Based on the patient's feedback and pain levels, the following adjustments could be recommended for the multimodal analgesic therapy:

Increase the dosage of non-opioid medications, such as NSAIDs or local anesthetics, to target different pain pathways and reduce the need for opioids.

Add physical therapy or massage to help with muscle tension and stiffness, which can exacerbate pain.

Consider adding nerve blocks or acupuncture to target specific pain areas and provide more targeted pain relief.

Increase the frequency of pain assessments and adjust the treatment plan accordingly to ensure optimal pain control.

Consider adding additional medications, such as anticonvulsants or antidepressants, to address neuropathic pain or chronic pain conditions.

Overall, the key is to tailor the multimodal analgesic therapy to the patient's individual needs and pain levels, and to adjust the treatment plan as necessary to ensure effective pain relief while minimizing the risk of side effects or addiction.
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