Could you tell me an alternative treatments for severe pain when afraid of opiates?

Maybe: Depends on the type of pain. Neuropathic pain can be treated with drugs like lyrica (pregabalin). Sometimes moderate to severe pain can betreated with drugs that are called nsaids . A drug such as diclofenac or toradol may be useful. There are also adjunctive medications such as antidepressants and anti epileptics that can be useful. Also depending on the cause of the pain invasive procedures may help.

Combo: Many patients with severe chronic pain require a combination of meds (non-opioid). Examples may be nsaids like Naproxen or toradol, membrane stabilizers like gabapentin, some anti-depressant meds and topical meds like Lidoderm patches all depending on cause of pain. These patients may benefit from interventional pain procedures, biofeedback, cognitive therapy, exercise therapy and more...