Non-surgical modalities of treatment can be useful at times either alone or in combination with surgery.

Counselling

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Sensible advice

Avoiding aggravating or perpetuating factors, e.g. excessive workouts in the gym.
Carrying heavy items, e.g. shopping
Improve posture, e.g. in front of computer screen.
Lifestyle & occupational adjustments e.g. driving position

Medications

Simple painkillers e.g. paracetamol
Stronger painkillers e.g. tramadol
Neuropathic drugs like amitriptyline, gabapentin/ pregabalin
Sedatives and muscle relaxants

Physical therapy

See section on Physical & Occupational therapy LINK HERE