如何治疗坐骨神经配图,仅供参考
Pharmacological therapyMedical therapies include medications such as non-steroidal anti-inflammatory drugs (NSAIDs),muscle relaxant medications,and neuropathic pain medication such as gabapentin,pregabalin or duloxetine. Try several NSAIDs in succession to find one that is most effective and tolerable for the patient. Cyclobenzaprine and tizanidine are reasonable options as muscle relaxants. The membrane-stabilizing drugs such as gabapentin and pregabalin are useful for neuropathic sciatic pain. Narcotic analgesics remain an option to control peaks of high intensity pain,but they are not recommended as chronic therapy. A narcotic analgesic (such as tramadol) should be avoided in cases of chronic pain as they tend to become less effective over time due to tolerance and may result in paradoxical “wind up” of pain symptoms or so-called opioid hypersensitivity. Narcotics taken over the long term induce a state of enhanced perception of pain called”opioid-induced hyperalgesia.” This is because narcotics aggravate the “central sensitization” in the brain and spinal cord.","department":"