Medication Management
Comprehensive, guideline-based management of pain medications, coordinated with your procedures, therapy, and other care.
Our approach
Medications can be an important part of managing chronic pain, especially when combined with procedures, physical therapy, and healthy activity.
Our goal is to use the safest, most effective combination for you, at the lowest dose that helps, and to keep reviewing it as your needs change. We follow federal and state guidelines, including the CDC’s 2022 clinical practice guideline on pain treatment.1
- Function firstWe focus on what matters to you, like walking, working, sleeping, and enjoying family time.
- Many optionsMost plans use non-opioid medicines and non-medication treatments first.1
- Coordinated careMedicines are planned alongside your procedures and therapy, not in isolation.
- Regular reviewWe check benefits and side effects at every visit and adjust as needed.
- PersonalizedPharmacogenetic testing can help guide choices when appropriate.
- Safety built inMonitoring and screening help keep your treatment safe over the long term.
Medication options
Including oral and topical options for arthritis and inflammation
Medicines that calm overactive nerves, used for sciatica, neuropathy, and other nerve pain
For short-term relief of muscle spasm
Some antidepressants reduce chronic pain at doses that also help sleep and mood
Creams, gels, and patches that act where you apply them
Prescribed only when benefits outweigh risks, with careful monitoring
Laboratory and toxicology testing
Baseline blood work
Before starting or adjusting some medicines, blood tests check kidney and liver function and other markers, so medicines and doses can be chosen safely.
Toxicology testing
For patients on long-term controlled medications, periodic urine drug testing is a routine safety step recommended by the CDC. It confirms medicines are being processed as expected and helps detect harmful combinations.1
Behavioral health and risk screening
Chronic pain affects sleep, mood, and stress, and those in turn affect pain. We use short, validated questionnaires to check for depression, anxiety, and substance use risk before and during long-term medication therapy. When needed, we help coordinate behavioral health care, which can improve both pain and quality of life.1
- Prescription monitoringWe check Arkansas’s prescription monitoring program, as state law requires and the CDC recommends.1
- Overdose preventionWhen risk is higher, we offer naloxone and teach you and your family how to use it.1
- Support when you need itIf medication use ever becomes a concern, we offer judgment-free medication-assisted treatment.
Common questions
I already take a controlled pain medicine. Can you manage it?
We’ll review your history, records, and current treatment at your first visit. Controlled medicines are one of many tools, used only when the expected benefits outweigh the risks, and we’ll work with you on the safest, most effective plan.1
Why do I need drug testing?
It is a routine safety measure for anyone on long-term controlled medications, not an accusation. It helps us spot medicine interactions and make sure your treatment is working as intended.1
Can I transfer my current pain medications to you?
Please see our transferring care page. We’ll need your records and a referral, and we’ll review your treatment at your first visit.
Do you work with my other doctors?
Yes. We coordinate with your primary care provider and other specialists so your medications work safely together.
Talk with us about your pain medications
Our clinicians will review your history, current medications, and goals to build a safe, effective plan with you.
New pain management patients need a referral. Your provider can fax it to 870-706-2428.
Medication safety
All medications have possible side effects. Combining certain medicines, especially opioids with alcohol, benzodiazepines, or sleep medicines, raises the risk of dangerous side effects. Always tell us about every medication and supplement you take, and never change doses on your own.
Sources
- Dowell D, et al. CDC clinical practice guideline for prescribing opioids for pain, United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1