when all the usual treatment options have failed

Curious to know what you tell your patients when all the usual treatment options have failed? Especially the outside of the box, alternative options, perhaps not necessarily with strong evidence support? By usual treatments, I am thinking: 1) Non-opioid meds: Tylenol, NSAIDs, muscle relaxers, anti-depressants (e.g. duloxetine), anti-neuropathic meds (e.g. gabapentin) 2) Tramadol 3) PT, exercise 4) chiropractic 5) acupuncture 6) injections, RFA 7) surgery And then maybe take it one step... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums