Pain Management

Nonpharmacologic therapies should be considered first-line options for chronic pain.

These may be used alone or combination with each other, medication treatments, surgeries or other procedures.

Their benefits in addition to pain control include:

The CDC recommends the following nonpharmacologic therapies as doing less risk to patients than opioids while, in some instances, results in better outcomes, include:

Among key findings from a CDC literature review were that exercise therapy

Interventions for Chronic Pain: 

Study Outcomes and Recommendations 


Peripheral Neuropathy and Musculoskeletal pain

Manual or manipulative  therapy

Lower extremity Osteoarthritis

Massage therapy

All pain populations

Pain-coping skills training

Osteoarthritis, Rheumatoid Arthritis




Tai Chi


Weimer, M. B., MCR, FASAM. (2019). Nonpharmacologic, Nonopioid, and Opioid Treatment Options in Chronic Pain Therapy. 2019 New Jersey Medical Licensure Program,2-21.