Let me tell you about a device that changed how I manage chronic pain in my practice. It’s not another pill. It’s called Acticin, and it sits in this interesting space between a Class I medical device and a topical therapeutic system. When reps first brought it to me, I was deeply skeptical—another gadget promising pain relief. But the data, and more importantly, the results in some of my toughest patients, made me reconsider.