Used this cream for the first time when I injured my radial wrist tendon after falling on an outstreched hand while skiing. I credit the cream with the rapid resolution of this soft tissue sports tissue injury (I am a physician). Recommended by a Swiss ski instructor. This is one of the nicest arnica formulations for sports injuries, the cream has a very nice consistency and natural fragrance. I have purchased several tubes as we do a lot of sports and injuries are inevitable, especially as you get older. Photo shows my just finished tube and soon I will be opening new one. Like the natural ingredients. Highly recommended!!