Effectiveness of Opioids for Pain Control is Questionable while Chiropractic Spinal Manipulation is Recommended

The opioid epidemic. It’s in the news. Manchester does not2 escape the opioid issue. Manchester Chiropractic & Sports Injuries sees some Manchester chiropractic patients with Manchester back pain struggle with opioids that were, at one time, prescribed to assist them in coping with their back pain and now want to be done with them. Manchester Chiropractic & Sports Injuries understands and is prepared to help Manchester back pain sufferers get relief without opioid drugs. The effectiveness of opioid drugs for control of Manchester back pain is questioned while spinal manipulation such as offered at Manchester Chiropractic & Sports Injuries is recommended.


Low back pain burdens its sufferers’ life. It’s not a surprise that a back pain sufferer wants a pill to get rid of the pain, a Manchester back surgery to remove the pain’s cause now.  Occasionally it is not that easy: the pill may have unwelcome effects or the positive effects may not last long enough; the surgery relief may not continue or produced an unexpected outcome. Manchester Chiropractic & Sports Injuries values the role of drugs for pain relief when needed, respects the part back surgery plays in a Manchester back pain sufferer’s journey toward pain relief and a better quality of life. Manchester Chiropractic & Sports Injuries also offers coordinating care to those back pain relief options and, for some Manchester back pain sufferers, back surgery prevention in addition to post-back surgery rehabilitation and Manchester back pain relief.


A recent Cochrane data review of randomized clinical trials on the effectiveness of opioids and other drugs for chronic low back pain concluded that the effectiveness is poor. Opioids’ effects on pain reduction and function improvement are small to moderate and short-lasting versus placebo. The side effects, serious ones for those who use strong opioids for a long period of time, were common. (1) Some patients react better to drug therapies than others. Researchers found it hard to figure out just how effective drugs like oxycodone and clobazam and imipramine will be for which chronic low back pain patient. (2) Manchester Chiropractic & Sports Injuries understands the Manchester back pain patient who seeks for Manchester chiropractic care and sets the appropriate treatment plan to produce some back pain relief.


Patients opt for back surgery often for pain relief or a quick fix that will negate the need for pain control drugs. Researchers checked into this idea and reported that many back pain sufferers who were took opioids before surgery expected that surgery would end the need for opioids. Reality shows that of 2491 adults who underwent lumbar fusion back surgery, 1045 took long-term opioids before surgery, and 1094 took opioids afterwards. Of the pre-operative opioid patients, 77.1% kept using them long-term, 13.8% occasionally, and just 9.1% discontinued or took them short-term afterward. 34.4% continued with a lower dose while 44.8% did so with a higher dose. Of those who didn’t use any opioids before back surgery, 12.8% became long-term users.  What was the bottom line? What do patients need to know who are thinking about Manchester back surgery as the final solution to their Manchester back pain? Lumbar fusion back surgery rarely stopped the long-term opioid use and increased the risk of beginning their use later.  Patient expectations of pain reduction and opioid use reduction demand reevaluation. (3)


Researchers work to create guidelines for back pain relief treatment. These guidelines direct that non-effective treatments should not be used (systemic corticosteroids, TENS, traction, electrical muscle stim, benozodiazepines, botulinum toxin injection, etc.) and suggest that clinicians teach and reassure patients, guide them to remain active and perform self-care. Acute back pain patients can choose exercise, manual therapy, heat, and NSAIDS. Chronic back pain patients can choose exercise, yoga, manual therapy, cognitive behavioral therapy, acupuncture, biofeedback, massage, rehabilitation, etc. Radicular back pain patients may use exercise, spinal manipulation, NSAIDs.  (4) Manchester chiropractic care at Manchester Chiropractic & Sports Injuries  suits these guidelines. Manchester Chiropractic & Sports Injuries presents a Manchester chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehab, and more.

CONTACT Manchester Chiropractic & Sports Injuries

Schedule you Manchester chiropractic appointment today with Manchester Chiropractic & Sports Injuries. Opioids aren’t the only way to deal with Manchester back pain, particularly Manchester chronic low back pain. Manchester Chiropractic & Sports Injuries offers hope for chronic low back pain relief to Manchester back pain sufferers wanting to avoid or escape the opioid epidemic.

Chiropractic spinal manipulation at Manchester Chiropractic & Sports Injuries is worthwhile over opioids for back pain control. 
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