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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes severe sciatica pain despite taking Tramadol?

I have been diagnosed with sciatica. The source, I think is the piriformis muscle. My dr. prescribed prednisone for 5 days which I have taken and he prescribed Tramadol (1-50 mg. tablet every 4-6 hrs. For pain. I have been trying to walk and do the exercises suggested for sciatica, but the pain is so severe I can t do much of either. The Tramadol hasn t relieved the pain at all. Should I ask my dr. for a stronger or different kind of medication that will address nerve pain? Please advise. Thanks, Jane
Mon, 2 Dec 2019
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General Surgeon 's  Response

You could try Gabapentin or Amitryptiline, as these types of medicine typically work for nerve pain.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Dr Anders Mark Christensen, General Surgeon
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