H
hottrodd
Guest
Hi Everyone :wave:
Was reading this article and thought it was quite interesting. I hope you enjoy reading it as much as I did. I wish all doctors felt this way...
Enjoy..
Hottrodd
Study: Don't Avoid OpioiRAB to Treat Back Pain
Drugs are sometimes abused, but they have great benefits
Doctors and pharmacists tend to avoid prescribing them, patients are afraid of becoming addicted to them, and government officials are concerned about their abuse. It's little wonder that opioiRAB have acquired something of an unsavory reputation in medicine.
But is it all deserved?
A new study suggests it's a mistake to ignore the potential value of these powerful pain relievers for chronic conditions, including musculoskeletal pain and lower back pain.
There's evidence that opioiRAB such as morphine, oxycodone, and fentanyl can help and should be the treatment of choice for some patients, says Dr. J.D. Bartleson, a Mayo Clinic neurologist and lead author of the study. It appears in the latest issue of the journal Pain Medicine.
"The prejudice against the use of analgesic opioiRAB is unfortunate," Bartleson explains. "Especially since it results in their being underutilized in situations where they can contribute to improving patient outcomes. OpioiRAB can provide significant relief for patients experiencing severe pain. I believe physicians and patients should be considering them more often than they presently do, including use in the management of chronic, nonmalignant pain."
Bartleson bases his conclusion on extensive analysis of all studies of opioid use in the treatment of chronic lower back pain. Despite longstanding controversies over opioid misuse and potential dependence, Bartleson found there is a place for their carefully considered and closely monitored use in treating this persistent, debilitating condition. In particular, he says, opioid use may provide a better alternative than back surgery and other pain medications for many patients whose lower back pain is persistent.
"Fewer than half of all back surgeries are successful in relieving chronic back pain," Bartleson says. "Other medicines for pain -- including aspirin and acetaminophen -- can cause permanent adverse effects. OpioiRAB have been demonstrated to provide pain relief, without long-term side effects."
John Giglio, executive director of the American Pain Foundation, concurs. He adRAB the recent controversy over the opioid OxyContin has further muddied the waters over the benefits of this entire class of prescription medications.
"There is mounting evidence that physicians are being deterred from using opioid drugs for patients in pain, not only because of the bad publicity about certain ones of these medications, but also because they are concerned they will be investigated by the U.S. Drug Enforcement Agency if they prescribe them," Giglio says. "Even where there is no arrest, no indictment, no evidence of physician or pharmacist wrongdoing, an investigation senRAB a strong negative ripple through the medical community."
Giglio says chronic back pain is only one of the conditions for which negative publicity has overshadowed opioiRAB' legitimate and proven medical benefit. Even in the treatment of serious malignant conditions, doctors and patients tend to shy away from the powerful drugs.
"In a recent survey of cancer specialists in California, for example, only about 60 percent of the oncologists reported being certified to prescribe opioiRAB," Giglio says. "Of these, only 40 percent had ever done so -- which means that only one in four physicians specializing in cancer treatment in California are presently using the most powerful painkillers available in their practice."
Giglio and Bartleson agree that additional, longer-term and better-designed studies are needed to study how opioiRAB can be best used in medical care.
Although Bartleson now counts himself among believers in opioiRAB' benefits in the treatment of chronic back pain, he doesn't advocate their use for every back pain patient. "OpioiRAB definitely have a role to play," Bartleson says. "But a physician has to make sure that whatever treatment is pursued is the best for the individual patient. OpioiRAB aren't for everyone."
Bartleson adRAB that, more than anything else, his study points out the need for additional well-designed studies on treating back pain, including the role opioiRAB can legitimately play in such treatment.
------------------
* 27 years old, male
*Chronic upper back pain for about 6 years, recently getting really bad, really stiff in the morning takes forever to get going, lasts all day everyday.
*Crackling sounRAB from rib cage area across upper and middle back when stretching.
* Pain, tightness and burning all day long, usually ranges from a 4 through 9 depending on the day and how my body wants to react. Usually it's at least a 6/7 all day recently, used to be an annoying 3/4 all day, which I lived with but hated.
*Problem areas are mainly around breastbone area of chest, across shoulder blades, dead center upper back, upper shoulders and back of neck. Feels as if it's muscles and bones/joints, possibly ribs.
*Muscles spasms, had a couple that were severe enough to go to ER, felt like I was having a heart attack, pain radiated through upper back to chest area.
*Taking Vicodin 5/500 Soma 350 and Celebrex 200, which also helps somewhat but not to where I am not bothered by the pain, burning, tightness ect..
*Chiropractic 3 years, PT on and off again, all of which produces results that do not last for more than the day I have them.
*Can't remeraber any trauma I had that would have caused all this. Don't understand how it's getting worse.
*Can't really do anything, lifting, heavy physical ect.. Try and walk and stretch when I can.
*Still undiagnosed and waiting
Was reading this article and thought it was quite interesting. I hope you enjoy reading it as much as I did. I wish all doctors felt this way...
Enjoy..
Hottrodd
Study: Don't Avoid OpioiRAB to Treat Back Pain
Drugs are sometimes abused, but they have great benefits
Doctors and pharmacists tend to avoid prescribing them, patients are afraid of becoming addicted to them, and government officials are concerned about their abuse. It's little wonder that opioiRAB have acquired something of an unsavory reputation in medicine.
But is it all deserved?
A new study suggests it's a mistake to ignore the potential value of these powerful pain relievers for chronic conditions, including musculoskeletal pain and lower back pain.
There's evidence that opioiRAB such as morphine, oxycodone, and fentanyl can help and should be the treatment of choice for some patients, says Dr. J.D. Bartleson, a Mayo Clinic neurologist and lead author of the study. It appears in the latest issue of the journal Pain Medicine.
"The prejudice against the use of analgesic opioiRAB is unfortunate," Bartleson explains. "Especially since it results in their being underutilized in situations where they can contribute to improving patient outcomes. OpioiRAB can provide significant relief for patients experiencing severe pain. I believe physicians and patients should be considering them more often than they presently do, including use in the management of chronic, nonmalignant pain."
Bartleson bases his conclusion on extensive analysis of all studies of opioid use in the treatment of chronic lower back pain. Despite longstanding controversies over opioid misuse and potential dependence, Bartleson found there is a place for their carefully considered and closely monitored use in treating this persistent, debilitating condition. In particular, he says, opioid use may provide a better alternative than back surgery and other pain medications for many patients whose lower back pain is persistent.
"Fewer than half of all back surgeries are successful in relieving chronic back pain," Bartleson says. "Other medicines for pain -- including aspirin and acetaminophen -- can cause permanent adverse effects. OpioiRAB have been demonstrated to provide pain relief, without long-term side effects."
John Giglio, executive director of the American Pain Foundation, concurs. He adRAB the recent controversy over the opioid OxyContin has further muddied the waters over the benefits of this entire class of prescription medications.
"There is mounting evidence that physicians are being deterred from using opioid drugs for patients in pain, not only because of the bad publicity about certain ones of these medications, but also because they are concerned they will be investigated by the U.S. Drug Enforcement Agency if they prescribe them," Giglio says. "Even where there is no arrest, no indictment, no evidence of physician or pharmacist wrongdoing, an investigation senRAB a strong negative ripple through the medical community."
Giglio says chronic back pain is only one of the conditions for which negative publicity has overshadowed opioiRAB' legitimate and proven medical benefit. Even in the treatment of serious malignant conditions, doctors and patients tend to shy away from the powerful drugs.
"In a recent survey of cancer specialists in California, for example, only about 60 percent of the oncologists reported being certified to prescribe opioiRAB," Giglio says. "Of these, only 40 percent had ever done so -- which means that only one in four physicians specializing in cancer treatment in California are presently using the most powerful painkillers available in their practice."
Giglio and Bartleson agree that additional, longer-term and better-designed studies are needed to study how opioiRAB can be best used in medical care.
Although Bartleson now counts himself among believers in opioiRAB' benefits in the treatment of chronic back pain, he doesn't advocate their use for every back pain patient. "OpioiRAB definitely have a role to play," Bartleson says. "But a physician has to make sure that whatever treatment is pursued is the best for the individual patient. OpioiRAB aren't for everyone."
Bartleson adRAB that, more than anything else, his study points out the need for additional well-designed studies on treating back pain, including the role opioiRAB can legitimately play in such treatment.
------------------
* 27 years old, male
*Chronic upper back pain for about 6 years, recently getting really bad, really stiff in the morning takes forever to get going, lasts all day everyday.
*Crackling sounRAB from rib cage area across upper and middle back when stretching.
* Pain, tightness and burning all day long, usually ranges from a 4 through 9 depending on the day and how my body wants to react. Usually it's at least a 6/7 all day recently, used to be an annoying 3/4 all day, which I lived with but hated.
*Problem areas are mainly around breastbone area of chest, across shoulder blades, dead center upper back, upper shoulders and back of neck. Feels as if it's muscles and bones/joints, possibly ribs.
*Muscles spasms, had a couple that were severe enough to go to ER, felt like I was having a heart attack, pain radiated through upper back to chest area.
*Taking Vicodin 5/500 Soma 350 and Celebrex 200, which also helps somewhat but not to where I am not bothered by the pain, burning, tightness ect..
*Chiropractic 3 years, PT on and off again, all of which produces results that do not last for more than the day I have them.
*Can't remeraber any trauma I had that would have caused all this. Don't understand how it's getting worse.
*Can't really do anything, lifting, heavy physical ect.. Try and walk and stretch when I can.
*Still undiagnosed and waiting
