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  • Education, explanation, reassurance, general advice (activity pattern, awareness, mindfulness to avoid inactivity and painful flare ups)
  • Advice on regular exercising, stretching (e.g. non-impact exercising, such as swimming, cycling, walking, Back classes, Pilates, Yoga) and referral to physiotherapy
  • Medication recommendations (Paracetamol, Anti-inflammatories, weak and strong opioids, Anti-neuropathic medications such as antidepressants and antiepileptics, topical treatments such as numbing patches)
  • Injections (for back and neck pain, arm and leg pain, localised pain on chest and abdominal wall, occipital headache) Info under: http://www.painspa.co.uk/procedures/all-procedures.html
  • Complimentary treatments (TENS, referral for acupuncture, advice about chiropracters, osteopaths)
  • Referral for counselling, Talking therapy (1:1 or in groups, referral to psychologist, psychiatrist)
  • Referral to other specialists if required (orthopaedic, general surgeons, neurosurgeons, neurologist, psychiatrist, rheumatologist)
  • Referral to the pain management programme (In-patient course for 4 weeks or out-patient course for 6-8 weeks one day per week for 3-6 hours)
  • Follow up appointments or re-referral if needed

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