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

September 05, 2023

The use of opioid pain medication for pain has been a common treatment. Its use is a little too much so as medicine today is even attempting to slow its prescription. For back surgery patients, it has been quite common, both before and/or after back surgery. Though today the use of opioids is being less supported, many back pain sufferers find themselves with opioid prescriptions from their healthcare providers. Chiropractic Solutions would love to be the first healthcare provider San Jose back pain and neck pain patients see and truly embrace the opportunity to care for 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’re have the skills to help.

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

Very few rush 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 had single-level fusion surgeries retained one or less opioid prescription prescribers before surgery while 33.1% employed more than one opioid prescribers. The more pre-surgical opioid prescribers in a back surgery patient’s case was a predictor of greater improvement of post-surgical back pain. The more pre-surgical opioid prescriptions a patient used was a predictor for poorer surgical outcomes including worse 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 interesting and seemingly side note to the study was that if a nonoperative spine provider was included in the case, a better improvement in leg pain VAS scores was noted. (1) Chiropractic is a profession of nonoperative spine providers! We chiropractors are ready and well-trained to help contrain back pain before and after surgery and give patients an opportunity to lower 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 vexing. Some got back the medical model and get new pain medication prescriptions or extended prescriptions for the post-surgery meds. Others seek chiropractic care. A recent study of such patients who sought 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 came into the study using opioid medications. Eight of them self-reported that they lowered or discontinued their use. Three said they continued their use. (2) This holds hope for many post-surgical continued pain patients that pain relief enough to not have to depend on medications may be possible]. Chiropractic Solutions is San Jose’s post-surgical back pain provider to visit for Cox® Technic treatment.

CONTACT Chiropractic Solutions

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 San Jose chiropractic appointment soon. If you have had back surgery - now taking pain meds, opioids, or not - we look forward to working with you.

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