This presentation is approached from a clinical sports medicine perspective, exploring integrated strategies for injury-related pain management in elite athletes to foster deep interdisciplinary collaboration. The injuries seen in elite athletes are distinct, ranging from acute trauma (such as ligament ruptures and muscle strains) to chronic overuse injuries (including tendinopathies and stress fractures). Pain assessment in this population relies not only on standardized instruments such as the Visual Analogue Scale (VAS) or Numeric Rating Scale (NRS) but also places greater emphasis on indicators of functional recovery, including sport-specific biomechanical evaluations, kinetic chain analysis, and performance-based testing. Furthermore, psychosocial factors—such as competitive stress and the urgency to return to play—significantly influence athletes’ pain perception and pain thresholds, making these critical considerations in treatment planning. Therapeutic management highlights the concept of multimodal analgesia. In the acute phase, in addition to traditional PRICE (Protection, Rest, Ice, Compression, Elevation) principles, the latest PEACE & LOVE care paradigm is discussed. This incorporates the timing of non-steroidal antiinflammatory drugs (NSAIDs) to control inflammation, while considering the potential adverse impact on tissue healing. For chronic pain, the treatment axis centers on non-pharmacological interventions, such as physical therapy, neuromuscular reeducation, and biofeedback. Contemporary sports medicine widely utilizes ultrasound-guided techniques for precise diagnosis and interventional treatment. This includes ultrasound-guided nerve blocks, intra-articular injections (such as those containing hyaluronic acid and corticosteroids), and emerging regenerative therapies—such as platelet-rich plasma (PRP), amniotic/chorionic membrane products, and mesenchymal stem cell injections—targeted at specific clinical indications. Additionally, the “Return to Play” (RTP) process for common sports injuries will also be introduced, emphasizing multidisciplinary assessment and evidence-based decision-making to ensure athlete safety and performance.