Effectiveness of Opioids for Pain Control is Questionable while Chiropractic Spinal Manipulation is Recommended

June 12, 2018

Opioids. They’re in the news. San Jose doesn’t escape the opioid issue. Chiropractic Solutions knows some San Jose chiropractic patients with San Jose back pain struggle with opioids that were, at one time, prescribed to help them cope with their back pain and now want to be off of them. Chiropractic Solutions understands and is prepared to help San Jose back pain sufferers find relief without opioid drugs. The effectiveness of opioid drugs for control of San Jose back pain is doubted while spinal manipulation such as offered at Chiropractic Solutions is recommended.

WHY OPIOIDS FOR BACK PAIN

Low back pain overwhelms a back pain patient’s life. It’s no wonder that a back pain sufferer wants a pill to get rid of the pain, a San Jose back surgery to remove the pain’s source now.  Occasionally it’s not that simple: the pill may have unwelcome effects or the positive effects may not last very long; the surgery relief may not last or produced an unexpected outcome. Chiropractic Solutions values the role of drugs for pain relief when necessary, respects the part back surgery plays in a San Jose back pain sufferer’s journey toward pain relief and a better quality of life. Chiropractic Solutions also offers complementary care to those back pain relief options and, for some San Jose back pain sufferers, back surgery prevention in addition to post-back surgery rehab and San Jose 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 decided that the effectiveness is not very good. Opioids’ effects on pain reduction and function improvement are small to moderate and short-lasting versus placebo. The side effects, serious ones for those who use strong opioids for a long time, were usual. (1) Some patients react better to drug therapies than others. Researchers found it hard to figure out just how effective drugs like oxycodone and clobazam and imipramine will be for which chronic low back pain patient. (2) Chiropractic Solutions figures out each San Jose back pain patient who seeks for San Jose chiropractic care and establishes the suitable treatment plan to get some back pain relief.

OPIOIDS AND BACK SURGERY

Patients opt for back surgery often expecting quick pain relief that will stop the need for pain control drugs. Researchers checked into this idea and reported that many back pain sufferers who were took opioids before surgery expected that surgery would end the need for opioids. Reality shows that of 2491 adults who underwent lumbar fusion back surgery, 1045 needed long-term opioids before surgery, and 1094 needed opioids subsequently. Of the pre-operative opioid patients, 77.1% continued consuming them long-term, 13.8% occasionally, and just 9.1% discontinued or used them short-term subsequently. 34.4% continued with a lower dose while 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 end result? What do patients need to know who are thinking about San Jose back surgery as the final answer to their San Jose back pain? Lumbar fusion back surgery rarely 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 need to be reevaluated. (3)

ALTERNATIVES TO OPIOIDS FOR BACK PAIN RELIEF

Researchers strive to create guidelines for back pain relief treatment. These guidelines direct 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 encourage patients, advise them to stay active and do self-care. Acute back pain patients can do exercise, manual therapy, heat, and NSAIDS. Chronic back pain patients can choose exercise, yoga, manual therapy, cognitive behavioral therapy, acupuncture, biofeedback, massage, rehabilitation, etc. Radicular back pain patients may choose exercise, spinal manipulation, NSAIDs.  (4) San Jose chiropractic care at Chiropractic Solutions  fits these guidelines. Chiropractic Solutions offers a San Jose chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehabilitation, and more.

CONTACT Chiropractic Solutions

Schedule you San Jose chiropractic appointment today with Chiropractic Solutions. Opioids aren’t the only option for San Jose back pain relief, particularly San Jose chronic low back pain. Chiropractic Solutions offers hope for chronic low back pain relief to San Jose back pain sufferers wanting to avoid or escape the opioid epidemic.

 
Chiropractic spinal manipulation at Chiropractic Solutions is worthwhile over opioids for back pain control.