Background and Purpose. One-time physical therapist consultation

Pharmacological (medication): Medication can play an important role in the management of chronic pain. If you are currently taking opioid containing medications, do not feel guilty. At some point in the past a medical professional thought that this type of medication might be the best way to manage your pain. Long-term opioid use however has significant negative effects on your overall health and function, and in some instances can cause or make pain worse – we call this opioid induced hypersensitivity. We would support you weaning off opioid medication or reducing the dose. Some medications acting as a neuromodulator can be helpful to manage certain types of chronic neuropathic pain. For example, Amitriptyline taken at a low dose at night time can reduce nerve sensitivity type pain and improve sleep.