Norsk
Norwegian Physical and Rehabilitation Medicine Association

Avoid prescribing pharmacological treatment for chronic musculoskeletal pain unless conservative measures have been attempted

22. JULI 2025

Rationale:

Most patients with chronic pain that is not caused by cancer or active inflammation should not receive continuous pain medication. Counseling and education about the pain condition are often sufficient, including guidance on exercise and pain management.

When considering pharmacological treatment, the benefits must be weighed against side effects, the risk of addiction, and the potential for medication-induced worsening of pain. 

References: 

  • https://helsedirektoratet.no/retningslinjer/opioider
  • Bruno et al: Effectiveness of non-steroid anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis; a network meta-analysis. The Lancet volume 390, issue 10090, 8-14 july 2017, pages e21-e33