Opioids are in the news. The Malverne opioid
epidemic is a great issue. Opioids are
prescribed for pain relief of all sorts of pain. Opioids for back
pain relief are a common prescription. But today, non-drug
alternatives are in demand. Non-drug alternative care like Malverne
chiropractic care reduces the Malverne back
pain these opioids have been prescribed for and often devoid of adverse side-effects.
DRUG USE BEFORE BACK SURGERY
Pharmacological treatment preferences
– drugs – for easing chronic low back pain are of much interest today. Researchers study
these and other options as to what is best to
assist Malverne back pain patients. The
effect of drugs like oxycodone (an opioid drug), clobazam and imipramine on
chronic low back pain are difficult to foresee. One
article proposed that patients who are more sensitive to hot
and cold react better to imipramine. (1) Another stated
that electroacupuncture was more cost effective than NSAIDs
and suggested as an alternative for chronic low back pain treatment. (2) A third
wrote that most drugs - paracetamol (acetaminophen),
NSAIDs, muscle relaxants, antidepressants, anticonvulsants, opioids, and other
(new) drugs - offered small to moderate and short lasting effects compared with
placebo. And there were side-effects. (3) Malverne Health & Wellness cares for many Malverne
back pain sufferers seeking pain relief without drugs. And the Malverne
chiropractic care is helpful for most.
DRUG USE AFTER BACK SURGERY
Malverne chronic low back pain guides
some sufferers to lumbar spine fusion surgery. Patients who choose this option to get relief of with their back pain often take
opioids prior to surgery hoping – even expecting – that they will not require
opioids after the surgery. Reality is different. 77.1% of pre-operative opioid
patients continued to use opioids long-term post-operatively: 13.8% of them used
opioids off and off; 9.1% discontinued using them or used them for a
short time after surgery. Of patients who had not used
opioids before surgery, 34.4% used a lower dose after surgery, and 44.8% took
a higher long-term dose. 12.8% became long-term users of
opioids. The researchers concluded that lumbar spine
fusion seldom interrupted
the long-term opioid use and actually increased the risk of taking
them long-term. (4) Malverne Health & Wellness offers Malverne chiropractic care
both pre-operatively and post-operatively to reduce Malverne
back pain and for some prevent Malverne back surgery.
OPTIONS TO DRUGS FOR BACK PAIN
What are the options for Malverne back pain
patients if opioids are to be avoided? Guidelines have been developed for opioid
alternatives. Cost, intervention availability, and patient preferences are
considered. One of the
first things to do is educate and reassure the patient that Malverne back
pain relief is possible and to remain active. The Malverne low
back pain sufferer would benefit from learning
more about how to care for pain on their own. For acute
low back pain and neck pain patients without
any concerning underlying issue, exercise, manual
therapy, heat and NSAIDs are suggested. For chronic low back
pain sufferers who do not present with serious underlying
issues, exercise, yoga, cognitive behavioral therapy, acupuncture, biofeedback,
relaxation, massage, manual therapy, rehab, NSAIDS, acetaminophen and
antidepressants are suggested. Patients with radiculopathy (sciatic
leg pain) can use exercise, spinal manipulation, or NSAIDS. Benzodiazepines,
botulinum toxin injection, systemic corticosteroids, cervical collar,
electrical muscle stimulation, diathermy, TENS and traction are not suggested
because of research disclosing uselessness.
(5) Malverne Health & Wellness offers Malverne chiropractic care including Cox
Technic flexion distraction decompression treatment that is research-documented
to be effective for Malverne back pain relief.
CONTACT Malverne Health & Wellness
Listen to this PODCAST
with Dr. Roy Siegel on the Back Doctor’s Podcast with Dr. Michael Johnson as he
shares how Cox Technic reduces back pain for his performing arts
patients without drugs so they can keep performing!
Schedule your Malverne chiropractic appointment
with Malverne Health & Wellness today. The opioid epidemic may be curbed for
Malverne back pain sufferers who come for Malverne
chiropractic care at Malverne Health & Wellness…and chiropractic may turn out to
be the opioid-alternative news!