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Medication Management

Pain Solutions -  - Pain Management Physician

Pain Solutions


Medication is an important part of many pain management plans. At Pain Solutions, board-certified physicians James Mirazita, MD, and PK Suchdev, MD, provide medication management services at three locations in Nashua, Gilford, and Concord, New Hampshire. Call your nearest office or book an appointment online today to find out if medication management is the right solution for resolving your pain.

Medication Management Q & A

What is medication management?

The team at Pain Solutions takes a multidisciplinary approach to pain management that may include various medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and opioids. They work with you to make sure you use the most appropriate medications in a safe and effective manner. 

What medications treat chronic pain?

Depending on your situation, the team at Pain Solutions may use one or more of the following medications to help relieve your pain:


NSAIDs are pain relievers that also reduce inflammation. There are many types of prescription and over-the-counter NSAIDs, including ibuprofen, aspirin, and naproxen. 


Corticosteroids are powerful anti-inflammatories that fight pain and reduce swelling. You may take steroids orally or receive an injection. Steroids can cause a range of side effects, including weight gain and a weakened immune system.

Muscle relaxers

Muscle relaxers help relieve muscle tension and painful spasms. Muscle relaxers are better for treating short-term pain rather than chronic pain. Side effects may include drowsiness, dizziness, and headache. 


Also called narcotics, opioid pain relievers contain natural or synthetic opiates. These powerful painkillers alter your brain’s perception of pain. 

However, opioids are highly addictive and can be dangerous if taken for too long. Your Pain Solutions physician closely monitors the use of opioid medications. They only prescribe opioids if NSAIDs or steroids don’t provide sufficient pain relief. 


Antidepressants offer relief from more than just a low mood. They help control pain by acting on neurotransmitters, which are the chemical messengers in your brain. Antidepressants may effectively relieve pain associated with fibromyalgia, neuropathy, or chronic neck and low back pain. 

What does medication management for pain relief entail?

First, your Pain Solutions physician performs a thorough evaluation, including a physical exam and review of your medical history. They may also take diagnostic tests to determine the cause of your pain. 

If they think medication may help relieve your pain, the Pain Solutions team develops a medication management strategy. They recommend the safest and most effective type of medication for your specific needs. 

They may recommend medication management along with other treatments, such as physical therapy or acupuncture. 

To find out if medication management is right for you, call Pain Solutions or book an appointment online today.