Pain Management: This is usually utilized for patients in very severe pain, or for patients who have failed to improve with PT and / or chiropractic. Pain management might include medications, or various spinal injections. Sometimes these injections are meant to help your pain (therapeutic)l like an epidural steroid injection; other times the injections are diagnostic, meaning a numbing medicine in injected in a certain area to help us determine the such of your pain. Occasionally the injections do both. Sometimes a trial of spinal cord stimulation is performed, but usually as a last resort.