There are quite a number of things that have been shown to be very useful. Again, chronic pain is more of the concern that I have as opposed to acute pain, where you can get a drug for a short period. And there are things like cognitive behavioural therapy, for example. There's very good evidence that it's effective either on its own or in conjunction with lower dose medication or shorter duration medication, and physiotherapy, things like that, or occupational therapy.
In our clinic we get patients from parts of the province where the local physician has no choice because he doesn't have those modalities available and he has a patient in pain. He has no option but to prescribe a reasonably potent analgesic, very often an opioid. Other things are coming on the market and out into the public now that are just being tested, but the availability is often a problem, particularly in remote areas.