Second-line medications | Total daily dose and dose regimen |
Capsaicin 8% patches | 1–4 patches to painful area for 30–60 min q 3 months |
Lidocaine patches | 1–3 patches to painful region 1×/day for up to 12 hours and then off for 12 hours |
Tramadol | 50–400 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.