By vgreene, 3 March, 2020 Tramadol recommended only short term if acute rescue tx needed in pt who failed initial tx or if initial tx contraindicated 1 5
By vgreene, 3 March, 2020 Neuropathic meds amitriptyline duloxetine gabapentin or pregabalin rec d as initial tx by NICE 5 but insufficient evidence per ACP 1 VA 2 nbsp nbsp Carefully evaluate pts for drug abuse hx before prescribing pregabalin or gabapentin watch for signs of abu
By vgreene, 3 March, 2020 Epidural steroid may provide short term pain relief in sciatica 2 4 but rec d against for claudication 4