I had complete healing of my left elbow which had bad 'tennis elbow" pain with USPLabs cissus. I tried bulk powder type and did nothing.
I have NOTHING to do with
USPLabs but find their brand worked very well. It was either that or bee stings lol (actually I know a guy who had bee "therapy" and worked great but no way I was going to try that).
I mention USPS just incase your current brand doesnt do what you expect.