Back Pain Patients education regarding pain medicine and dependence

At Pain and Wellness Center, our doctors take important sessions in educating chronic back pain patients. Our doctors will review your spinal MRI report FREE, at no cost to you.   Providing diagnosis, assesment and prescriptions are just major parts of treating back pain patients.  From the outsider’s view, prescribing is the main part, it’s like seeing the roof of the house going up is the main part of the house.

In reality, it takes thousand of details to support the perceived roof on the air.  It also takes hundred of decisions to arrive at the process of prescribing medicines for chronic back pain patients.

The education part takes much longer and demands additional time, efforts and patience to obtain results.  Our doctors enroll  and pay for pain medicine training yearly to keep our knowledge up to date and maintain high standard of care.

Table 1. For Florida, The Numbers of Controlled Substance Rxs prescribed in 2015 and 2016, according to Florida PDMP Prescription Drug Monitoring Program report.

DrugsCategory20152016% change
Hydrocodone SAOpiate~5,359,0005,123,070decrease -4,41%
Alprazolam/XanaxBenzo~4,300,0004,385,000increase 1.9%
OxycodoneOpiate~3,963,0004,263,900 increase 7.5%
ClonazepamBenzo~2,034,5602,117,100increase 4%
DiazepamBenzo~980,800991,500increase 1%

The average time to transform a chronic back pain patient is average about nine (9) months.  For some serious long term back pain patients, it will take up to 18-24 months to see successful results.  The process involves education, monitoring, drug screen, explaining the nation’s trends, media trends, CDC guidelines.

In the state of Florida, the medical associations and organizations properly has taken judgment for how the medical professionals have treated chronic back pain patients — especially,  the overly prescription of controlled substances of pain medicine. The numbers are surprising and bewildering:

A public media story last year reported that about 1.5 million people in the United States are addicted to prescribed pain medications, with serious consequences. According to the AP, An average of 20 Americans die every day die from an overdose of prescribed painkillers in the wrong hands or from heroin.

For too many people, addiction somehow begins with prescription pain meds, frequently to deal with legitimate pain sufferers. The federal Centers for Disease Control and Prevention reports that 11 percent of the United States’ adult population experiences chronic pain.

But pain relief can follow a dependency that leads people to exhaust all legal means to get prescriptions.  Drug treatment is available, but getting people off the drug hook isn’t easy because of peer pressure and life style.

As the medical community fights with this overdose, it is increasingly clear that treatment includes educating patients about the dangers of an inadvertent yet potential addiction, and to suggest ways of treating pain. This approach could prove frustrating to those who are suffering in every waking minutes, but it is essential to getting a handle on the addiction solution.

The treatment alternatives vary; some are as basic as Advil, Ibuprofen, Naprosen,  non-narcotic pain medications such as ibuprofen, though at stronger doses than are available over the counter, combined with physical therapy. Doctors are recommended to learn how behavioral issues such as anxiety and depression factor into pain management. Training includes cognitive behaviors, yoga, pilates.  Other treatments include electrical nerve stimulation, acupuncture and massage.

Doctor will suggest to chronic pain patients, discuss Gabapentin with patients and different modalities.  These approaches may not yield the short-term pain relief that a suffering chronic pain patient may look forward.

At Pain and Wellness Clinic, our doctors will listen to our patients and suggest the most important treatment for our patients. If you need to see a pain doctor in Pinellas county, Florida, Please call our phone number 727 548-1111 for immediate answer to your chronic pain conditions.  We will review your MRI for FREE at no cost to you.

 

References

2015-2016 Florida Prescription Drug Monitoring Program report Rebecca Poston December 1st,  2016