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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Sciatica Despite Taking Tramadol?

I have a herniated, fourth lumbar. I m taking tramadol, for my sciatica. In which I was also, diagnosed with. What can I do to alleviate, my discomfort, when I try to sleeping , I find it, too difficult to do, in the evening, although I take medication I still can t sleep at night from the pain?
Mon, 29 Aug 2016
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General & Family Physician,  's  Response

Hi
Thank you for asking HCM
I have gone through your query. Pain in sciatica is due to nerve irritation or impingement. Tramadol alone won't be effective in most case.
In such case if you were my patient then I would recommend muscle relaxants like cyclobenzaprine and neurotropic drugs like Pregabalin. Physiotherapy is also recommended along with this. Physiotherapy like TENS and massage is good for this. Back muscle strengthening exercises also help. You can also wear a lumbar supporting belt or corset is also good.
Avoid lifting heavy objects or leaning forward. Sleep on hard mattress.
A consultation with Orthopedician dealing with spine is well appreciated.

Hope this may help you. Let me know if anything not clear.
Thanks.
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What Causes Severe Pain In Sciatica Despite Taking Tramadol?

Hi Thank you for asking HCM I have gone through your query. Pain in sciatica is due to nerve irritation or impingement. Tramadol alone won t be effective in most case. In such case if you were my patient then I would recommend muscle relaxants like cyclobenzaprine and neurotropic drugs like Pregabalin. Physiotherapy is also recommended along with this. Physiotherapy like TENS and massage is good for this. Back muscle strengthening exercises also help. You can also wear a lumbar supporting belt or corset is also good. Avoid lifting heavy objects or leaning forward. Sleep on hard mattress. A consultation with Orthopedician dealing with spine is well appreciated. Hope this may help you. Let me know if anything not clear. Thanks.