For Veterans/Public - Medical Treatments - VHA Pain Management
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VHA Pain Management

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For Veterans/Public - Medical Treatments

 For Veterans/Public - Medical Treatments

This section provides information and on "Medical Treatments," for Veterans/Public.

Medical Treatments may include:

Medication Options:
Medications available for treating pain vary greatly. Each medication has its risks and benefits, so it is important to have open and honest conversations with your provider to determine the options that will work best for you.

   • Acetaminophen - can be effective for mild to moderate pain.
   • NSAIDs - such as aspirin, ibuprofen, and naproxen can provide significant pain relief
   • Anticonvulsants - are medications originally developed to treat seizures, but they are also commonly used to treat different pain syndromes.
   • Antidepressants - are commonly used in various chronic pain conditions.
   • Musculoskeletal agents - commonly used for pain treatment include baclofen, tizanidine, and cyclobenzaprine.
   • Antianxiety medications - are often prescribed to treat the anxiety that accompanies acute pain as well as anxiety resulting from fluctuations in chronic pain.
   • Opioids - are a controlled substance group of broad-spectrum analgesics that provide pain relief for a variety of conditions.

Medical Procedures:
Interventional approaches such as an ultrasound can be noninvasive and can help identify the source of pain, which in turn can help your doctor decide on the best treatment for you. Interventional approaches can also be procedures such as nerve blocks, which stop the pain signal, or steroid injections, which reduce inflammation and swelling.

   • Epidural steroid injections (ESIs)
   • Facet joint nerve block and denervation injection
   • Cryoneuroablation (also known as cryoneurolysis and cryoanalgesia)
   • Radiofrequency ablation.
   • Peripheral nerve injections
   • Sympathetic nerve blocks (SNBs)
   • Neuromodulation
   • Intrathecal Medication Pumps
   • Vertebral augmentation
   • Trigger points
   • Joint Injections
   • Interspinous Process Spacer Devices
   • Regenerative/adult autologous stem cell therapy

Interventional procedures:
Injections or blocks
  •Epidural injections
  •Facet blocks
  •Hyaluronic acid injections
  •Joint injections
  •Medial branch blocks
  •OnabotulinumtoxinA injections
  •Platelet-rich plasma injections
  •Peripheral nerve blocks
  •Sympathetic nerve blocks
  •Trigger point injections

Neurolysis procedures
  •Chemical neurolysis
  •Cryoneurolysis or cryoablation
  •Radiofrequency ablation or lesioning

Implanted neuromodulation devices
  •Dorsal root ganglion stimulation
  •Intrathecal pain pump
  •Peripheral nerve and field stimulation
  •Spinal cord stimulation

External neuromodulation and stimulation devices
  •Deep oscillation therapy
  •High-frequency impulse therapy
  •H-WAVE
  •Infrared light therapy
  •Interferential current stimulation
  •Laser therapy
  •Neuromuscular electrical stimulation
  •Percutaneous electrical nerve stimulation
  •Pulsed electromagnetic field therapy
  •Scrambler therapy
  •Transcutaneous electrical nerve stimulation
  •Ultrasound therapy
  •Vagus nerve stimulation

 Resources - Medical Treatments

Title and Link Source Description
VA/DOD OT CPG Patient Summary (pdf) VA/DoD Clinical Practice Guidelines Clinical Practice guidelines based on the latest information.
Opioid Safety  Department of Veterans Affairs Link to patient and family education about opioid safety. 
VA Substance Use Disorder (SUD) Program Locator Department of Veterans Affairs The program locator will help you find local VA Substance Use Disorder (SUD) Treatment Programs.

Veterans/Public Pain Management - Resource Topics

chronicpain self management medical treatments Complementary Treatments faqs

Literature Alerts for VA Staff

The VA Library Network will provide VA staff an index of recent articles related to opioids and many other areas of interest right to your work mailbox. If you are interested in subscribing to this alert click here.

If you have questions or suggestions for pain-related resources, please send an email to VHA Pain Management Webmaster Group. Questions about personal care should be directed to the local VA facility.

Disclaimer: *Links will take you outside of the Department of Veterans Affairs Website. VA does not endorse and is not responsible for the content of the linked websites.