tag:blogger.com,1999:blog-4570035285109925151.post4790850559659961310..comments2023-12-17T16:17:02.995-05:00Comments on Evidence Based: Opioids for Chronic Pain: Modern-Day BloodlettingPRIUMhttp://www.blogger.com/profile/08312762637862278622noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4570035285109925151.post-75656669187955710512013-01-22T03:41:24.429-05:002013-01-22T03:41:24.429-05:00Well I can tell not one of you have ever lived day...Well I can tell not one of you have ever lived day to day with constant pain. The kind of pain that drives you out of your mind with thoughts of is it worth living like this. Well I have and do live with that kind of pain. If it weren't for the pain patch I wear I wouldn't be here right now because I would have decided enough is enough and taken my own life! <br /><br />And many people do take their own lives who can't get the help they need because doctors are so afraid to prescribe opioids. But there is one thing that is the most important issue besides the opioids and that's a doctor who cares enough to work with a patient to find out what works for that patient. Not all chronic pain patients are the same and can't be treated that way because if you do treat them the same that's where you run into problems.<br /><br />I have been on my present pain patches for over 2 yrs after going through 8 yrs of pure agony because I was not given the correct meds. In those 8 yrs I had so many surgeries that weren't necessary all due to the fact the doctors didn't want or were afraid to prescribe the correct pain medications or just didn't want to be bothered to take the time to listen.<br /><br />I also do a multiple level regime. <br /><br />You state that long term use of opioids can lead to increased pain. I have to disagree with you there due to the fact I have been on the correct pain meds. for 2 yrs and have had an almost normal life. Where as before I couldn't function at all. You will notice I said "correct" pain medication. It's that simple. <br /><br />We could go back and forth on this issue. But I believe that it takes a doctor who takes his time with a chronic pain patient and cares enough to help that patient. <br /><br />Sincerely yours,<br />A retired nurse spiritracerhttps://www.blogger.com/profile/11500300904375202878noreply@blogger.comtag:blogger.com,1999:blog-4570035285109925151.post-73993991075458703002012-12-25T18:31:30.284-05:002012-12-25T18:31:30.284-05:00This is the smartest thing I have read for a long ...This is the smartest thing I have read for a long time. Chronic is multifactorial and biopysychosocial in origin. A very difficult and complex problem to fix, but opioids are just a quick but dangerous bandaid solution. I have yet to see a patient on opioids who really benefits in the long term.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4570035285109925151.post-13121058021821986422012-12-03T11:31:21.424-05:002012-12-03T11:31:21.424-05:00Beware of the opioid anecdote. True, there are ca...Beware of the opioid anecdote. True, there are cases of increased functionality over the long term, but the data tells us chronic opioid therapy carries more risk than reward. PRIUMhttps://www.blogger.com/profile/08312762637862278622noreply@blogger.comtag:blogger.com,1999:blog-4570035285109925151.post-52734147801052781632012-12-03T10:36:52.849-05:002012-12-03T10:36:52.849-05:00I'm not a doctor either, but I know of people ...I'm not a doctor either, but I know of people who, when they were prescribed opiods, were able to fuction at a higher level and suffer much less. Often, options like surgery are of little or no help, with one leading to others limiting mobility and not limiting pain. While I'm sure there may have been overprescribing at times, I also think it's easy to discount pain when it is not yours and discuss options like comprehensive muli-modal pain management programs which have been tried and failed to offer relief.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4570035285109925151.post-76897929852161851852012-11-20T11:49:52.057-05:002012-11-20T11:49:52.057-05:00I'm not a physician, but I work with physician...I'm not a physician, but I work with physicians every day on both sides of this public health issue. I want to be clear that I believe (as do most physicians) that there are limited circumstances under which long term opioid therapy may be appropriate for treatment of chronic pain. These cases, however, are the exception - a tiny minority of injuries amongst a plethora of over-treatment, dependence, and addiction. In the vast majority of cases, long term opioid therapy fails to relieve pain (in fact, it often leads to increased pain). Often, the emotional distress and chemical dependency (i.e., the underlying cause of the pain) isn't adequately addressed. Treatment of chronic pain needs to start by addressing these fundamental clinical issues. This can be accomplished through tools such as cognitive behavioral therapy, functional restoration, and comprehensive multi-modal pain management programs. PRIUMhttps://www.blogger.com/profile/08312762637862278622noreply@blogger.comtag:blogger.com,1999:blog-4570035285109925151.post-39972301911624520942012-11-20T10:48:04.458-05:002012-11-20T10:48:04.458-05:00If opiods are not the answer to chronic pain, then...If opiods are not the answer to chronic pain, then could you please explain the solution?Anonymousnoreply@blogger.com