Chronic Pain Research Updates: New Treatments on the Horizon

- The FDA approved Journavx (suzetrigine) in January 2025—the first new pain medication class in over 20 years, offering opioid-level relief without addiction risk
- Advanced closed-loop neuromodulation devices now automatically adjust to your body, eliminating uncomfortable side effects while providing better pain control
- At least 5-7 breakthrough treatments await FDA approval between 2025-2028, including new options for fibromyalgia, chronic back pain, and neuropathic pain
- Virtual reality therapy and AI-powered apps bring evidence-based pain management directly to your home, with Medicare now covering some digital therapeutics
- A Solace chronic pain advocate helps you understand which new treatments might work for you, navigate insurance coverage, and coordinate with specialists about emerging options
For over two decades, people living with chronic pain faced the same limited treatment options. Medications offered modest relief at best—typically reducing pain by just 30% while bringing significant side effects. The opioid crisis made doctors hesitant to prescribe effective pain medications, leaving many patients cycling through treatments that barely worked.
That changed on January 30, 2025, when the FDA approved Journavx, the first new pain drug class since 1999. This approval signals the start of a pain treatment revolution. At least 5-7 additional breakthrough therapies will reach patients by 2028, each targeting pain through fundamentally different mechanisms than anything currently available.
The 50 million American adults living with chronic pain now have reason for realistic hope. New treatments work by blocking pain signals at peripheral nerves before they reach the brain, automatically adjusting stimulation based on your body's real-time needs, repairing damaged tissue at the cellular level, and addressing the psychological dimensions of pain through immersive technology.
Some of these innovations sit on pharmacy shelves right now. Others await FDA decisions in the coming months. Still more progress through clinical trials with completion dates as near as 2026-2027. Understanding what's available today versus what's coming tomorrow helps you make informed decisions about your pain management.

The first new pain drug class in two decades
Journavx (suzetrigine) represents genuine innovation. Unlike opioids that flood the entire nervous system with pain-blocking chemicals, this medication selectively targets NaV1.8 sodium channels found only in peripheral pain-sensing neurons. It stops pain signals before they reach your brain.
Clinical trials compared Journavx directly to hydrocodone/acetaminophen (Vicodin) for post-surgical pain. The results proved striking: 83% of patients reported good to excellent pain relief, matching opioid effectiveness without any addiction potential. Because suzetrigine acts outside the central nervous system, it avoids the drowsiness, confusion, and respiratory depression that make opioids so dangerous.
The medication became available in late 2025 at $15.50 per 50mg tablet, taken every 12 hours. The NOPAIN Act now provides Medicare coverage for non-opioid pain medications, though only 38% of private insurance plans cover Journavx currently. Patient assistance programs exist for those facing access barriers.
Currently, doctors can prescribe Journavx only for moderate-to-severe acute pain following surgery or injury. This narrow approval stems from how the drug performed in trials. While the post-surgical studies showed excellent results, a December 2024 Phase 2 trial for chronic sciatica failed to demonstrate superiority over placebo.
This distinction matters greatly. Acute pain from surgery or injury differs fundamentally from the complex, persistent pain of chronic conditions. Your nervous system processes them differently. A medication that works brilliantly for three days of post-operative pain might not address the neurological changes that develop with years of chronic back pain.
Vertex Pharmaceuticals hasn't given up on chronic pain applications. The company initiated Phase 3 trials for diabetic peripheral neuropathy after receiving FDA Breakthrough Therapy designation. Results expected in 2026-2027 will determine whether suzetrigine helps the burning, tingling pain of nerve damage. Additional trials for other chronic pain conditions may follow depending on those outcomes.
Breakthrough neuromodulation devices
Neuromodulation technology has advanced dramatically beyond the spinal cord stimulators of a decade ago. The new generation of devices automatically optimizes therapy in real-time, eliminating the uncomfortable tingling sensations and overstimulation that plagued earlier systems.
The Medtronic Inceptiv system, FDA-approved in April 2024, continuously senses biological signals along your spinal cord and adjusts stimulation faster than a blink. This closed-loop technology means no more uncomfortable buzzing when you bend over to tie your shoes or laugh too hard. The system detects your body position and activity level, then instantly modifies stimulation to maintain consistent pain relief.
Abbott's spinal cord stimulation systems received expanded FDA approval for chronic back pain in patients who aren't surgical candidates. The landmark DISTINCT trial showed remarkable results: 72.6% of patients achieved significant pain reduction versus just 7.1% with conservative medical management alone. These battery-powered implants now last up to 10 years without recharging and offer full-body MRI compatibility—a crucial advance since many pain patients need imaging for other conditions.
Dorsal root ganglion stimulation provides unprecedented precision by targeting the sensory neuron cell bodies in the intervertebral foramen rather than the broad spinal cord. This anatomical specificity enables treatment of highly localized pain—chronic groin pain, phantom limb pain, complex foot pain—that proves difficult to address with traditional methods. Because body position doesn't affect stimulation stability, lead migration rates drop dramatically compared to conventional spinal cord stimulators.
For post-amputation pain specifically, the Altius Direct Electrical Nerve Stimulation system gained FDA approval in August 2024 as the first patient-controlled implantable device. The system wraps a cuff electrode around the target nerve in your amputated leg, delivering high-frequency electrical current that blocks pain signals on demand. Clinical trials demonstrated 30% pain reduction within 30 minutes and 50% reduction within two hours, with patients experiencing significantly fewer days of moderate-to-severe pain.
Peripheral nerve stimulation has evolved with wireless systems and ultrasound-guided percutaneous placement. The SPRINT system by SPR Therapeutics represents a paradigm shift: minimally invasive leads placed under ultrasound guidance deliver stimulation for 60 days, then get removed—yet benefits persist for months afterward. This temporary treatment approach costs $10,000-25,000, substantially less than permanent implants, while eliminating long-term device complications. Success rates reach approximately 65% for patients achieving greater than 50% pain reduction.
Who should consider these advanced options? Generally, candidates have tried conservative treatments—physical therapy, medications, injections—without adequate relief. Most insurance covers FDA-approved neuromodulation when medical necessity is documented. The trial periods for spinal cord stimulators allow you to assess effectiveness before committing to permanent implantation. Seek experienced implanters at comprehensive pain centers who perform high volumes of these procedures.

Treatments awaiting FDA approval (2025-2026)
Multiple breakthrough therapies stand poised to receive FDA approval within the next 1-3 years. The nearest decision point arrives August 15, 2025, when the FDA renders its verdict on TNX-102 SL (Tonmya) for fibromyalgia.
This sublingual cyclobenzaprine formulation, taken at bedtime, targets the non-restorative sleep that drives fibromyalgia symptoms. Two Phase 3 trials demonstrated statistically significant pain reduction sustained over 14 weeks. The most common side effect involves transient tongue numbness that resolves quickly. If approved, Tonmya would become the first new fibromyalgia treatment in 15 years, joining only three other FDA-approved medications for the condition affecting over 10 million adults, predominantly women.
Cebranopadol represents perhaps the most anticipated development—a first-in-class dual-NMR agonist providing opioid-level analgesia with dramatically reduced risks. By targeting both nociceptin (NOP) and μ-opioid (MOP) receptors, cebranopadol achieves 25% less respiratory depression than oxycodone at equivalent pain relief doses, along with significantly lower abuse potential.
Two Phase 3 trials completed in 2025 showed remarkable results: 59.2 points of pain reduction compared to placebo, with 57.7% of patients requiring no rescue medication versus 28.4% on placebo. Post-hoc analyses suggested cebranopadol outperformed oxycodone. An abuse liability study found the medication scored 67.3 on intranasal "drug liking" versus 92.1 for oxycodone, providing crucial evidence of reduced addiction risk.
Tris Pharma plans to submit their New Drug Application in late 2025, with FDA approval likely in 2026. Additional studies for multiple chronic pain conditions will follow approval for acute pain. This medication could provide a genuine middle ground—offering strong pain relief for patients who genuinely need it while minimizing the catastrophic risks that destroyed countless lives during the opioid epidemic.
What should you do while waiting for these approvals? First, discuss your current treatment plan with your doctor. If you're struggling with fibromyalgia, note that a potential new option arrives by late summer 2025. If you take opioids and worry about risks but need strong pain relief, understand that a safer alternative may become available in 2026.
Consider enrolling in clinical trials if you match the criteria. ClinicalTrials.gov lists ongoing studies, many of which need participants. Trial participation gives you early access to promising treatments while contributing to medical knowledge that helps millions of others.
Cell-based and regenerative therapies
Cell-based regenerative medicine enters the mainstream pipeline with rexlemestrocel-L, an allogeneic mesenchymal precursor cell therapy for chronic low back pain from degenerative disc disease. Unlike symptomatic treatments that temporarily reduce pain signals, this approach targets root causes by injecting anti-inflammatory stromal cells directly into damaged intervertebral discs.
The first Phase 3 trial demonstrated at least two years of sustained pain reduction from a single outpatient injection procedure. Even more remarkably, 28% of opioid users completely stopped taking opioids at 36 months compared to just 8% on placebo. The FDA granted Regenerative Medicine Advanced Therapy designation in February 2023, providing all benefits of Breakthrough and Fast Track status.
A confirmatory Phase 3 trial began enrolling 300 patients in July 2024, with the 12-month primary endpoint expected mid-2026 and potential FDA approval in 2027-2028. If approved, this would represent the first cell-based therapy specifically for chronic pain—a fundamentally different approach than any medication or device currently available.
Platelet-rich plasma (PRP) and mesenchymal stem cell treatments have become widely available at specialized clinics, though the FDA has not approved these approaches for pain indications. PRP involves concentrating platelets containing over 300 growth factors from your blood and injecting them into damaged tissue to promote healing.
Evidence quality varies significantly. The best support exists for knee osteoarthritis, tendinopathies, and possibly facet joint injections for chronic back pain, though response rates range widely at 40-70%. Mesenchymal stem cells derived from bone marrow, adipose tissue, or umbilical cord theoretically regenerate damaged tissue while modulating inflammation, but rigorous randomized controlled trials remain limited.
Both approaches cost $3,000-10,000+ per treatment without insurance coverage. The FDA has recently intensified enforcement against clinics making unapproved claims. Approach regenerative medicine with appropriate caution, ideally within clinical trial settings or with clear informed consent about the experimental nature. Your Solace advocate can help you distinguish legitimate clinical trials from predatory clinics promising miracle cures.

Digital therapeutics and virtual reality
Virtual reality emerged as a prescription therapy when the FDA authorized EaseVRx/RelieVRx in November 2021 for chronic lower back pain. This VR headset system delivers cognitive behavioral therapy, mindfulness training, breathing exercises, and pain education through an immersive 56-session program completed over eight weeks.
The pivotal trial involving 179 patients showed 46% achieved at least 50% pain reduction with daily use, compared to 26% using sham VR. Remarkably, these benefits persisted at follow-up assessments extending to 24 months—long after patients stopped using the headset. Medicare began covering the therapy in 2023, with the headset mailed directly to your home for self-directed treatment.
The drug-free approach addresses the psychological dimensions of chronic pain while allowing continued use of other treatments. You can use VR therapy alongside medications, physical therapy, or injections. The program teaches you specific cognitive and behavioral skills for managing pain flares, reducing pain-related anxiety, and maintaining function despite persistent discomfort.
AI-powered platforms provide personalized exercise therapy, pain tracking with predictive analytics, and digital physical therapy. Kaia Health uses machine learning to tailor back pain exercise programs based on your movement patterns and pain responses. SWORD Health deploys AI-powered digital physical therapists providing real-time feedback through smartphone cameras as you perform exercises at home.
Wearable sensors integrated with AI algorithms monitor physiological signals like heart rate variability, movement patterns, and sleep quality to identify pain flares before they fully develop. This enables early intervention—perhaps taking medication at the first subtle warning signs rather than waiting until pain becomes severe. These platforms typically cost $10-50 monthly, a fraction of traditional physical therapy costs, with growing insurance coverage.
The evidence supporting digital therapeutics continues strengthening. Randomized trials show efficacy comparable to conventional in-person treatments for appropriate patients. The key lies in patient selection and engagement. Digital therapeutics work best for people who can commit to regular use and prefer the convenience of home-based treatment. They work less well for those who need hands-on manual therapy or struggle with technology.
Promising research in early stages
Gene therapy and RNA-based approaches remain primarily in preclinical development but offer revolutionary potential for intractable pain. CRISPR-Cas9 gene editing targeting NaV1.7 sodium channels has produced sustained pain relief in animal models. DREADDs technology from the Scherrer Lab at UNC enables selective silencing of pain receptors using chemogenetic systems restricted to peripheral nerves.
Antisense oligonucleotides blocking specific pain gene expression and viral vector delivery of therapeutic genes to dorsal root ganglia progress through early development. While 5-15 years from patient access, these approaches could potentially provide permanent or very long-lasting relief by addressing pain at the genetic and molecular level.
The major challenges include off-target effects, immune responses to viral vectors, unknown long-term safety, and ethical considerations surrounding permanent genetic modifications. Regulatory agencies will require extensive safety data before approving gene therapies for non-life-threatening conditions like chronic pain.
Monoclonal antibodies targeting pain pathways represent another frontier. The anti-NGF antibody tanezumab awaits FDA approval after completing Phase 3 trials for osteoarthritis and chronic low back pain. By binding nerve growth factor and preventing activation of pain receptors, tanezumab blocks both peripheral and central sensitization.
Trials demonstrated 30-50% pain reduction in responders with dosing just every eight weeks via subcutaneous injection. However, the FDA approval process has been delayed by safety concerns: 1-2% of patients developed rapidly progressive osteoarthritis requiring joint replacement at higher rates than controls. The agency lifted a five-year hold in 2015 after implementing risk mitigation strategies including lower doses, NSAID restrictions, and mandatory joint imaging monitoring.
If approved in 2025-2026, tanezumab would require enrollment in a risk management program, with projected annual costs of $13,000-20,000. The therapy might suit patients with severe osteoarthritis pain who have exhausted other options and accept the joint replacement risk in exchange for substantial pain relief.
Transcranial magnetic stimulation offers non-invasive brain neuromodulation by delivering electromagnetic pulses through your skull to stimulate cortical neurons. High-frequency repetitive TMS targeting the primary motor cortex modulates pain processing networks rather than blocking pain signals peripherally. Multiple randomized controlled trials demonstrate 30-45% pain reduction in responsive patients with neuropathic pain, fibromyalgia, and chronic low back pain.
While FDA-approved primarily for depression and migraine, off-label use for chronic pain continues expanding. Treatment requires daily sessions—typically 10-20 treatments at $300-500 each—with maintenance sessions needed to sustain benefits. The excellent safety profile and lack of systemic side effects make TMS an attractive option for appropriate candidates willing to commit to the intensive treatment schedule.
Non-invasive vagus nerve stimulation provides another non-pharmacological approach by targeting the autonomic nervous system through transcutaneous cervical or auricular devices. The gammaCore system gained FDA approval for acute migraine and cluster headaches, with European approval extending to chronic pain, anxiety, and depression.
The mechanism involves modulating central pain processing networks and reducing neuroinflammation through vagal pathways. Emerging evidence supports applications for chronic low back pain, fibromyalgia, and functional abdominal pain. The portable, self-administered device costs approximately $600 monthly or $6,000 for purchase, with patients using it multiple times daily as needed.
Cannabis-based medicine achieved a major milestone with VER-01, a standardized full-spectrum cannabis extract containing 5% THC. The January 2025 publication in Nature Medicine detailed the largest cannabis pain study ever conducted—820 patients with chronic low back pain followed for 12 weeks in double-blind conditions plus a six-month open-label extension.
The drug produced statistically significant pain reduction every single week of treatment, with 54.1% of patients achieving at least 30% pain relief compared to 39.5% on placebo. Sleep quality improved significantly, and patients used half as much rescue ibuprofen. Long-term data proved especially compelling: pain reduction increased to 3.0 points at six months, with 73.9% achieving clinically meaningful relief and no signs of tolerance or dose escalation.
Common side effects like dizziness and nausea were predominantly mild-to-moderate and occurred mainly during initial dose titration. The company expects to submit marketing applications in Europe and the United States during 2025-2026, targeting approval in 2027-2028.
Psychedelic-assisted therapy represents one of the most intriguing frontiers, though ketamine remains the only legal option outside research trials. Ketamine clinics treating chronic pain have proliferated nationwide, with the NMDA receptor antagonist producing neuroplasticity and disrupting maladaptive pain circuits. Randomized trials show 25-45% pain reduction during and immediately after infusions for neuropathic pain and complex regional pain syndrome, though effects often prove short-lived, lasting days to weeks.
Classic psychedelics like psilocybin remain Schedule I but are progressing through clinical trials for phantom limb pain, cluster headache, and fibromyalgia. A 2024 scoping review found only nine studies examining chronic pain—mostly small case reports—so evidence remains preliminary. If safety and efficacy are established in large trials, regulatory approval might come in 5-10 years, likely requiring psychological support and careful patient screening to prevent adverse psychiatric reactions.

What these advances mean for different pain types
The treatment revolution affects different pain conditions in distinct ways. Understanding which innovations target your specific pain type helps you focus on the most relevant options.
For neuropathic pain from diabetic neuropathy or nerve damage, Journavx (suzetrigine) shows the most immediate promise with Phase 3 trials for diabetic peripheral neuropathy expected to complete in 2026-2027. Dorsal root ganglion stimulation provides targeted relief for focal neuropathic pain. Gene therapy approaches targeting pain-specific ion channels may offer future solutions. Cannabis-based medications like VER-01 demonstrated particular effectiveness for neuropathic components of chronic pain.
Musculoskeletal pain from arthritis or degenerative spine disease may benefit from cell-based therapies like rexlemestrocel-L specifically targeting damaged intervertebral discs. Monoclonal antibodies like tanezumab target the inflammatory pathways driving osteoarthritis pain. PRP injections show the strongest evidence for knee osteoarthritis among regenerative approaches. Closed-loop spinal cord stimulators provide excellent results for chronic back pain in non-surgical candidates.
Fibromyalgia patients await the potential August 2025 approval of TNX-102 SL (Tonmya), which would be the first new treatment option in 15 years. Virtual reality therapy addressing the psychological dimensions of widespread pain shows particular promise for fibromyalgia. Transcranial magnetic stimulation demonstrated 30-45% pain reduction in fibromyalgia patients in multiple trials. The multimodal nature of fibromyalgia often requires combining several approaches rather than relying on a single treatment.
Migraine and headache disorders gained multiple new options during 2023-2024. Zavegepant (Zavzpret) became the first CGRP receptor antagonist available as a nasal spray, providing pain freedom as early as 15 minutes after dosing. Qulipta (atogepant) expanded to become the first oral CGRP antagonist approved for both episodic and chronic migraine prevention. Non-invasive vagus nerve stimulation with gammaCore offers drug-free relief for acute attacks and cluster headaches.
Post-surgical and injury pain benefits immediately from Journavx availability for moderate-to-severe acute pain. The medication provides opioid-level relief without addiction risk for the days or weeks following surgery or trauma. Peripheral nerve stimulation with temporary 60-day leads addresses chronic post-surgical pain and post-amputation pain effectively. These acute pain innovations may prevent the transition to chronic pain by providing adequate early pain control.
Navigating your treatment options
The explosion of treatment innovations creates both opportunities and challenges. Understanding where each therapy fits in the treatment hierarchy helps you make informed decisions.
Current evidence supports starting with established, lower-risk interventions before progressing to more invasive or expensive options. Physical therapy, exercise, and cognitive behavioral therapy form the foundation with high-quality evidence, minimal risks, and sustained benefits. These non-pharmacological approaches work best when you actively engage rather than passively receiving treatment.
Medications like NSAIDs, SNRIs, and anticonvulsants provide appropriate next steps for many patients, particularly when matched to specific pain types—anticonvulsants for neuropathic pain, SNRIs for fibromyalgia and osteoarthritis, NSAIDs for inflammatory musculoskeletal conditions. Topical treatments offer targeted relief for localized pain without systemic side effects.
For newly available options, Journavx represents a genuine breakthrough for appropriate candidates—those with moderate-to-severe acute pain following surgery or injury who need opioid-level analgesia without addiction risk. The medication's $15.50 per pill cost and currently limited 38% insurance coverage create access barriers, though patient assistance programs exist.
Virtual reality therapy suits patients with chronic lower back pain willing to commit to daily 2-16 minute sessions over eight weeks, with the advantage of at-home use, no side effects, and improving insurance coverage including Medicare.
Advanced neuromodulation technologies require careful patient selection by specialized pain physicians. These interventions typically follow failure of conservative treatments, with most systems requiring surgical implantation and costs of $20,000-60,000. However, insurance generally covers FDA-approved neuromodulation when medical necessity is documented.
Questions to ask your doctor about emerging therapies include:
- Based on my specific pain type and history, which new treatments might help me?
- What evidence supports this treatment for my condition?
- What are the realistic expectations for pain reduction and improved function?
- What risks and side effects should I know about?
- How does this fit with my current treatment plan?
- If this is awaiting FDA approval, when might it become available?
- Are there clinical trials I could participate in?
- What will this cost, and will my insurance cover it?
Understanding clinical trials and how to participate opens access to promising treatments before FDA approval. ClinicalTrials.gov lists ongoing studies nationwide. Clinical trial participation requires meeting specific criteria—certain pain types, severity levels, previous treatment history. You receive the investigational treatment at no cost, along with close medical monitoring.
The trade-offs involve time commitment for frequent study visits, the possibility of receiving placebo rather than active treatment, unknown long-term effects of new therapies, and strict protocol requirements. Discuss clinical trial participation with your doctor to determine if you're a suitable candidate.
Access barriers extend beyond clinical trials. Cost remains prohibitive for many innovations—biologic therapies potentially costing $15,000-20,000 annually, regenerative medicine approaches at $3,000-10,000 per treatment without insurance coverage. Rural populations face geographic barriers to specialized neuromodulation procedures and comprehensive pain programs.
Red flags help you avoid unproven or predatory treatments:
- Clinics promising miracle cures or 100% success rates
- Treatments requiring large upfront payments without insurance billing
- Providers who discourage you from discussing options with your regular doctor
- Aggressive marketing emphasizing testimonials over scientific evidence
- Stem cell clinics making unapproved claims about treating multiple conditions
- Providers who refuse to share detailed consent forms or scientific publications
Legitimate treatment providers openly discuss evidence quality, success rates, risks, alternatives, and costs. They encourage second opinions and collaboration with your existing care team.
How a Solace advocate can help
The rapid evolution of pain treatment options creates confusion even for healthcare professionals. A Solace advocate brings specialized knowledge about emerging therapies, insurance coverage policies, and care coordination across multiple specialists.
Your advocate starts by understanding your specific pain condition, treatment history, and goals. Not every new treatment suits every patient. Someone with diabetic neuropathy has different relevant options than someone with osteoarthritis or fibromyalgia. Your advocate helps you focus on innovations most likely to benefit your particular situation.
Insurance coverage for novel therapies remains complex and constantly changing. Your advocate navigates these policies, determining what your plan covers, obtaining prior authorizations, appealing denials, and connecting you with patient assistance programs when needed. For treatments like advanced neuromodulation requiring substantial upfront costs, your advocate ensures you understand financial responsibilities before proceeding.
Coordinating with specialists becomes crucial as you explore advanced options. Your advocate ensures your primary care doctor, pain specialist, surgeon, and other providers communicate effectively about treatment changes. They help schedule consultations, prepare questions, attend appointments with you, and follow up on recommendations.
For clinical trials, your advocate researches relevant studies, helps you understand enrollment criteria, facilitates connections with research sites, and ensures trial participation integrates smoothly with your existing care. They track which treatments move through the approval pipeline and when they might become available to you.
Perhaps most importantly, your advocate keeps you informed without overwhelming you. They synthesize complex medical information into clear explanations, help you weigh trade-offs between different approaches, and support informed decision-making aligned with your values and priorities.
The treatment revolution means real hope backed by science and evidence. Your Solace advocate ensures you can actually access these advances rather than just reading about them.

Frequently Asked Questions about New Chronic Pain Treatments
Are these new treatments covered by insurance?
Coverage varies widely by treatment and insurance plan. Journavx (suzetrigine) has Medicare coverage under the NOPAIN Act, but only 38% of private insurance plans currently cover it. FDA-approved neuromodulation devices generally receive coverage when medical necessity is documented. Virtual reality therapy has Medicare coverage and growing private insurance acceptance. Cell-based therapies and regenerative medicine typically lack coverage. Your Solace advocate can review your specific plan's policies and help navigate coverage obstacles.
How do I know if I'm a candidate for advanced neuromodulation?
Ideal candidates typically have chronic pain that hasn't responded adequately to conservative treatments including physical therapy, medications, and injections. You should have identifiable pain generators that neuromodulation can target—spinal cord stimulation for back and leg pain, dorsal root ganglion stimulation for focal neuropathic pain, peripheral nerve stimulation for localized peripheral pain. Medical conditions that preclude surgery, active infections, or severe psychiatric illness may disqualify candidates. Comprehensive evaluation by an experienced pain medicine specialist determines candidacy. Trial periods for spinal cord stimulators let you test effectiveness before permanent implantation.
Should I wait for treatments in development or try what's available now?
This depends on your current pain severity, functional limitations, and timeline. If you're struggling significantly with inadequate relief, trying currently available evidence-based treatments makes sense rather than waiting 2-3 years for experimental therapies that might not work for your specific condition. However, if you're managing reasonably well with current treatments but interested in novel approaches, monitoring the development pipeline helps you know when to revisit options. For conditions with imminent approvals—like fibromyalgia patients awaiting the August 2025 TNX-102 SL decision—a few months wait might be reasonable. Discuss timing with your doctor based on your individual circumstances.
What should I do if my doctor isn't familiar with these new options?
Many primary care doctors struggle to keep current with rapidly evolving pain treatment innovations. Bring printed information from reliable sources about specific treatments you want to discuss. Ask for referral to pain medicine specialists who focus exclusively on pain management and stay current with emerging therapies. Comprehensive pain centers at academic medical centers typically have expertise in the newest approaches. Your Solace advocate can facilitate these specialist consultations and ensure information flows back to your primary care doctor. Remember that legitimate interest in novel treatments differs from demanding unproven therapies—approach conversations as collaborative discussions rather than confrontations.
How can I participate in clinical trials for emerging pain treatments?
Start by searching ClinicalTrials.gov using keywords related to your pain condition—"diabetic neuropathy," "fibromyalgia," "chronic back pain." Filter results by recruiting status and location. Read eligibility criteria carefully; most trials have specific requirements regarding pain duration, severity, previous treatments tried, and medical comorbidities. Contact the research coordinator listed for studies that interest you. Expect screening visits to confirm eligibility. Understand that randomized trials often involve placebo groups, though you'll receive close monitoring and standard care throughout. Your current doctor should know about trial participation to coordinate care. Clinical trials offer early access to promising treatments while advancing medical knowledge that helps millions of others.
This article is for informational purposes only and should not be substituted for professional advice. Information is subject to change. Consult your healthcare provider or a qualified professional for guidance on medical issues, financial concerns, or healthcare benefits.
Related Reading
- Advocating For Yourself With Chronic Pain: Expert Tips
- Understanding Your Neuropathy Treatment Options
- Chronic Pain Care Plan: Understanding and Managing Long-Term Pain
- Medicare Coverage for Pain Medications: Understanding Your Options, Costs, and How to Get the Relief You Need
- Talking to Your Doctor About Pain Management as an Older Adult
- FDA: FDA Approves Novel Non-Opioid Treatment for Moderate to Severe Acute Pain
- Vertex Pharmaceuticals: Vertex Announces FDA Approval of JOURNAVX™ (suzetrigine)
- Medtronic: Medtronic receives FDA approval for Inceptiv™ closed-loop spinal cord stimulator
- Roots Analysis: Recently Approved Pain Relief Devices
- Federal Register: Medical Devices; Physical Medicine Devices; Classification of the Virtual Reality Behavioral Therapy Device for Pain Relief
- Tonix Pharmaceuticals: PDUFA Goal Date of August 15, 2025, for FDA Decision on TNX-102 SL for Fibromyalgia
- Tris Pharma: Positive Results from ALLEVIATE-1 Phase 3 Clinical Trial of Cebranopadol
- Nature Medicine: Full-spectrum extract from Cannabis sativa DKJ127 for chronic low back pain: a phase 3 randomized placebo-controlled trial
- PubMed Central: Gene therapy for chronic pain management
- AARP: Medical Breakthroughs in Chronic Pain Treatment
- Cleveland Clinic: Chronic Pain: What It Is, Symptoms, Treatment & Management
- CDC: Clinical Practice Guideline for Prescribing Opioids for Pain



