<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am away from my current home having heavy pain in my right hip and leg. I don t want to go to the ER and I live in Kansas City but I am in Denver with relatives. I have surmised that it is sciatica. I applied heat and it didn t help. I think I need an anti inflammatory drug. I take tramadol regularly but it is not cutting it. What is an OC anti inflamatory? I am a female, 68yurs old and weigh 136.  <response>: Hi, Im afraid you are having an acute sciatica pain episode. And yes, Tramadol alone cant help you. As you cannot go to the ER, then, I advise to:- apply an analgesic cream on your lower back and on right hip and leg joints-take over the counter Paracetamol alternating with Ibuprofen or Fetoprotein- some sciatic exercise can help you a lot to manage the pain- I think heat wont help but make inflammation worse, should apply cold compresses or Glucosamine packs ask at your local Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. 