Opioids are in the news. The Montreal opioid
epidemic is a big item. Opioids are
prescribed for pain relief of all sorts of pain. Opioids for back
pain relief are common. But today, non-drug
alternatives are in demand. Non-drug alternative care like Montreal
chiropractic care reduces the Montreal back
pain these opioids have been prescribed for and often minus
the bad side-effects.
DRUG USE BEFORE BACK SURGERY
Pharmacological treatment preferences
– drugs – for easing chronic low back pain are the focus of
much attention today. Researchers investigate
these and other options as to what works best to
assist Montreal back pain patients. The
effect of drugs like oxycodone (an opioid drug), clobazam and imipramine on
chronic low back pain are hard to predict. One
article suggested that patients who are more sensitive to hot
and cold react better to imipramine. (1) Another described
that electroacupuncture proved to be 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) Dr. Hoang's Chiropractic Clinic cares for many Montreal
back pain sufferers seeking pain relief without drugs. And the Montreal
chiropractic care is helpful for most.
DRUG USE AFTER BACK SURGERY
Montreal chronic low back pain leads
some sufferers to lumbar spine fusion surgery. Patients who go this route to
deal 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 took
opioids off and off; 9.1% discontinued using them or took them for a
short time after surgery. Of patients who hadn’t took
opioids before surgery, 34.4% used a lower dose after surgery, and 44.8% used
a higher long-term dose. 12.8% became long-term users of
opioids. The researchers inferred that lumbar spine
fusion infrequently stopped
the long-term opioid use and actually increased the risk of using
them long-term. (4) Dr. Hoang's Chiropractic Clinic offers Montreal chiropractic care
both pre-operatively and post-operatively to relieve Montreal
back pain and for some prevent Montreal back surgery.
OPTIONS TO DRUGS FOR BACK PAIN
What are the options for Montreal 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 Montreal back
pain relief is possible and to remain active. The Montreal low
back pain sufferer can learn
more about self-care options. For acute
low back pain and neck pain patients who do not have
any concerning causal issue, exercise, manual
therapy, heat and NSAIDs are suggested. For chronic low back
pain sufferers without serious underlying
issues, exercise, yoga, cognitive behavioral therapy, acupuncture, biofeedback,
relaxation, massage, manual therapy, rehab, NSAIDS, acetaminophen and
antidepressants are recommended. 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 recommended
because of research showing uselessness.
(5) Dr. Hoang's Chiropractic Clinic offers Montreal chiropractic care including Cox
Technic flexion distraction decompression treatment that is research-documented
to be successful for Montreal back pain relief.
CONTACT Dr. Hoang's Chiropractic Clinic
Listen to this PODCAST
with Dr. Roy Siegel on the Back Doctor’s Podcast with Dr. Michael Johnson as he
shares how Cox Technic relieves back pain for his performing arts
patients without drugs so they can continue performing!
Schedule your Montreal chiropractic appointment
with Dr. Hoang's Chiropractic Clinic today. The opioid epidemic may be curbed for
Montreal back pain sufferers who come for Montreal
chiropractic care at Dr. Hoang's Chiropractic Clinic…and chiropractic may become the opioid-alternative news!