Opioids

Chiropractic Care Reduces Opioid Prescriptions for Lower Back Pain by 68 Percent: Study

Recent research highlights how spinal adjustments can significantly reduce dependency on pain medication such as the often prescribed Tramadol. By Sheramy Tsai 6/6/2024 Updated: 6/30/2024 Could spinal adjustments replace pain pills? Recent research suggests that chiropractic adjustments can significantly alleviate lower back pain and reduce the need for tramadol, offering a nondrug option for managing […]

Effectiveness of Long-Term Opioid Therapy for Chronic Low Back Pain

April 02, 2024 Journal of the American Board of Family Medicine: JABFM TAKE-HOME MESSAGE This propensity score–matched retrospective cohort study evaluated the effectiveness of long-term opioid therapy (LTOT) for up to 12 months in treating individuals with chronic low back pain. No difference was observed between the LTOT and control groups with regard to mean […]

Initial Choice of Spinal Manipulation Reduces Escalation of Care for Chronic Low Back Pain Among Older Medicare Beneficiaries

Whedon, James M. DC, MS SPINE: February 15, 2022 – Volume 47 – Issue 4 – p E142-E148 doi: 10.1097/BRS.0000000000004118 Study Design. We combined elements of cohort and crossover-cohort design. Objective. The objective of this study was to compare longterm outcomes for spinal manipulative therapy (SMT) and opioid analgesic therapy (OAT) regarding escalation of care […]

Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain

James M Whedon, DC, MS Pain Medicine, pnaa014, https://doi.org/10.1093/pm/pnaa014 Published: 06 March 2020 Abstract Objective Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. Our objective was to evaluate the impact of chiropractic utilization upon use of prescription opioids among patients with spinal pain. Design and Setting We employed a retrospective cohort design for […]

Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain

James M Whedon, DC, MS Pain Medicine, pnaa014, https://doi.org/10.1093/pm/pnaa014 Published: 06 March 2020 Abstract Objective Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. Our objective was to evaluate the impact of chiropractic utilization upon use of prescription opioids among patients with spinal pain. Design and Setting We employed a retrospective cohort design […]

Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

October 23, 2019 Odds of short- or long-term opioid use higher for initial visits with physicians for low back pain TUESDAY, Oct. 22, 2019 (HealthDay News) — Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids, according […]

Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis

Pain Medicine, pnz219, https://doi.org/10.1093/pm/pnz219 Kelsey L Corcoran, DC Published:  27 September 2019 Abstract Objective To investigate the current evidence to determine if there is an association between chiropractic use and opioid receipt. Design Systematic review and meta-analysis. Methods The protocol for this review was registered on PROSPERO (CRD42018095128). The MEDLINE, PubMed, EMBASE, AMED, CINAHL, and Web of […]

Observational retrospective study of the association of initial healthcare provider for new-onset low back pain with early and long-term opioid use – Full Text

BMJ Open 2019;9:e028633. doi: 10.1136/bmjopen-2018-028633 First published September 20, 2019. Lewis E Kazis1, Omid Ameli1,2, James Rothendler1, Brigid Garrity1, Howard Cabral3, Christine McDonough4, Kathleen Carey1, Michael Stein1, Darshak Sanghavi2, David Elton5, Julie Fritz6, Robert Saper7 Abstract Objective This study examined the association of initial provider treatment with early and long-term opioid use in a national […]

Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care

Pain Med. 2018 Sep 1;19(suppl_1):S54-S60. doi: 10.1093/pm/pny114. Lisi AJ Abstract OBJECTIVE: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription. METHODS: Cross-sectional analysis […]

Opioid usage patterns, patient characteristics, and the role of chiropractic services in a publicly funded inner city health care facility

Steven Passmore DC, PhD The Spine Journal Volume 19, Issue 9, Supplement, September 2019, Pages S78-S79 BACKGROUND CONTEXT Opioid prescription for spinal pain while common, is no longer recommended by recent clinical practice guidelines. Opioid prescription rates in the US and Canada are double those in most European countries. A recent study found chiropractic care […]

What Are the Costs of Cervical Radiculopathy Prior to Surgical Treatment?

Injections $988 Physical Therapy: $510 Bracing: $193 Chiropractic services: $193 Narcotics: $101 Gabapentin: $93 NSAIDs: $47   Spine (Phila Pa 1976). 2019 Jul 1;44(13):937-942. doi: 10.1097/BRS.0000000000002983. Barton C Abstract STUDY DESIGN: Retrospective, observational study. OBJECTIVE: To examine the costs associated with nonoperative management (diagnosis and treatment) of cervical radiculopathy in the year prior to anterior […]

Chronic use of tramadol after acute pain episode: cohort study – Full Text Article

BMJ 2019; 365 doi: https://doi.org/10.1136/bmj.l1849 (Published 14 May 2019) Cite this as: BMJ 2019;365:l1849 Abstract Objective To determine the risk of prolonged opioid use in patients receiving tramadol compared with other short acting opioids. Design Observational study of administrative claims data. Setting United States commercial and Medicare Advantage insurance claims (OptumLabs Data Warehouse) January 1, 2009 through June […]

Chiropractic Care Tied to Significant Reduction in Opioid Scripts

Fran Lowry March 19, 2019 DENVER — Chiropractic care for musculoskeletal pain is associated with a significant reduction in opioid prescriptions compared with non-chiropractic care in this patient population, new research suggests. In a new meta-analysis and systematic review, patients who visited a chiropractor for a musculoskeletal pain condition were 49% less likely to receive […]

Opioid use in knee or hip osteoarthritis: A region-wide population-based cohort study

Osteoarthritis and Cartilage — Thorlund JB, et al. | January 24, 2019 In this study, researchers quantified opioid use in patients with knee and hip osteoarthritis (OA), and calculated the proportion of opioids in the population attributable to patients with OA. Study participants included 751,579 inhabitants of southern Sweden aged ≥ 35 years (in 2015). […]

Opioid use following cervical spine surgery: trends and factors associated with long-term use

The Spine Journal Volume 18, Issue 11, November 2018, Pages 1974-1981 The Spine Journal Clinical Study Andrew J.Pugely MD Abstract Background Context Limited or no data exist evaluating risk factors associated with prolonged opioid use following cervical arthrodesis. Purpose The objectives of this study were to assess trends in postoperative narcotic use among preoperative opioid […]

Osteoarthritis Patients Who Start Opioids at Higher Doses Have Worse Outcomes

By Lorraine L. Janeczko October 24, 2018 NEW YORK (Reuters Health) – Patients with osteoarthritis who start opioid treatment at higher doses tend to have higher treatment-failure rates, according to an industry-sponsored study. The findings were presented in a poster September 13 at the International Association for the Study of Pain (IASP) World Congress on […]

Physical Therapy, Chiropractic Back Care Cut Opioid Use, Costs

Payers that cover physical therapy and chiropractic care for addressing lower back pain can lower costs and opioid use. By Thomas Beaton October 23, 2018 – Payers could improve outcomes, increase cost-effectiveness, and reduce opioid use for lower back pain by expanding non-pharmacological coverage such as physical therapy and chiropractic care, according to a new […]

Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.

Pain Med. 2018 Sep 1;19(suppl_1):S54-S60. doi: 10.1093/pm/pny114. Lisi A Abstract OBJECTIVE: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription. METHODS: Cross-sectional analysis […]

Initial Provider Specialty is Associated with Long-term Opiate Use in Patients with Newly Diagnosed Low Back and Lower Extremity Pain

SPINE. Publish Ahead of Print():, AUG 2018 DOI: 10.1097/BRS.0000000000002840 , PMID: 30095796 Issn Print: 0362-2436 Publication Date: 2018/08/07 Tej Azad; Daniel Vail; Jason Bentley; Summer Han; Paola Suarez; Kunal Varshneya; Vaishali Mittal; Anand Veeravagu; Manisha Desai; Jay Bhattacharya; John Ratliff Abstract Study Design. Retrospective longitudinal cohort analysis of patients diagnosed in 2010, with continuous enrollment […]

Injured Veteran Credits Chiropractic With Saving Him From Opioid Addiction

Jane K. Martinez, Contributor Published 7:00 a.m. ET July 10, 2018 SOMERVILLE — At just 19-years-old, Joseph Faro of Bridgewater was robbed of his lifelong dream in the blink of an eye. He tries not to see it that way and, at 27 now, he is adjusting to life as a civilian, future accountant and […]