Creams aren't necessarily less effective because the ingredients that are absorbed into the body bypass the liver. The second brand is probably more concentrated than the first. & your pains are a good sign
pains = growth . No reason to be embarrassed
I would buy an exfoliating scrub and use it in the shower, or you can make your own with your body wash and add either some sugar to it or baking soda also works well. Or you can also exfoliate with body wash or soap on a wash cloth or a loofa. Be gentle though if they are big acne

