Being a med student in Honduras has given me an amazing opportunity to interact with patients dealing with many kinds of pains associated with orthopedic aetheologies. I am extremely curious as to how to manage chronic pain on patients with degenerative ostheoarthritis especially when it affects different levels on the vertebral column. Post quirurgic patients still present pain even after including physical therapy on their treatment options. What is the basic pharmacologic approach in these cases?
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