10 doctors weighed in:

What is the best way to treat lower back pain from sciatica due to a tumor in the lumbar area? On tarceva (erlotinib) for the cancer but how to stop the pain?

10 doctors weighed in
Dr. Steven Ginsberg
Internal Medicine - Hematology & Oncology
4 doctors agree

In brief: Get doctor advice

If your pain is due to metastatic cancer to the lumbar spine, radiation therapy should probably be administered.
A combination of pain medications is often effective, and should include a narcotic analgesic and a non-steriodal anti-infllammatory agent. If the pain is radiating down your buttock and leg, addition of a medication for neuropathic pain could also be added. Please see your oncologist.

In brief: Get doctor advice

If your pain is due to metastatic cancer to the lumbar spine, radiation therapy should probably be administered.
A combination of pain medications is often effective, and should include a narcotic analgesic and a non-steriodal anti-infllammatory agent. If the pain is radiating down your buttock and leg, addition of a medication for neuropathic pain could also be added. Please see your oncologist.
Dr. Steven Ginsberg
Dr. Steven Ginsberg
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1 comment
Dr. Steven Ginsberg
I would start with oxycodone and ibuprofen (dose of ibuprofen is 600 mg 4 times a day if not contraindicated). Again, best of luck.
Dr. Qamar Khan
Pain Management
3 doctors agree

In brief: Ask your Doctor

If epidural steroid injection is OK to do.
Sometimes it is sometimes its too risky. Depends on your situation.

In brief: Ask your Doctor

If epidural steroid injection is OK to do.
Sometimes it is sometimes its too risky. Depends on your situation.
Dr. Qamar Khan
Dr. Qamar Khan
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Dr. Colin Kerr
Family Medicine
2 doctors agree

In brief: Cancer pain

Treatment in this context is much more difficult than usual sciatica.
The best option is to consult with a pain medicine specialist who can guide you through the options of cortisone injections, nerve blocks, radiation, acupuncture, biofeedback, meditation, or long-acting narcotic medications.

In brief: Cancer pain

Treatment in this context is much more difficult than usual sciatica.
The best option is to consult with a pain medicine specialist who can guide you through the options of cortisone injections, nerve blocks, radiation, acupuncture, biofeedback, meditation, or long-acting narcotic medications.
Dr. Colin Kerr
Dr. Colin Kerr
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