I am writing this based on my own experience, not all services might operate the same way.
80% of people with cpsp get little or insufficient help from medication. If after discussions with your GP or neurologist, you might be given or could ask for a referral to an NHS pain clinic.
Initially I was treated by a pain consultant who looked at the medication and suggested adjustments.
I was also offered acupuncture early in the process.
I didn’t find either helped but it might be it’s all your need.
The next stage took a while to come about but it’s one I have found most useful. I had an initial meeting with a pain psychologist. They seemed to have a much better handle on neuropathic pain. After further meetings I was considered for a pain management programme.
This feels like a big step forward. I cannot tell you what it involves (writing this Dec 24) as I am not due to start until 2025. It is a 12 week course. I will keep this post updated.