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

The opioid epidemic. It’s in the news. Vancouver does not2 escape the opioid issue. Vancouver Spine Care Centre sees some Vancouver chiropractic patients with Vancouver back pain struggle with opioids that were, at some point, prescribed to assist them in coping with their back pain and now desire to be done with them. Vancouver Spine Care Centre gets it and is ready to help Vancouver back pain sufferers get relief without opioid drugs. The effectiveness of opioid drugs for control of Vancouver back pain is doubted while spinal manipulation such as offered at Vancouver Spine Care Centre is suggested.


Low back pain burdens its sufferers’ life. It’s not a surprise that a back pain sufferer wants a pill to be done with the pain, a Vancouver back surgery to get rid of the pain’s source now.  Occasionally it is not that easy: the pill may have unwanted effects or the positive effects may not last long enough; the surgery relief may not continue or produced an unexpected result. Vancouver Spine Care Centre appreciates the role of drugs for pain relief when needed, admires the part back surgery plays in a Vancouver back pain sufferer’s trip toward pain relief and a better quality of life. Vancouver Spine Care Centre also offers coordinating care to those back pain relief options and, for some Vancouver back pain sufferers, back surgery prevention in addition to post-back surgery rehab and Vancouver 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 decided that the effectiveness is sadly quite modest. 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 determine just how effective drugs like oxycodone and clobazam and imipramine will be for which chronic low back pain patient. (2) Vancouver Spine Care Centre understands the Vancouver back pain patient who seeks for Vancouver chiropractic care and establishes the suitable treatment plan to secure some back pain relief.


Patients opt for back surgery often expecting quick pain relief that will remove the need for pain control drugs. Researchers checked into this idea and reported that many back pain sufferers who were prescribed opioids before surgery expected that surgery would fix the problem and not have to take opioids anymore. Reality shows that of 2491 adults who underwent lumbar fusion back surgery, 1045 needed long-term opioids before surgery, and 1094 used opioids afterwards. Of the pre-operative opioid patients, 77.1% kept taking them long-term, 13.8% occasionally, and just 9.1% discontinued or consumed them short-term subsequently. 34.4% continued with a lower dose, but 44.8% continued with a higher dose. Of those who didn’t use any opioids before back surgery, 12.8% became long-term users.  What was the end result? What do patients need to know who are thinking about Vancouver back surgery as the ultimate solution to their Vancouver back pain? Lumbar fusion back surgery seldom stopped the long-term opioid use and increased the risk of creating the need for their use afterwards.  Patient expectations of pain reduction and opioid use reduction need to be reevaluated. (3)


Researchers work to create guidelines for back pain relief treatment. These guidelines state that non-effective treatments should be avoided (systemic corticosteroids, TENS, traction, electrical muscle stim, benozodiazepines, botulinum toxin injection, etc.) and recommend that clinicians coach and reassure patients, advise them to stay active and perform self-care. Acute back pain patients can choose exercise, manual therapy, heat, and NSAIDS. Chronic back pain patients can use exercise, yoga, manual therapy, cognitive behavioral therapy, acupuncture, biofeedback, massage, rehabilitation, etc. Radicular back pain patients may do exercise, spinal manipulation, NSAIDs.  (4) Vancouver chiropractic care at Vancouver Spine Care Centre  fits these guidelines. Vancouver Spine Care Centre presents a Vancouver chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehab, and more.

CONTACT Vancouver Spine Care Centre

Schedule you Vancouver chiropractic appointment today with Vancouver Spine Care Centre. Opioids are not the only means to find Vancouver back pain relief, particularly Vancouver chronic low back pain. Vancouver Spine Care Centre offers hope for chronic low back pain relief to Vancouver back pain sufferers desiring a way to avoid or escape the opioid epidemic.

Chiropractic spinal manipulation at Vancouver Spine Care Centre is worthwhile over opioids for back pain control. 
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