(772) 286-5277
  • Home
  • Chiropractic
    • Decompression Therapy
    • Spinal Manipulative Therapy
  • Red Light Lipo
    • RedRed360 Forms
    • Compression Garments
  • Weight Loss
    • WICO App
  • Reviews
  • Nutrition
  • MMJ/CBD Oil
  • Coastal's Blog
  • New Patients
  • Massage
  • Medical
  • IStressedOut
  • Action Armor
  • About
  • Port Saint Lucie Massage Therapy

Chiropractors Role in Opioid Use Disorders

11/14/2017

1 Comment

 
Picture
Opioid Use Disorder (OUD) has quietly but quickly become the hottest topic in healthcare public policy. More than 1/3 of Americans use opioids and 11.5 million misuse or abuse the drug. (1) Tragically, more than 20,000 people died in 2015 due to an opioid overdose. (2) Over a ten-year period, the opioid death rate quadrupled in direct proportion to the number of prescriptions. (3)
​
Currently, almost every governmental and healthcare group on the planet is working to combat this problem. Solutions range from prescription limits to equipping all first responders with Narcan™. However, the underappreciated issue is that opioids are most frequently prescribed for chronic non-cancer pain, primarily spinal pain. The vast majority of spinal pain is mechanical in origin. Prescribing a chemical does not adequately address that problem.  Fortunately, there is abundant research that shows chiropractic spinal manipulation is very effective at resolving mechanical problems. 

Patients who utilize chiropractic co-management have significantly lower rates of opioid use (19% vs 35%) and are 30 times less likely to undergo surgery. (4,5) Health plans realize significant savings by incorporating chiropractic care, with some carriers reporting a 2:1 ROI. (6,7)

Not surprisingly, in the past year chiropractic or spinal manipulation has been endorsed as an alternative to opioids by the FDA, CDC, Joint Commission, American College of Physicians, and 37 State Attorney Generals. (8-12) Earlier this week, a Presidential Commission Report on Opioids echoed those recommendations. (13)

References
1. Substance Abuse and Mental Health Services Administration. 2017. Results from the 2016 National Survey on Drug Use and Health: Detailed Tables. Table 1.28A and 1.28B. Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.pdf, accessed on October 26, 2017.

2. Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey
3. Paulozzi MD, Jones PharmD, et al. Vital Signs: Overdoses of Prescription Opioid Pain Relievers – United State, 1999-2008. Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Center for Disease Control and Prevention. 2011:60:5.
4. Whedon J. Association between Utilization of Chiropractic Services and Use of Prescription Opioids among Patients with Low Back Pain. Presented ahead of print at the National Press Club in Washington DC on March 14, 2017. Accessed online at http://c.ymcdn.com/sites/www.cocsa.org/resource/resmgr/docs/NH_Opioids_Whedon.pdf on Drug Use and Health (HHS Publication No. SMA 16-4984, NSDUH Series H-51). Retrieved from http://www.samhsa.gov/data/
5. Benjamin J. Keeney , Ph.D., et al. Early Predictors of Lumbar Spine Surgery After Occupational Back Injury. SPINE Volume 38, Number 11, pp 953–964
6. Feldman V, Return on investment analysis of Optum offerings — assumes Network/UM/Claims services; Optum Book of Business Analytics 2013. Analysis as of 12/8/2014.
7. Liliedahl RL, Finch MD, Axene DV, Goertz CM. Cost of care for common back pain conditions initiated with a chiropractic doctor vs medical doctor/ doctor of osteopathy as first line physician: experience of one Tennessee-based general health insurer. J Manipulative Physiol Ther. 2010;33:640–643.
8. FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. May 2017. Accessed on May 12, 2017
9. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain- United States, 2016. MMWR Recom Rep 2016;65(No. RR-1):1–49.
10. The Official Newsletter of The Joint Commission. Joint Commission Enhances Pain Assessment and Management Requirements for Accredited Hospitals. July 2017 Volume 37 Number 7. Ahead of print in 2018 Comprehensive Accreditation Manual for Hospitals.
11. Joint Commission Online. Revision to Pain Management Standards. http://www.jointcommission.org/assets/1/23/jconline_november_12_14.pdf
12. Attorney General Janet Mills Joins 37 States, Territories in Fight against Opioid Incentives. Accessed 9/19/17 from http://www. maine.gov/ag/news/article. shtml?id=766715
13. The Presidents Commission on Combating Drug Addiction and the Opioid Crisis. https://www.whitehouse.gov/sites/whitehouse.gov/files/images/Final_Report_Draft_11-3-2017.pdf

Reprinted with Permission from Chiro Up.
1 Comment
Sea View Resorts in ECR link
9/25/2019 07:49:21 am

Landmarkpallavaa - Stay at one of the Beach View or Sea View Resorts in ECR, Mahabalipuram. Book through website to get best offers on your stay. Book Now, Pay Later &party hard at beach!

Reply



Leave a Reply.

    Author

    Cliff Atwell, B.S., D.C.

    Archives

    November 2019
    October 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    April 2017

    Categories

    All
    Action Armor
    Ankle Pain
    CBD Oil
    Chiropractic
    Customer Service
    Fat Loss
    Headache
    Hip
    Low Back Pain
    Neck Pain
    Nutrition
    Posture
    Relief Care
    Research
    Shoulder Pain
    Stress Solutions
    Vertigo
    Wellness

    RSS Feed

Submit

772-286-5277

3257 SE Salerno Road, #3
Stuart, Florida 34997
  • Home
  • Chiropractic
    • Decompression Therapy
    • Spinal Manipulative Therapy
  • Red Light Lipo
    • RedRed360 Forms
    • Compression Garments
  • Weight Loss
    • WICO App
  • Reviews
  • Nutrition
  • MMJ/CBD Oil
  • Coastal's Blog
  • New Patients
  • Massage
  • Medical
  • IStressedOut
  • Action Armor
  • About
  • Port Saint Lucie Massage Therapy