Pain (chronic)
- Set functional goals + treat pain mechanism
- Exercise/rehab + behavioral approaches are foundational
- Nonopioid medication chosen by phenotype
- Neuropathic pain: SNRI/gabapentinoid/TCA options
- Opioids only when sustained benefit exceeds harm
- Avoid passive medication escalation without reassessment
Use at a glance
- Set functional goals + treat pain mechanism
Practical pearls
- Exercise/rehab + behavioral approaches are foundational
Choosing treatment
- Nonopioid medication chosen by phenotype
- Neuropathic pain: SNRI/gabapentinoid/TCA options
Treatment selection
- Opioids only when sustained benefit exceeds harm
Monitoring / follow-up
- Avoid passive medication escalation without reassessment
Self-check
- What should be avoided when escalating chronic-pain medication?
Passive escalation without reassessment. - When are opioids used for chronic pain?
Only when sustained benefit exceeds harm.
Drugs used for this (13)
All clinical uses · Open Pain (chronic) in the interactive console ↗