Are there topical gel or cream Rx for muscle relaxation?

There are numerous tropicals you can choose from. Therma Care has a "patch" that heats up when it is opened and exposed to air. They're good and will last at least 10 hrs. It's self- adhesive so you can apply it and not constantly have to adjust it. Icy Hot is a topical cream/ gel that you rub into the affected area. If you prefer more of a cooling sensation you could try Bio- Freeze. This is used by a great many physical therapists, but is now available in most drug stores. Sometimes just laying down for a bit with a heating pad will do the trick. There are also several exercises that a physical therapist can show you that will help stretch and strengthen the muscles in your neck/ back. If your dr will help you set up a couple of sessions to help learn the exercises, most insurance companies will cover the cost of PT for a certain amount of sessions (minus your co- pay). I have pretty severe arthritis in my neck and spine and the exercises my therapist taught me have been invaluable. I hope you find an option that works for you!