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There are a number of ways to treat acute pain and chronic pain. A physician may recommend lifestyle improvements such as exercise, quitting smoking, stress management, reduced intake of alcohol, weight loss or diet. Other categories of interventions in pain management:
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Medication. The many classes of drugs used to address pain include:
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Analgesics (painkillers), including non-narcotics such as acetaminophen and opioids such as morphine
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Anti-inflammatory drugs, including nonsteroidal anti-inflammatory drugs (NSAIDs, such as aspirin, ibuprofen, naproxen and COX-2 inhibitors) and corticosteroids
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Disease-modifying antirheumatic drugs (DMARDs), to reduce joint damage caused by conditions such as rheumatoid arthritis and lupus
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Antidepressants, sometimes prescribed for certain types of chronic pain
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Anesthetics and interventional injections, which includes nerve blocks, epidural steroid injections and facet joint injections
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Therapy. Several health professions offer interventions to help deal with pain, including:
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Physical therapy, to increase strength, range of motion, coordination and balance
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Occupational therapy, to maximize function in daily activities such as dressing and cooking
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Manipulation therapy (e.g., chiropractic, massage therapy), to improve bodily movements
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Cognitive behavioral therapy, to help patients replace negative thought patterns with positive ones
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Modalities (physical agents). Examples of modalities that can relieve pain and increase function include:
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Thermotherapy (heat), such as ultrasound therapy
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Cryotherapy (cold)
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Hydrotherapy (water)
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Electrical therapy, such as TENS
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Complementary and alternative methods. It is best to consult a physician before trying treatments such as:
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Acupuncture, a Chinese practice inserting needles into trigger points
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Acupressure, a needle-free variation on acupuncture
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Biofeedback, which trains the mind to control bodily functions
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Glucosamine and chondroitin, supplements that might help some cases of arthritic pain
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Surgery. If noninvasive measures are inappropriate (such as with appendicitis) or do not succeed, an operation may be necessary. Types include:
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- Arthroscopy, involving small incisions
- Arthroplasty, such as a joint replacement
- Carpal tunnel release
- Spine surgery, such as laminectomy, fusion, vertebroplasty and kyphoplasty
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