Medicine management

Medications are well accepted in the long-term treatment of spinal pain. Simple painkillers such as paracetamol and ibuprofen can be effective for many people, especially when used together with other physical and self-help strategies. Combination with weak opioids such as tramadol can improve pain relief.

Analgesics are also used to relieve pain while other treatments such as injections or surgery are planned. For example, if pain is more severe or difficult to control, strong opioids such as morphine are sometimes required, either alone or in combination with other medications.

Alternative analgesics such as gabapentin and pregabalin can be used for treating nerve (or neuropathic) pain. Other medicines can improve sleep or mood.

However, side-effects can be troublesome in the short-term and interfere with proper medication trials. There is increasing awareness of the potential long-term effects of strong opioids, as well as interactions between medications.

We offer timely, expert advice and supervision to optimise your individual medication plan. Our Pain Consultants have considerable clinical and research experience with analgesics and related drugs.  We are particularly aware of the benefits of working closely with your GP and pharmacist.