Title: Recommendations

Context:
While there is currently no evidence in the literature documenting the benefit of LOT that demonstrates  improvement in pain and function, we recognize that in a rare subset of individuals a decision to initiate  LOT may be considered (e.g., for intermittent severe exacerbations of chronic painful conditions). If a  decision is made to initiate LOT, a careful assessment of benefits and risks should be made to ensure that  the benefits are expected to outweigh the well-documented risks. In addition, prior to this consideration, a  multimodal treatment plan should be integrated into the patient’s care. Once opioid therapy is initiated,  all opioid risk mitigation strategies outlined in this guideline (see Recommendation 7) should be put into  place.

Question: What kind of treatment plan should be integrated into the patient’s care prrior to considering LOT?

Answer: multimodal