True sciatica is the result of nerve origin pain. If present for longer than a couple of weeks, it rarely is due to persistent inflammation. Persistent pain suggests nerve damage. Diclofenac is an anti-inflammatories and not expected to work. Anarex is for muscle origin pain and not expected to work. Tramadol has weak properties for controlling nerve pain. The best choice is the anti-seizure meds
Answered 6/21/2021
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Chronic use of Diclofenac is not recommended due to its adverse effects, especially you have history of stroke and likely chronic hypertension. Taking along with prophylactic ASA, risk of peptic ulcer disease is also exacerbated. You can try Gabapentin or Pregablin as suggested by Dr. Tamler. Back exercise is still the best treatment if your mobility is not impaired by stroke.
Answered 6/21/2021
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