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The World Federation of Biological Psychiatry recommends pregabalin as one of several first line agents for the treatment of generalized anxiety disorder, but recommends other agents such as those of selective serotonin reuptake inhibitor (SSRI) class as first line treatment for obsessive–compulsive disorder (OCD) and post-traumatic stress ...
When the cause of sciatica is lumbar disc herniation (90% of cases), [4] most cases resolve spontaneously over weeks to months. [47] Initially treatment in the first 6–8 weeks should be conservative. [4] More than 75% of sciatica cases are managed without surgery. [14] Smokers with sciatica are strongly urged to quit in order to promote ...
Gabapentin is recommended as a first-line treatment for chronic neuropathic pain by various medical authorities. [10] [11] [31] [32] This is a general recommendation applicable to all neuropathic pain syndromes except for trigeminal neuralgia, where it may be used as a second- or third-line agent. [11] [32]
Another treatment option that can be used in conjunction with, or in place of, other treatments: over-the-counter sciatica creams. “Topical medications tend to be very safe,” says Dr. Moor.
Injections are also a first-line therapy. [7] Local anesthetics, corticosteroids, and Botulinum toxin (botox) are frequently used in conditions like piriformis syndrome. [21] Ultrasound-guidance is a popular choice for injections, [5] but injections can also be done under CT or MRI-guidance.
Acupuncture is used worldwide as a treatment for sciatica, often successfully, as documented in a meta-analysis published in Frontiers in Neuroscience in 2023. The new trial is an effort to ...
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