Chronic pain is complex, and best managed with a multifaceted approach. Effective treatment often includes a combination of education, psychological support, safe physical activity, physiotherapy, medication review or prescription, and broader lifestyle strategies — including social support and sleep or stress management.
Medications are just one part of this process, and their use must be carefully considered. Many chronic pain sufferers are more vulnerable to side effects, and the risk of dependence — particularly on opioids — is well recognised.
At GC Sports Medicine, we aim to avoid unnecessary or prolonged opioid use. When medications are prescribed, they are selected thoughtfully, introduced cautiously, and monitored closely. Our goal is to ensure pain medication is used rationally, ethically, safely, and effectively — always in the context of a broader pain management plan tailored to the individual.
ASSESSMENT
Prior to medication prescription, our doctors will conduct a thorough injury assessment and a medication safety risk factor assessment will be performed to detect and/or address any contraindications (medical conditions, mental health/ psychiatric concerns, previous issues etc.
CONSENT
Once a medication is considered appropriate, we provide a clear explanation of its role within the broader treatment plan. We discuss potential benefits, risks, and alternative options to ensure informed consent and shared decision-making.
PRESCRIPTION
Medications are prescribed with care, aiming to address specific pain mechanisms while minimising side effects and addiction risk. We prioritise lower-risk treatments where possible and aim to reduce harm when managing patients with pre-existing opioid use or dependency. Medication is only one part of a broader plan, which may include physical rehabilitation, psychological support, social factors, and lifestyle changes.
MONITORING
Patients on chronic pain medications require regular review. This ensures their goals remain front of mind, medications remain appropriate, and use is safe. Adjustments are made where needed, always aiming to balance symptom relief with quality of life and functional improvement.