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For seniors, the case to skip the conversion step entirely is reasonable

The best way is a diagnostic evaluation by a pain specialist who will review: Imaging (MRI or X-ray results) Pain pattern Previous treatments Underlying medical conditions This helps determine whether an epidural steroid injection, a nerve block, or a regenerative procedure is the right next step

The STEP trial program alone included multiple large-scale, randomized, double-blind, placebo-controlled trials with thousands of participants

So try to know your payer rules first

These include multidisciplinary approaches that focus on sensory sensitivities, behavioral challenges, and communication barriers