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Topical NSAIDs such as diclofenac 1% gel (Voltaren, available over-the-counter in the US) can provide localized pain relief for musculoskeletal conditions with minimal systemic absorption and reduced gastrointestinal risk

Gastroenterology 91 (1): 10-6

So its hard to know how much lifestyle factors, supplements, or other medications have to do with their results

I would rather see someone exercise and eat nutritiously in order to get an energy boost.

Your therapist may introduce exercises like diaphragmatic breathing or proper pushing techniques to help coordinate your core and pelvic floor muscles