Doctor insights on:
Is Lyrica Used For Sciatic Nerve Pain
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Not effective: In a recent study, pregabalin was shown to be no more effective than placebo for reducing sciatic leg pain. Rather, pregabalin was associated with my higher rate of side effects. A handful of studies have evaluated its use in back sciatica, and all conclude that it has minimal, if any, effects. It appears at least slightly less effective than amitriptyline, celecoxib, and tramadol/acetaminophen. ...Read moreSee 1 more doctor answer
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
Would lyrica (pregabalin) be a good choice for radiculopathy pain caused by nerve root compression in lumbar even if gabapentin and cymbalta failed to work?
Yes and No: Short answer is that any opiate or narcotic, oxycodone, hydrocodone, morphine etc, will help just about any pain. But one develops rapid tolerance to such drugs and in time they become less effective. Most all neuralgias are much more effectively treated with more "nerve specific" meds like Gabapentin and carbamazepine. ...Read moreSee 2 more doctor answers
Various: There are 3 classes of medications for this type of pain: 1- anti-inflammatory: steroids (solumedrol, decadron, etc)and nsaids (ibuprofen, motrin, naprosyn, (naproxen) etc) 2- muscle relaxants (e.g., soma, flexeril) 3- narcotics (vicodin, oxycodone, etc) i prefer using classes 1 and 2 before resorting to class 3. ...Read moreSee 1 more doctor answer
Yes: It's an especially useful pain medication because unlike opiate pain medications, one does not develop physical dependence on gabapentin. This means it can be taken for long periods without developing tolerance and needing higher doses. It is safe with reversible side effects. And it is especially effective with neuropathic pain. ...Read moreSee 1 more doctor answer
Sciatica: Low back pain that radiates into the leg is called sciatica. A herniated disc in the lumbar area is one common cause. Simple exercises and stretching, over the counter pain medication, or prednisone or other steroid medications like Medrol (methylprednisolone) dosepak can reduce inflammation. Physical therapy can help. If it has been present for more than 3 weeks, see a Doctor. An MRI might be the next step. ...Read more
I'm experiencing excruciating chronic sciatic nerve pain due to a pinched sciatic nerve caused by a herniated disc. Are there any non narcotic prescription meds that would be effective with this pain?
Natural pain methods: Some things that help for irritated nerve pain naturally are: Magnesium malate or glycinate 1000 mg- This is a natural muscle relaxer. Work your way up to 1000 mg. If loose stool, reduce dosing. Omega fish oil- I like combinations of omega 3 and omega 7 for their anti-inflammatory effects. Up to 5000 mg. Vitamin D- If levels are low, can help with back pain. Good Luck ...Read moreSee 2 more doctor answers
Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem i see is practitioners titrating to a high enough dose to get a reduction in pain. ...Read more
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