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Reply With QuoteGreat post Justin! Opioid addiction seems to be last nasty symptom of spine ailments.
This is a discussion on Potent Opioids Risky for Substance Abusers (CME/CE) within the Pain Management forums, part of the General Spine Discussion Forums category; (MedPage Today) -- Chronic opioid use -- an increasingly common current practice for the management of noncancer pain -- poses ...
Potent Opioids Risky for Substance Abusers (CME/CE) (MedPage Today) -- Chronic opioid use -- an increasingly common current practice for the management of noncancer pain -- poses hazards when recipients have substance use disorders and when schedule II drugs are given, a large study found...
Potent Opioids Risky for Substance Abusers (CME/CE) (click here for the full article at MedPage Today)
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Re: Potent Opioids Risky for Substance Abusers (CME/CE) Great post Justin! Opioid addiction seems to be last nasty symptom of spine ailments.
04/06 L5/S1 Rupture
05/06 MRI shows DDD @ L2-S1
06/06 Diskectomy/ Laminotomy L5/S1
04/07 Recurrent Disc L5/S1
4 Ortho and 1 Neuro Surgeon, 5 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
03/27/09 L4/5 & L5/S1 Maverick discs at Stenum (www.dr-ritter-lang.com)
11/9/11 C6/7 Herniation with Nerve Impingement. Another journey begins.
Re: Potent Opioids Risky for Substance Abusers (CME/CE) Opioids definitely have their place in non-cancer pain. However, tolerance and physiologic dependence on opioids are inevitable (and very difficult) aspects of these medications that many Spine Patients know all too well.Originally Posted by trkdoc714
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Re: Potent Opioids Risky for Substance Abusers (CME/CE) Justin & Bob- This was my #1 fear going onto Hydrocodone. I asked my family doctor (who was the first to treat me and prescribe) if I would become addicted (my father is a recovery alcoholic for 20+ years now, so I have that genetic link). He told me that I would likely become physically dependent; but if I did not take it when I was not in pain, or for pleasure that the chance of addiction was slim. I have never taken it on a schedule, only when I feel pain (now I have had pain scripts that were long acting and thus taken on a schedule). I mentally evaluate myself every time I am about to take a medication; "am I hurting badly", "is this back pain or some other ache", "can I alleviate this by stretching or using a heating pad/ice pack", "if I don't take medication will this go away or get worse" (in some cases if I was about to go to bed, I could count on the muscle relaxer working and didn't need the pain killer), etc. This has helped me tremendously and I have had no problem weaning off of opiates (now the anti depressant Cymbalta was a different story!).
31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011, completely pain free still!
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