We typically advise against using topical creams/gels/ointments with the BFST, simply for the reason that topicals are usually not very effective on the soft tissue. They can provide pain relief closer to the surface of the skin, but may not provide much relief where you need it, in the muscles, tendons, and ligaments. If you do use any sort of topical, it's important to make sure that it is completely absorbed into the skin before applying the BFST - or, wipe away any residue with a clean, damp cloth.