Besides opiiods what other things can i do for pain management im currently using oxy extended release 20mg, lyrica,...

I understand you're looking for additional pain management options. Let me provide some evidence-based complementary approaches while emphasizing that any changes to your current medication regimen should be discussed with your healthcare team.

According to the American Cancer Society's guidelines on cancer pain management:

1. Non-drug approaches that can help:

• Relaxation techniques and meditation
• Gentle exercise when appropriate
• Heat or cold therapy
• Massage therapy (with your doctor's approval)
• Acupuncture from a qualified practitioner
• Physical therapy

The National Comprehensive Cancer Network (NCCN) Guidelines for Adult Cancer Pain Management recommends these additional strategies:

1. Integrative therapies:

• Music therapy
• Cognitive behavioral therapy
• Guided imagery
• Deep breathing exercises

1. They also emphasize the importance of:

• Regular sleep schedules
• Stress management
• Proper positioning and body mechanics

The American Society of Clinical Oncology (ASCO) guidelines specifically for colorectal cancer pain management suggest:

1. Working with a pain specialist or palliative care team who can offer:

• Nerve blocks when appropriate
• Other interventional pain procedures

1. Considering medical cannabis (where legal and if approved by your healthcare team)

Important notes:

• Always inform your healthcare team about any new pain management approaches you want to try
• Keep track of your pain levels and what helps/doesn't help
• Continue taking your prescribed medications as directed
• Some complementary therapies may not be appropriate depending on your specific situation, so individual medical guidance is essential

Would you like more specific information about any of these approaches? I can provide more details from these guidelines about particular methods that interest you.