Hello, I am a veterinarian and I suffer from “DISH Syndrome” and also have had a lumbar lamenectomy, three rotator cuff repairs and awaiting a hip replacement. I can tell substantial improvement within minutes after taking Nápreva. I have been using the product twice daily every day since I received it and plan to incorporate it in our veterinary pharmacy as well. I cannot promise the same results for you but I am sure that if you deal with daily pain you need to try Nápreva.