purpose of this study is to evaluate the level of pain perceived by patients using a transdermal cream and/or transdermal patch with or without an oral medication as a pain management solution.

The purpose of this minimal risk, observational study is to observe and document patients' perspective on how the combination of transdermal cream and/or transdermal patch(s) with or without oral medication can help reduce or eliminate the use of opiate(s).

Inclusion Criteria:

• Participants must be diagnosed with an ICD10 code indicative of chronic pain
• Participants must be starting a new regimen of topical therapy with or without non-narcotic oral medication that has been deemed medically necessary and is independent of the study
• Participants must be expecting to receive therapy for at least 12 weeks
• Participants must be between 18 and 64 years of age
• Participants must be able to provide sound verbal informed consent

Exclusion Criteria:

• Participants must not be a beneficiary of government funded healthcare program (i.e. Medicare, Medicaid, etc.)
• Participants must not have a diagnosis of cancer within the past 5 years
• Participants who have chronic pain conditions not expected to respond to topical pain medication such as deep abdominal pain, or from conditions such as cancer

a patient with joint pain, extremity pain, lumbar, thoracic and/or cervical pain, as part of the PI routine care or follows medical necessity and prescribes a combination topical cream and/or patch with or without non-narcotic oral medication independent of the study