Pain Treatment Continuum for Back and Neck Pain : Back and Neck Pain

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Pain Relief : Back and Neck Pain

Last Updated: Oct 6, 2009 - 12:07:30 PM

Pain Treatment Continuum for Back and Neck Pain
By painfoundation
Mar 1, 2009 - 10:15:00 AM

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An example of a pain treatment continuum that starts with least invasive to more invasive therapies. Physicians should use a treatment continuum unless a patient needs emergency surgery.

Minimal rest then exercise
Over-the-counter pain relievers
Non-steroidal anti-inflammatory drugs
Relaxation and biofeedback
Physical therapy
One week of opioid therapy
Membrane stabilization
Epidurals, facet joint blocks, etc.
Mini-invasive therapies: IDET, nucleoplasty, annuloplasty, etc.
Surgery, if warranted
Opioids
Spinal cord stimulation
Intrathecal therapies

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