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Safe Pain Treatment/ Chiropractic Vs Opioids

Chiropractic and the Opioid Epidemic: Rethinking Our Approach to Pain

New Guidelines on Low Back Pain Recommend Use of Non-Drug Treatments First Before Medications

Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of tens of thousands of people in the United States. According to the Centers for Disease Control and Prevention (CDC), as many as one in four patients who receive prescription opioids long term for non-cancer pain in primary care settings struggles with addiction. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.

Deaths involving opioids have quadrupled since 1999; in 2014 alone, more than 14,000 people died from overdoses involving the drugs. That same year, another 2 million people abused or were dependent on opioids.

Beyond the risks of addiction and overdose, prescription drugs that numb pain may convince a patient that a musculoskeletal condition is less severe than it is or that it has healed. This misunderstanding can lead to overexertion and a delay in the healing process…or even permanent injury. Chiropractic and other conservative (non-drug) approaches to pain management can be an important first line of defense against pain and addiction caused by the overuse of prescription opioid pain medications.

Rising Recognition of the Value of Non-drug Approaches to Pain

There is a growing body of research that validates the effectiveness of chiropractic services, leading many respected health care organizations to recommend chiropractic and its drug-free approach to pain relief.

In 2017, the American College of Physicians (ACP) updated its guidelines for the treatment of acute and chronic low back pain to recommend first using non-invasive, non-drug treatments before resorting to drug therapies. ACP’s guidelines, published in the Annals of Internal Medicine and based on a review of randomized controlled trials and observational studies, cite heat therapy, massage, acupuncture and spinal manipulation (a centerpiece of chiropractic care) as possible options for non-invasive, non-drug therapies for low back pain. Only when such treatments provide little or no relief, the guidelines state, should patients move on to medicines such as ibuprofen or muscle relaxants, which research indicates have limited pain-relief effects. According to the guidelines, prescription opioids should be a last resort for those suffering from low back pain, as the risk of addiction and overdose may outweigh the benefits. In March 2016, the Centers for Disease Control and Prevention, in response to the opioid epidemic, released guidelines for prescribing opioids that also promote non-pharmacologic alternatives for the treatment of chronic pain.

In 2015, the Joint Commission, the organization that accredits more than 20,000 health care systems in the U.S. (including every major hospital), recognized the value of non-drug approaches by adding chiropractic and acupuncture to its pain management standard.

Conservative Care First: A Common Sense Approach

The American Chiropractic Association (ACA) encourages patients and health care providers to first exhaust conservative forms of pain management, when appropriate, before moving on to riskier, potentially addictive treatments such as opioids. To this end, ACA delegates met in Washington, D.C., in 2016 and adopted a policy statement proposing a solution to the dual public health concerns of inadequate pain management and opioid abuse. ACA’s policy statement supports:

1. The investigation of non-pharmacologic interventions for pain treatment across a variety of patient populations and healthcare delivery setting
2. The promotion of evidence-based non-pharmacologic therapies within best practice models for pain management
3. The improvement of access to providers of non-pharmacologic therapies
4. Interprofessional education to augment the training of pain management teams
5. And public health campaigns to raise awareness of drug-free treatment options for pain syndromes.

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  • "I've seen Dr. Mandich on and off over the last 10 years for a variety of physical problems. Dr. Mandich has always been very knowledgeable and professional with my treatments. A BIG Thank-You to Doc and staff for helping to keep me moving at my BEST!"
    Chuck W.
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    Tom G.
  • "I went to PWC on the recommendation of a close friend for an inflamed herniated disc, and was immediately treated to a program of acupuncture and ultrasound (along with spinal adjustments) for my problem, which has completely disappeared. I feel no more pain or discomfort. The staff is the absolute best!"
    Chris M.
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    Jessica H.
  • "Chiropractic care has changed my life. Dr. Mandich is the absolute best! The spinal manipulations and therapy done in office have relieved my neck and low back pain. Making it manageable with almost no pain at all. I recommend Dr. Mandich to all my friends and family. Thank you for improving my spine as well as my over all wellness!"
    T.E.