Throughout therapy reevaluation is important, but it is crucial to explore all options when considering tapering.
Options include alternative modalities (OMT, acupuncture, massage, physical therapy, TENS, biofeedback, mindfulness, manipulation, yoga, Tai chi, surgery, and many others) as well as medications.
Selection of modalities and medications is based upon availability, coverage, and patient specific factors such as acceptability, tolerance, and comorbidities.
Additionally, consistent reevaluation, clear expectations, and concurrent management of chronic diseases and nutritional status are imperative.
