A physician reviews your symptoms and prescribes a custom topical cream formulated specifically for you — all from home.
Prescription-strength relief
Our pain creams are prescription-strength, custom-compounded formulations that can combine anti-inflammatory medications, muscle relaxants, and nerve pain agents in a single treatment—offering a personalized option beyond many commercially available prescription and OTC products.
Simple process
From intake to prescription in as little as 24 hours — no waiting rooms, no awkward appointments.
Complete our 3–5 minute intake about your pain location, severity, and history.
Optionally share photos or imaging reports (X-rays, MRIs) to help your physician assess your condition.
A board-certified physician evaluates your full case and designs a custom compound formula within 24 hours.
Your prescription is sent to a licensed compound pharmacy and delivered directly to you.

Founder & Chief Medical Officer, HemyRx
Led by Dr. Patrick Ryan, D.O., a sports medicine-trained physician and HemyRx Founder, connecting patients with licensed providers for joint and back pain treatment consultations.
View physician profileWhat's in your cream
Your physician selects active ingredients based on your pain type, location, and history.
An NSAID that penetrates deeply to reduce local inflammation at the site of pain. Ideal for arthritis and tendinopathies.
Local anesthetics that interrupt pain signal transmission at the nerve level for fast-acting topical relief.
Depletes substance P at sensory nerve endings, reducing pain sensation over repeated application.
Topical gabapentin reduces neuropathic pain signaling — useful for radiculopathy and nerve-related back pain.
A muscle relaxant for spasm-driven back pain and myofascial pain syndromes with localized muscle tightness.
Your physician may combine multiple actives — e.g., ketoprofen + lidocaine + gabapentin — targeting your specific pain profile.
Your consultation
One-time fee · No insurance required
A physician reviews your pain history and prescribes a custom compounded topical cream — formulated specifically for you — through telehealth.
Compounded medications are not FDA-approved as finished products. If you have sudden severe back pain with loss of bladder/bowel control, leg weakness, or trauma, seek emergency care immediately. Submission does not guarantee a prescription.
Why HemyRx Ache
Every case is reviewed by a licensed provider.
Most cases are evaluated within 24 hours of submission.
Ingredients selected based on your pain type, location, and clinical history.
Your compounded cream is prepared and shipped from a licensed pharmacy.
Secure message support after your visit for care questions.
Treatment for neck, back, hip, knee, shoulder, and extremity pain.
FAQ