Surgery :
- Surgery doesn’t always fix chronic pain
- There is a lot of good scientific evidence about when surgery helps and when it doesn’t.
- Even when it might help, your doctor and surgeon will need to balance the benefits of surgery against the risks, and whether there are better options for you.
- Some things increase the risks of surgery, such as smoking, being obese, or having heart and lung disease.
Injections: 
- Injections can help some people with some conditions manage their pain.
- Your doctor can let you know whether an injection is likely to help your condition based on your condition, your symptoms, and your physical exam.
- If your doctor thinks an injection might be helpful, ask if there are any side effects, if it is likely to need to be repeated, and if so, how often.
Other interventions
- Nerve block
- Trigger point injections
- Botulinum toxin injections (“botox”)
- Epidural steroid injections
- Cryotherapy or ablative techniques (to freeze or destroy tissue)