Prescriptions of Opioids Pre and Post Back Surgery for Largo Back Pain, Chiropractic Care May Reduce Rxs and Pain

September 05, 2023

Opioid use for pain has been a customary treatment. Its use is a little too much so as medicine today is even trying to scale back on its prescription. For back surgery patients, it’s been quite common, both before and/or after back surgery. Though today the use of opioids is being less encouraged, many back pain sufferers still receive opioid prescriptions from their healthcare providers. Hollstrom & Associates Inc would enjoy being the first healthcare provider Largo back pain and neck pain patients visit and truly welcome the opportunity to take care of the post-surgical continued pain patients - with or without opioid prescriptions - who come to us with the same or returned pain in the same spinal area where their surgery was. We are prepared to help.

BACK SURGERY OUTCOME PREDICTORS: # of Rx Prescribers and # of Rx Prescriptions

Very few hurry into back surgery. Back pain sufferers often look for help from various healthcare providers before surgery is considered and/or scheduled. 66.9% of patients in a retrospective study of patients who experienced single-level fusion surgeries had one or less opioid prescription prescribers before surgery while 33.1% had more than one opioid prescribers. The more pre-surgical opioid prescribers in a back surgery patient’s case was a predictor of increased improvement of post-surgical back pain. The more pre-surgical opioid prescriptions a patient used was a predictor for poorer surgical outcomes including poorer improvement in back VAS pain scores, leg VAS pain scores, Oswestry Disability Index scores, and for more post-surgical opioid prescriptions, prescribers, and morphine milligram equivalents. An attention-getting and seemingly side note to the study was that if a nonoperative spine provider was involved in the case, a higher improvement in leg pain VAS scores was seen. (1) Chiropractic is a profession of nonoperative spine providers! We chiropractors are ready and well-trained to help control back pain before and after surgery and give patients a chance to reduce their opioid use for pain management. 

CHIROPRACTIC POST-SURGICAL CARE AND OPIOID USE

For patients who underwent back surgery to find that they experience back pain in the same area that the surgery was supposed to relieve, the return of pain can be frustrating. Some return to the medical model and get new pain medication prescriptions or prolonged prescriptions for the post-surgery meds. Others turn to chiropractic care. A new study of such patients who turned to chiropractic care with chiropractors who are certified in Cox® Technic spinal manipulation (manual spinal decompression manipulation) reported that of the 59 participants in the study, 11 entered the study using opioid medications. Eight of them self-reported that they lowered or quit their use. Three said they continued their use. (2) This holds hope for many post-surgical continued pain patients that not having to take pain meds as the only means to pain relief may be possible. Hollstrom & Associates Inc is Largo’s post-surgical back pain provider to see for Cox® Technic treatment.

CONTACT Hollstrom & Associates Inc

Listen to this PODCAST with Dr. Marc Baker on The Back Doctors Podcast with Dr. Michael Johnson as he describes his use of The Cox® Technic System of Spinal Pain Management in delivering relief for a military veteran with back pain after back surgery.

Make your Largo chiropractic appointment now. If you have had back surgery - currently taking pain meds, opioids, or not - we are looking to seeing and helping you.

Largo chiropractic care to ease pain after back surgery and potentially patient choice to use opioids