Chronic pain management can be divided into two main categories, non-invasive pain management and invasive procedures.
Non-invasive pain management is defined as therapeutic activity that does not require use of needles or the insertion of catheters or devices. These include,
Exercise, physiotherapy, Cognitive and behavioural therapy
Analgesics: paracetamol, Non-steroidal anti-inflammatory drugs (NSAID), opioids Adjuncts
Invasive procedures include nerve blocks, injections, ablative procedures, implants, and neuromodulation.Nerve blocks: procedures designed to temporarily interrupt nervous system activity, usually with local anaesthetics. It can be,
Injections: needle techniques intended to reduce pain in muscle, tendons, and joints or to reduce inflammation around nerves or neuraxis e.g. trigger point injections, joint injections, acupuncture, epidural steroids.
Ablative procedures: invasive procedures that permanently interrupt nervous system activity.