When I get them there is not much that helps. The one thing I do find that eases them considerably is 1000 mg ibuprofen with a nice double shot espresso. Almost always within 10 minutes it eases off to the point of just being an irritation. I know it's like a band aid as it doesn't get rid of it, just suppresses it for awhile. But it's a godsend when I can't get to the doc for a shot of torodol (sp?).