At Spine & Pain Associates, pain medications are sometimes utilized as one component of a balanced, comprehensive plan for pain management. On an initial visit, your doctor will review your history, perform a physical exam, review imaging if available, and come up with a plan tailored uniquely for you.In addition, we will evaluate your list of medications during the initial visit and provide our recommendation to you and your primary doctor about continuing opioid therapy. We may recommend another course of treatment that does not include opioids. We do not always write a prescription for opioids, so please do not arrive with the expectation that we will automatically refill your prescription. If we opt to prescribe opioids as part of your care plan, we may adjust the medication to a more appropriate dose, a better dosing schedule, or a better medication.