Since your current medications (including Tramadol and Neugaba) aren't providing relief, you need a medical re-evaluation, possibly with an MRI to check for nerve compression. Better treatment options to discuss with your doctor include: 1. Medication Adjustments: Switching Neugaba to other nerve pain medications like Duloxetine, or adding short-term anti-inflammatories (NSAIDs) if medically safe. 2. Physical Therapy: Targeted physiotherapy is highly effective for relieving sciatic nerve pressure. 3. Epidural Steroid Injections: These can provide powerful, targeted pain relief directly at the affected nerve root. 4. Specialist Consult: A consultation with a spine specialist or orthopedician is recommended to explore surgical options if conservative treatments fail.