Medical management of symptoms
| Symptom | Treatment | Notes |
|---|---|---|
| NSAIDs, non-steroidal anti-inflammatory drugs. | ||
| Pain | Amitriptyline | Can be very effective for pain which does not respond to analgesics. Drowsy side effect can help with sleep problems (see below) |
| Poor sleep with pain | Amitriptyline | Although most young people tolerate 20–30 mg once a day easily, some need to start at 5 mg and work upwards. If they do not have benefit after a six week trial at 30 mg once a day then stop treatment |
| Difficulty getting off to sleep | Melatonin | Not so helpful if the problem is a restless night, but can help if it is difficulty getting off to sleep. Adult practitioners suggest that the effect wears off if it is used every night and suggest using it on alternate nights |
| Pain | NSAIDs | Reported to be helpful by adult practitioners for pain |