Medication management

Your physician has a wide selection of medications to choose from which to manage a patient's symptoms including anti-inflammatory, neuropathic and narcotic medications. Anti-inflammatory medications might be used if a patient has pain from an inflammatory source such as an acute herniated disc. Such medications include over the counter medications such as ibuprofen to more recent prescription medications such as cox-2 inhibitors like celecoxib. Neuropathic medications might be used if a patient has more of a nerve-mediated pain such as that from a radiculopathy (sometimes called sciatica). Such medications may include gabapentin and amitriptyline, among others. Narcotic medications may be considered if a patient fails other medications and has a debilitating chronic pain syndrome. Patients who are to be considered for narcotic therapy must undergo psychological screening for depression (or other mood disorders) since narcotic therapy may contribute to worsening of symptoms. Your physician will determine what medications are appropriate and will discuss that with each patient.

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