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. And these statics continue to climb. Altogether, nearly 200,000 Americans have died over the past 15 years from this epidemic.
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.
The Risk of Numbing the Pain
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.
Non-drug Approaches to Pain
A drug-free approach to pain relief is within reach, supported by an increasing amount of research that adds validity to the effectiveness of chiropractic services in correctly and consciously treating pain. This support is being led by many respected health care organizations that now recommend chiropractic as a viable alternative to prescription drugs.
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 lower 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.
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:
- The investigation of non-pharmacologic interventions for pain treatment across a variety of patient populations and healthcare delivery setting
- The promotion of evidence-based non-pharmacologic therapies within best practice models for pain management
- The improvement of access to providers of non-pharmacologic therapies
- Inter-professional education to augment the training of pain management teams
- And public health campaigns to raise awareness of drug-free treatment options for pain syndromes.