Tag Archives: good-news

Work-Enabling Opioid Management

Work-Enabling Opioid Management. – PubMed – NCBI – Aug 2017

OBJECTIVE: This study describes the relationship between opioid prescribing and ability to work.

METHODS: The opioid prescription patterns of 4994 claimants were studied.

This group is certainly large enough to draw conclusions from – and the scientifically proven conclusion is what we pain patients already know…   Continue reading

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Tapentadol for Some Kinds of Severe Chronic Pain

Tapentadol Extended Release in the Treatment of Severe Chronic Low Back Pain and Osteoarthritis Pain – Pain Ther. Jun 2018 – free full-text /PMC5993688/

Tapentadol is a novel pain reliever with apparently synergistic dual mechanisms of action, capable of addressing both nociceptive and neuropathic components of chronic pain.

From Wikipedia: Tapentadol (brand names: Nucynta, Palexia and Tapal) is a centrally acting opioid analgesic of the benzenoid class with a dual mode of action as an agonist of the μ-opioid receptor and as a norepinephrine reuptake inhibitor (NRI). Analgesia occurs within 32 minutes of oral administration, and lasts for 4–6 hours

As an effective analgesic with good tolerability, tapentadol may be appropriate for patients suffering from severe chronic pain associated with low back pain (LBP) or osteoarthritis (OA).   Continue reading

Pain patients getting new attention from top at FDA 

Chronic pain patients, overlooked in opioid crisis, getting new attention from top at FDA – by , USA TODAY (mainstream national media!)

Chronic pain patients and the groups that represent them say the escalating government response to opioid addiction ignores their need for the painkillers and doctors who will prescribe them, leaving some out of work, bedridden and even suicidal.

Tough state laws on prescribing that took effect Sunday, Centers for Disease Control and Prevention (CDC) dosage guidelines and state and federal charges against doctors who prescribe opioids are an overreaction to addiction, according to several dozen people with unremitting pain who contacted USA TODAY.   Continue reading

Opioid Crisis versus People With Chronic Pain

Responses to the Opioid Crisis Must Account for People Who Experience Chronic Pain – Center for American Progress – – 

“Opioids fill the news with a steady stream of stories of lives lost from overdose and abuse. Whatwe rarely hear is the other side—opioids are also the most powerful pain medication we have.”Kate Nicholson, civil rights attorney and chronic pain survivor

as policymakers at all levels of government continue to debate efforts to address opioid misuse, the basic needs of people who use opioids appropriately and rely on them to function have fallen by the wayside.

I’m thrilled to see this mentioned. This whole article is refreshingly (and amazingly) factual, reminding its readers that we who suffer unremitting pain have a legitimate need for prescription opioids.  Continue reading

Restrictive Opioid Guidelines Reversed in Canada

B.C. doctors can’t limit opioids or discriminate against pain patients – By Camille Bains – June 6, 2018

In a stunningly swift reversal, one state in Canada (British Columbia) has rejected their previous opioid-restricting guidelines modeled after the unscientific U.S. CDC Opioid Guideline.

Instead, Canada now demands doctors treat pain patients with effective medication and end the senseless torture of withholding opioids from patients that need them.

I think this is an incredibly important and wonderful development.  Continue reading

Three Doctors Supporting Pain Patients’ Concerns

Three doctors wrote comments to the Pain Mgmt Best Practices Task Force supporting pain patients’ concerns –  May 2018

Here are 3 doctors who are standing up for pain patients’ rights to opioid pain medications in this comment to the HHS Pain Mgmt Task Force:

Our core concern is that a failure to promote an appropriate understanding of chronic pain among health professionals and payers has led to devastating complications.

These include the over-prescription of [non-opioid] medications, and the overutilization of invasive procedures.   Continue reading

HHS Secretary: Don’t Forget Those Who Suffer Pain

Don’t Forget Those Who Are Suffering From Pain – June 1, 2018 – By: Alex Azar, Secretary of the Department of Health and Human Services and Adm. Brett P. Giroir, M.D., Assistant Secretary for Health

This is an encouraging note from our government official, igniting my hope that the plight of pain patients is finally being confronted.

Our nation faces a tremendous challenge in fighting an epidemic of opioid misuse. Many Americans have developed their addiction following treatment for a painful condition, and many are overdosing on prescription painkillers or illegal opioids like heroin and illicit fentanyl. In fact, it is estimated that between 60 and 75 percent of Americans who use heroin started with misusing prescription opioids…

…but not prescribed to them! That’s the critical difference being ignored.   Continue reading

Study finds opioids ARE effective for chronic pain

Efficacy of opioids versus placebo in chronic pain: a systematic review and meta-analysis of enriched enrollment randomized withdrawal trials – free full-text /PMC5939920/ – J Pain Res. May 2018

This most recent study contradicts all the hype saying that opioids aren’t effective for our chronic pain:

  • Opioids are efficacious in the treatment of chronic non-cancer pain for up to 3 months in randomized controlled trials”
  • Opioids … remain an important therapeutic option.”
  • I…the efficacy of opioids is at least as large as that of any other treatment for chronic pain.” 

Continue reading

Low Risk of OUD in Primary Care Opioid Prescribing

Low Risk of Producing an Opioid Use Disorder in Primary Care by Prescribing Opioids to Prescreened Patients with Chronic Noncancer Pain | Pain Medicine | Oxford Academic – Pain Medicine, Volume 19, Issue 4, 1 April 2018

This longitudinal and prospective study seems to be of high quality and shows what we’ve known all along: among pain patients, in general, there is only a small chance of developing problems with opioid abuse.

Objective: To examine the risk of developing aberrant behaviors that might lead to a substance use disorder (addiction) when prescribing opioids for the relief of chronic noncancer pain in primary care settings.

Design: Longitudinal, prospective, descriptive design with repeated measures.   Continue reading

Sedentary Lifestyle Increases Risk of Dying from Cancer

Sedentary Lifestyle Drastically Increases Risk of Dying from Cancer – Roswell Park Comprehensive Cancer Center – Apr 2018

Roswell Park Comprehensive Cancer Center researchers have once again identified a link between physical inactivity and an increased risk of mortality among cancer patients, emphasizing the health risks of a sedentary lifestyle and the importance of regular exercise as therapy for cancer patients both during and after treatment.

From what I’ve been reading, this “exercise” they refer to is actually more like “activity”, as long as it’s not done sitting. That means everyday activities, like shopping, carrying, and putting away groceries, or handling small children, or walking the dog qualify as “exercise”.

Any activity that isn’t done sitting is a big improvement over sitting, even like cooking or folding laundry.   Continue reading