@kta when you mention sore "cuff"...for me, I feel like I should be a spokesman for Canasa suppositories. If you haven't tried them, give them a whirl? They have literally been lifesavers for me for ~10 years related to "cuff"/cuffitis and and acute stinging/burning and never had a doc tell me they were concerned about side effects. They aren't cheap if you don't have insurance coverage. But for a couple years my insurance didn't cover them and I got a somewhat affordable price from canadian pharmacy.