The Center for Disease Control recently announced all physicians who prescribe opioids should now first consider conservative care for pain management, not opioid medications. The emphasis is on treatment for chronic pain, however, acute pain is not excluded outright. Chiropractic is a top choice for conservative health care, including pain management, whether it is acute or chronic! Chiropractic gets the root cause(s) of pain and looks to solve the issue(s), entirely or in part, as opposed to masking the pain, as is the purpose of pain medications. Chiropractic works with the body’s own ability to heal itself, without the use of drugs or surgery, and is done in a safe, effective, and conservative manner.
Addiction, overdose, and death have become more prevalent in today’s society with opioid use. In fact, in multiple journals in March, 2016, findings were published indicating the serious nature of overuse and toxic effects of opioids, up to and including death. I quote a few here:
The New England Journal of Medicine, Reducing the Risks of Relief — The CDC Opioid-Prescribing Guideline, Thomas R. Frieden, M.D., M.P.H., and Debra Houry, M.D., M.P.H.
N Engl J Med 2016; 374:1501-1504April 21, 2016DOI: 10.1056/NEJMp1515917
“Deaths from prescription-opioid overdose have increased dramatically in the United States, quadrupling in the past 15 years.”
“Whereas the benefits of opioids for chronic pain remain uncertain, the risks of addiction and overdose are clear.”
“Overall, 1 of every 550 patients started on opioid therapy died of opioid-related causes a median of 2.6 years after the first opioid prescription; the proportion was as high as 1 in 32 among patients receiving doses of 200 MME (morphine milligram equivalents) or higher. We know of no other medication routinely used for a nonfatal condition that kills patients so frequently.”
“More people died from drug overdoses in 2014 than in any year on record. The majority of drug overdose deaths (more than six out of ten) involve an opioid.”
For further journal articles, refer to:
The essence of the importance of this CDC action is stated:
“It’s a game-changer,” says Andrew Kolodny, the director of Physicians for Responsible Opioid Prescribing and the chief medical officer of Phoenix House, a nonprofit drug rehabilitation organization. “It’s the first time that the federal government is clearly communicating to the medical community that opioids are not appropriate for long term use, that the risks outweigh the benefits.” There are and have been many associations with the powerful pharmaceutical companies and the continued push for opioid use. The article (link below) looks into a few examples.
Opioids as medications have their origins from the opiates, which are derived from the opium poppy plant. There are psychoactive compounds found in the opium plant from which the opiates come, such as morphine, codeine, and thebaine. Opioids as a whole make up the broader category of drugs that include opiates, semi-synthetic opioids (such as heroin) and synthetically produced opioids (such as fentanyl and methadone).
It is in this author’s opinion the federal authorities and various pain management organizations not largely funded by the pharmaceutical companies should plainly state chiropractic care is to be considered in the top choices for conservative care and management of people who are in pain, whether acute or chronic.