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

Opioids. They’re in the news. Malverne doesn’t escape the opioid issue. Malverne Health & Wellness knows some Malverne chiropractic patients with Malverne 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. Malverne Health & Wellness understands and is prepared to help Malverne back pain sufferers find relief without opioid drugs. The effectiveness of opioid drugs for control of Malverne back pain is doubted while spinal manipulation such as offered at Malverne Health & Wellness is suggested.


Low back pain overwhelms its sufferers’ life. It is not a surprise that a back pain sufferer desires a pill to be done with the pain, a Malverne back surgery to get rid of the pain’s source now.  Occasionally it’s not that simple: the pill may have unwanted effects or the positive effects may not last very long; the surgery relief may not continue or resulted in an unexpected outcome. Malverne Health & Wellness appreciates the role of drugs for pain relief when needed, admires the part back surgery has in a Malverne back pain sufferer’s trip toward pain relief and a better quality of life. Malverne Health & Wellness also offers complementary care to those back pain relief options and, for some Malverne back pain sufferers, back surgery prevention as well as post-back surgery rehabilitation and Malverne 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 poor. 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 common. (1) Some patients react 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) Malverne Health & Wellness understands the Malverne back pain patient who comes for Malverne chiropractic care and sets the appropriate treatment plan to secure some back pain relief.


Patients choose back surgery often seeking 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 eliminate the need for opioids. Reality shows that of 2491 adults who underwent lumbar fusion back surgery, 1045 used long-term opioids before surgery, and 1094 used opioids afterwards. Of the pre-operative opioid patients, 77.1% continued taking them long-term, 13.8% occasionally, and just 9.1% discontinued or consumed them short-term afterward. 34.4% continued with a lower dose, but 44.8% continued 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 considering Malverne back surgery as the ultimate solution to their Malverne back pain? Lumbar fusion back surgery rarely ended the long-term opioid use and increased the risk of starting their use afterwards.  Patient expectations of pain reduction and opioid use reduction need to be reconsidered. (3)


Researchers strive to create guidelines for back pain relief treatment. These guidelines direct that non-effective treatments should be avoided (systemic corticosteroids, TENS, traction, electrical muscle stim, benozodiazepines, botulinum toxin injection, etc.) and suggest that clinicians educate and comfort patients, direct 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) Malverne chiropractic care at Malverne Health & Wellness  suits these guidelines. Malverne Health & Wellness offers a Malverne chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehab, and more.

CONTACT Malverne Health & Wellness

Schedule you Malverne chiropractic appointment today with Malverne Health & Wellness. Opioids are not the only option for Malverne back pain relief, particularly Malverne chronic low back pain. Malverne Health & Wellness offers optimism for chronic low back pain relief to Malverne back pain sufferers wishing to avoid or escape the opioid epidemic.

Chiropractic spinal manipulation at Malverne Health & Wellness is worthwhile over opioids for back pain control. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."