• Treatment goals may varies: alleviate pain, improve function, improve life quality, patient-defined

Pharmacological

• Analgesic with diverse targets

  

• Targeted to the type of pain (Nociceptive Pain vs Neuropathic Pain)

• Be cautious with prescribing Opioid (Narcotics)

Procedural (different blocks)

• Local/Regional Anesthesia
  • Selective nerve root block
  • Spinal injection (epidural, facet joints)

Lumbar transforminal epidural steroid injection L5/S1

• Peripheral nerve injections
• Sympathetic blocks (stellate ganglion block)
• Surgical treatment
• Hematoma block

Psychological

• CBT
• MBSR: Mindfulness Based Stress Reduction
• ACT - Acceptance and Commitment Therapy

Physical

• PT: improve ROM, stretching, strengthening
• OT
• Chiropractic