Second-line medicationsTotal daily dose and dose regimen
Capsaicin 8% patches1–4 patches to painful area for 30–60 min q 3 months
Lidocaine patches1–3 patches to painful region 1×/day for up to 12 hours and then off for 12 hours
Tramadol50–400 mg 2–3×/day
  • *There are many elite athletes who are teenagers and young adults, and an expert in managing this population should be consulted before beginning anticonvulsants or antidepressants for pain management.