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Study Reveals Predictors Of Long-term Opioid Use For Back Pain

This is a discussion on Study Reveals Predictors Of Long-term Opioid Use For Back Pain within the Pain Management forums, part of the General Spine Discussion Forums category; Despite limited evidence of long-term success in using opioid pain medications for chronic low back pain, opioid prescribing has increased ...

  1. #1
    Founder / Administrator Justin's Avatar
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    Post Study Reveals Predictors Of Long-term Opioid Use For Back Pain

    Despite limited evidence of long-term success in using opioid pain medications for chronic low back pain, opioid prescribing has increased in recent years for back pain and other non-cancer pain indications. The implications are controversial as published studies provide little evidence indicating which patients will benefit from long-term opioid treatment.....

    Study Reveals Predictors Of Long-term Opioid Use For Back Pain (click here for the full article at Medical News Today)

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 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
    I'm here to help.
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    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.

  2. #2
    Junior Member
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    Default Re: Study Reveals Predictors Of Long-term Opioid Use For Back Pain

    Very interesting Justin! Thanks for posting.
    2004: First signs of back problems
    Sep'09: Developed sciatica
    Nov'09: 1st MRI shows herniations on l4-5 and l5-s1
    Nov'09: Hospitalization 6 days for pain and loss of abdominal(?) muscle control.
    Nov'09-Jan'10: Conservative treatment: TENS, PT, acupuncture
    Jan'10: 2nd MRI (pre-op)
    Jan'10: partial discectomy, l4-5 and l5-s1. Successful surgery
    Oxycontin, Oxycodone, Paracetamol, Voltaren

  3. #3
    Senior Member Katie's Avatar
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    Default Re: Study Reveals Predictors Of Long-term Opioid Use For Back Pain

    "risks associated with continued pain management with opioids in some patients may outweigh the risks of surgery. This might be a factor worth considering in surgical decision making for patients with herniated discs or stenosis,"

    I wish the Canadian surgeons would take a serious look at this. Almost universally, they say that they will not operate JUST for pain. As if it was a minimal side effect. Pain can kill. It renders us useless. And they just do not get it.

    The amount of narcotics I am on is ruining my life. The side effects often make me socially unacceptable; people look at me like some kind of criminal at times, just after taking a much needed dose. The stigma is almost unbearable. And while it may be a coincidence, the long list of serious allergies began just a few months after I started the large doses of morphine. My allergist seriously thinks there is a correlation. So yes, the risks of the drugs seriously outweigh the surgery, at least for me.

    Thanks for posting this, Justin. Now if I could just get my long list of surgeons to agree.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

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