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NSAIPs. They work best when «n    regular

rather than a pm basis and aro nmssociated addiction problems. NSAlDs on a regular basis for a period of 24 maks and then gradually tapered.

Narcotics are reserved for patients with sl pain and should not be used for morę days.

The commonly used mus de relaxants are methocarbamof, and cyc lobcthe effective dose should be used initially. I offects include sedation, depression, and addii Tricyclic antideoressants. in Iow doses, have bet used effecti vely for a long time In    painful

conditions. They act by inhibiting pain transmissio and also may reduce nighltime Amitriptylinc and nortriptyline, in smali doses. are the most common tricyclic antiused for chronię painful conditions.    /

^Botulinum toxin is used bolh as a single and in conjunction with arthrocentesis. No controlled studies exist of the use ot inTMO.