The opioid epidemic. It’s in
the news. Largo does not2 escape the opioid issue.
Hollstrom & Associates Inc knows some Largo chiropractic patients
with Largo back pain struggle with opioids that were, at one
time, prescribed to assist them in coping with
their back pain and now want to be done with them.
Hollstrom & Associates Inc gets it and is prepared to help
Largo back pain sufferers get relief without opioid
drugs. The effectiveness of opioid drugs for control of Largo back
pain is doubted while spinal manipulation such as offered at
Hollstrom & Associates Inc is recommended.
WHY OPIOIDS FOR BACK PAIN
Low back pain burdens its sufferers’ life. It’s no wonder
that a back pain sufferer wants a pill to get rid of the pain, a Largo back surgery to get rid of
the pain’s source now. Occasionally
it is not that easy: the pill may have unwanted
effects or the benefits may not last very long; the surgery relief may not continue or produced an unexpected result. Hollstrom & Associates Inc values
the role of drugs for pain relief when needed, admires
the part back surgery plays in a Largo back pain
sufferer’s trip toward pain relief and a better quality of life.
Hollstrom & Associates Inc also offers coordinating care to those back
pain relief choices and, for some Largo back pain
sufferers, back surgery prevention in addition to post-back
surgery rehab and Largo back pain relief.
OPIOIDS’ ROLE IN BACK PAIN RELIEF
A recent Cochrane data review of randomized clinical trials
on the effectiveness of opioids and other drugs for chronic low back pain concluded that the effectiveness is not very good. Opioids’ effects on pain reduction and function improvement
are small to moderate and brief versus
placebo. The side effects, serious ones for those who use strong opioids for a
long period of time, were usual. (1) Some patients respond
better to drug therapies than others. Researchers found it hard to determine just how effective drugs like oxycodone and clobazam and imipramine
will be for which chronic low back pain patient. (2) Hollstrom & Associates Inc understands
the Largo back pain patient who comes
for Largo chiropractic care and establishes the appropriate
treatment plan to get some back pain relief.
OPIOIDS AND BACK SURGERY
Patients choose back surgery often for pain
relief or a quick fix that
will remove the need for pain control drugs. Researchers checked
into this idea and found that many back pain sufferers who were prescribed
opioids before surgery expected that surgery would fix the problem and not have to take opioids anymore. Reality
shows that of 2491 adults who underwent lumbar fusion back surgery, 1045 needed
long-term opioids before surgery, and 1094 took opioids subsequently. Of the pre-operative opioid patients, 77.1% continued
using them long-term, 13.8% occasionally, and just 9.1%
discontinued or used them short-term afterward.
34.4% continued with a lower dose, but 44.8% did so
with a higher dose. Of those who didn’t take any
opioids before back surgery, 12.8% became long-term users. What was the bottom line? What
do patients need to know who are thinking about Largo
back surgery as the final answer to their Largo
back pain? Lumbar fusion back surgery seldom ended the
long-term opioid use and increased the risk of creating
the need for their use afterwards. Patient expectations of pain reduction and opioid
use reduction demand
reevaluation. (3)
ALTERNATIVES TO OPIOIDS FOR BACK PAIN RELIEF
Researchers strive to create guidelines for
back pain relief treatment. These guidelines state that
non-effective treatments
should not be used (systemic corticosteroids, TENS, traction,
electrical muscle stim, benozodiazepines, botulinum toxin injection, etc.) and suggest
that clinicians educate and reassure
patients, guide them to remain active and do
self-care. Acute back pain patients can choose exercise, manual
therapy, heat, and NSAIDS.
Chronic back pain patients can use
exercise, yoga, manual therapy, cognitive behavioral therapy, acupuncture,
biofeedback, massage, rehabilitation, etc. Radicular back pain patients may choose
exercise, spinal manipulation, NSAIDs.
(4)
Largo chiropractic care at Hollstrom & Associates Inc suits these guidelines.
Hollstrom & Associates Inc offers a Largo chiropractic
treatment plan of spinal manipulation with
Cox Technic, exercise, rehabilitation,
and more.
CONTACT Hollstrom & Associates Inc
Schedule you Largo chiropractic appointment now
with Hollstrom & Associates Inc. Opioids aren’t the only way to deal with Largo
back pain, particularly Largo chronic
low back pain. Hollstrom & Associates Inc offers hope for chronic low back
pain relief to Largo back pain sufferers wishing to avoid or escape the opioid epidemic.