4.7
The burning starts in your toes and creeps up your feet. The tingling in your fingertips makes it impossible to button your shirt or feel your keys. At night, when you should be resting, your nerves come alive with shooting pain that jolts you awake.
You've tried numbing creams that barely touch the surface. Swallowed nerve pills that make you dizzy without stopping the burning. Even tried "natural" remedies that promise miracles but deliver nothing but false hope and wasted money.
The reality? Generic neuropathy solutions don't understand how nerve damage actually works.
Twinge creates prescription strength formulas tailored to your exact nerve pain pattern because your diabetic neuropathy burns differently than someone else's chemotherapy induced numbness, and your path to relief should be just as unique.
Tell us about your specific neuropathy symptoms like where you feel burning, numbness, or tingling, what caused it, and how it affects your daily life. Our neuropathy focused questionnaire takes just minutes. No video calls or appointment scheduling needed.
A licensed physician reviews your case and prescribes a personalized compound targeting your specific neuropathy symptoms. Burning pain, numbness, tingling, or weakness from nerve damage.
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.
Prescription-level ingredients like amitriptyline and lidocaine delivered topically—so you get powerful nerve relief without the drowsiness, brain fog, or systemic side effects of oral medications.
Whether it's sudden jolts when you move or constant burning in your hands and feet, our custom formulas disrupt the nerve misfire loop at the source—not your whole nervous system.
From pins and needles that won't stop to hypersensitivity that makes clothing painful, we help retrain overstimulated nerves back to normal function without numbing everything.
No habit forming compounds or "maximum daily dose" warnings. Designed for the long-term nerve recovery journey.
Pharmacist-formulated. Doctor-approved. And you can message a real expert anytime.
I have diabetic neuropathy in my feet. Twinge helps reduce the burning and pins-and-needles sensation.
Shooting nerve pain in my legs used to wake me up. Twinge calms it down without pills.
I have carpal tunnel-related neuropathy. Twinge eases the nerve discomfort so I can actually type again.
I have neuropathy from diabetes. I used to dread standing too long. This cream made the tingling and stinging far less intense.
My doctor recommended a few creams, but only Twinge actually soothed my nerve pain consistently.
After back surgery, I had nerve pain down my leg. Twinge eased the burning within days.
Neuropathy made even socks painful. Twinge dulled the sensitivity so I can walk without wincing.
I get these sudden nerve shocks in my calves. This cream tones them down better than anything else.
By dinner, my legs would burn and buzz. Twinge helped enough that I can finally relax at night.
Unlike generic store bought creams that use the same formula for everyone, Twinge creates a personalized prescription strength compound based on your specific neuropathy symptoms, underlying cause, and pain pattern. We use prescription grade ingredients like lidocaine, amitriptyline, and topical anesthetics that aren't available over the counter, delivered through an advanced transdermal base designed for peripheral nerve 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 types of peripheral neuropathy, including diabetic neuropathy, chemotherapy induced neuropathy, idiopathic neuropathy, and post herpetic neuralgia. We don't just treat the diagnosis—we treat your specific symptoms, whether that's burning pain, numbness, tingling, or weakness.
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 neuropathy 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 neuropathy medications. Topical nerve pain medications have significantly reduced systemic absorption, meaning less risk of drowsiness, weight gain, or cognitive effects 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 peripheral nerves 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 gabapentin, pregabalin, or other nerve medications.
This is exactly why custom compounding exists. We can formulate your neuropathy 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 neuropathy treatments work best when combined with other therapies like physical therapy, nerve stimulation, or lifestyle modifications. Our cream can be applied before activities to reduce sensitivity or after treatment to maintain nerve comfort. Many patients find it enhances the benefits of their other neuropathy management strategies.
Many patients notice initial relief within 15 to 30 minutes of application, especially from ingredients like lidocaine and menthol that provide immediate numbing and cooling effects. However, the nerve calming benefits from amitriptyline and anti-inflammatories build over time, with most patients experiencing significant improvement in burning, tingling, and numbness within 1 to 2 weeks of consistent use.
Every neuropathy 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 nerves respond. This personalized approach means we keep refining until we find what works best for your specific nerve damage pattern.
Neuropathy can be progressive, and neither should your treatment stay static. 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 feet, tomorrow your hands—your cream can adapt to your changing neuropathy pattern.
Your Twinge cream comes with clear dosing instructions specific to your formulation and affected nerve 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 symptoms. Our easy application design works perfectly even when neuropathy makes your hands less coordinated.
Yes, our formulations are designed to be flexible for wherever your neuropathy appears—feet, hands, legs, arms, or multiple areas. The amount of cream you receive accounts for treating multiple nerve areas as discussed during your consultation, perfect for people dealing with widespread peripheral neuropathy.
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 neuropathy symptoms change significantly or you want to adjust your formula based on results.
Your custom neuropathy 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 nerve relief will arrive, perfect for managing those painful flare periods 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.