transdermal base is specifically formulated to penetrate that barrier and deliver active ingredients to the plantar fascia where heel pain actually originates."

Dr. Javed

PharmD, RPh, Co-Founder of Twinge Health

Foot Relief That Fits Into Your Life (Not the Other Way Around).

Whether it's plantar fasciitis, heel spurs, or Achilles pain, our prescription-strength ingredients target the inflammation and tissue stress causing your specific foot pain.

Beat plantar fasciitis at its worst

That sharp morning heel stab from plantar fasciitis? Our overnight anti-inflammatory action reduces fascia inflammation while you sleep so your first steps don't feel like walking on broken glass.

Cool the burning arch.

From heel spurs to plantar fasciitis flare ups, our targeted cooling ingredients calm irritated fascia and nerves without the mess or temporary relief of ice packs.

Pain cream base penetrates directly to irritated nerve endings without affecting your balance, coordination, or mental clarity like oral nerve medications.

Get all day standing support.

Whether it's work shifts on hard floors or plantar fasciitis acting up during active days, we ease deep tissue stress and reduce the swelling that builds through long hours on your feet.

No Downtime Required.

Fast absorbing, non greasy formula that's sweat safe and shoe ready. Apply and go ! No waiting around or sticky residue interfering with your day or hitting daily limits of pills.

Built by experts.
Backed by real access.

Pharmacist-formulated. Doctor-approved. And you can message a real expert anytime.

They Called It a Game Changer. We Call It Personalized Nerve Pain Relief.

These reviews come from people who thought they'd tried everything for their neuropathy. Until they tried something made for their nerve pain.

Daniel

Chef, 46

Helped my heel pain after long shifts

I'm on my feet 12 hours a day. Twinge worked fast on my sore arches and heels.

Priya, 35

Retail Manager

No more burning feet at the end of day

My feet used to throb by closing time. This cream cools the pain almost instantly.

Howard, 62

Retired Mail Carrier

Helped my plantar fasciitis like nothing else

I've tried every insert and wrap. Twinge is the only thing that eased the stabbing heel pain.

Simone, 50

Flight Attendant

Instant relief after being on my feet all day

I rub it in after every shift. My arches don't ache anymore and swelling is down.

Brad, 39

Construction Worker

Foot pain used to keep me up at night

Long days in steel-toes wore my feet out. Twinge gave me relief I actually trust.

Jodi, 43

High School Teacher

Feels like I'm walking on clouds again

I didn't realize how much foot pain I'd normalized. Twinge brought real, lasting comfort.

Eli, 58

Mechanic

Took the sting out of years of foot strain

My job destroyed my arches. Twinge helps me get through the week without limping.

Roxanne, 32

Hiker

Best cream I've found for arch pain

I walk miles. Twinge soothes the dull aches and lets me recover faster.

Tomas, 49

Warehouse Packer

Finally some relief for my sore, tired feet

I've tried so many foot creams. None worked like this one. Twinge is now part of my routine.

Frequently Asked Questions About Custom Foot & Heel Pain Relief Creams.

From safety to shipping, here's everything you need to know about getting prescription-strength foot and heel pain relief cream delivered right to your door.

See How Twinge Compares to Your Current Pain Relief Regimen.

From appointments to disappointments, you've paid the price for pain relief that didn't deliver. Twinge is one cream that finally does.

OTC Creams

Rx Oral Pills

Twinge Cream

🛒 Access

Grab off the shelf and hope it helps.

Doctor visits, insurance hassle, and pharmacy pickup.

Quick telehealth visit with a doctor, shipped fast to your door.

⏱️ Time to Relief

Immediate if it's in stock.

Wait in line or wait for it to kick in.

Order from home and ships in two days with USPS Priority.

🧬 Personalization

Same formula for everyone.

One-size dose based on averages.

Tailored to your pain type, area, and history.

💪 Strength & Potency

Capped by over‑the‑counter limits.

Prescription strength, fixed dose.

Prescription strength, calibrated to your body needs.

😟 Side Effects

Can irritate your skin.

Risk of nausea, GI issues, liver/kidney strain, addiction.

Low systemic impact. No habit forming ingredients.

🎯 Targeting

Masks surface symptoms.

Distributes through your entire body.

Pain cream base penetrates deep into the skin to deliver powerful active ingredients right where it hurts.

⏳ Duration

Fades fast, needs reapplying often.

Wears off unevenly, leaves you chasing the next dose.

Stays active longer so you get through the day.

💰 Total Cost

$10 to $40 per tube.

$30 to $200 per month after copays and deductibles.

$79 / month

Includes custom cream, physician consult & shipping.

Questions? Chat with us

One Cream. One Price. Zero Nonsense.

From appointments to disappointments, you've paid the price for pain relief that didn't deliver. Twinge is one cream that finally does.

🛒 Access

⏱️ Time to Relief

🧬 Personalization

⚡ Strength & Potency

⚠️ Side Effects

🎯 Targeting

⏳ Duration

💰 Total Cost

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.

$79/month supply. No copays. No insurance. No hidden fees.

Arthritis & Joint Pain

Back Pain

Neuropathy

Foot & Heel Pain

Muscle Spasms & Strains

Sports & Overuse Injuries

Ready for Real Relief?

⌛ Limited Spots Remaining for September

Is Twinge Right for Your Pain?

Trusted by hundreds for lasting pain relief

Get Custom Foot & Heel Pain Relief That Gets You Back on Your Feet.

Stop dreading that first step out of bed. Get a prescription strength formula specifically designed for your foot and heel pain delivered to your door for one flat price.With Twinge Health the best foot pain relief is simple. Here's what you get:

Real doctor listens to your nerve pain and prescribes your formula.

Precision ingredients targeting your neuropathy. Not generic short lastingnumbing.

Skip pharmacy run. Your nerve pain relief cream ships free and fast with 2 day USPS Priority mail.

That First Step Out of Bed Shouldn't Feel Like Stepping on Glass.

Get Doctor Prescribed Foot Pain Relief Without Hobbling to Appointments.

Skip the waiting rooms and painful walks to the pharmacy. Get personalized, prescription strength foot treatment delivered straight to your door.

Share your foot pain details.

Your custom foot pain relief formula is made.

Your relief gets delivered.

Every Step Should Feel Like Freedom, Not Punishment.

From morning heel strikes to evening soreness, each ingredient tackles a different aspect of foot pain so you can walk with confidence again.

Relieves deep heel inflammation and improves circulation.

Dr. Javed

Cools the burning, stabbing pain instantly.

Dr. Javed

Numbs the sharp, electric heel pain that stops you in your tracks.

Dr. Javed

Targets plantar fascia inflammation right at the source.

Dr. Javed

Calms nerves that chronic heel pain has hypersensitized.

Dr. Javed

Relaxes tight muscles that contribute to heel pain.

Dr. Javed

Stops muscle spasms that develop from favoring your heel.

Dr. Javed

Delivers relief deep into plantar fascia and heel tissue.

Dr. Javed

Foot Relief That Fits Into Your Life (Not the Other Way Around).

Whether it's plantar fasciitis, heel spurs, or Achilles pain, our prescription-strength ingredients target the inflammation and tissue stress causing your specific foot pain.

Beat plantar fasciitis at its worst

Cool the burning arch.

Pain cream base penetrates directly to irritated nerve endings without affecting your balance, coordination, or mental clarity like oral nerve medications.

Get all day standing support.

No Downtime Required.

Built by experts. Backed by real access.

They Called It a Game Changer. We Call It Personalized Nerve Pain Relief.

These reviews come from people who thought they'd tried everything for their neuropathy. Until they tried something made for their nerve pain.

Daniel

Helped my heel pain after long shifts

Priya, 35

No more burning feet at the end of day

Howard, 62

Helped my plantar fasciitis like nothing else

Simone, 50

Instant relief after being on my feet all day

Brad, 39

Foot pain used to keep me up at night

Jodi, 43

Feels like I'm walking on clouds again

Eli, 58

Took the sting out of years of foot strain

Roxanne, 32

Best cream I've found for arch pain

Tomas, 49

Finally some relief for my sore, tired feet

Frequently Asked Questions About Custom Foot & Heel Pain Relief Creams.

From safety to shipping, here's everything you need to know about getting prescription-strength foot and heel pain relief cream delivered right to your door.

How is Twinge different from OTC heel pain creams?

Do I need a prescription for Twinge heel pain cream?

What types of foot and heel pain does Twinge help with?

Is Twinge covered by insurance?

Is it safe to use Twinge cream long term for heel pain?

Can I use Twinge cream with my current foot pain medications?

What if I'm allergic to certain ingredients?

Can I use Twinge cream with physical therapy or other foot treatments?

How quickly do I see heel pain improvements with Twinge?

What if the cream doesn't work for my heel pain?

What if my heel pain gets worse or spreads to other areas?

Stop dreading that first step out of bed. Get a prescription strength formula specifically designed for your foot and heel pain delivered to your door for one flat price.

With Twinge Health the best foot pain relief is simple. Here's what you get:

Built by experts.
Backed by real access.