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Effectiveness of Opioids for Pain Control is Questionable while Chiropractic Spinal Manipulation is Recommended

Opioids. They’re in the news. Montreal doesn’t escape the opioid issue. Dr. Hoang's Chiropractic Clinic sees some Montreal chiropractic patients with Montreal back pain struggle with opioids that were, at some point, prescribed to help them cope with their back pain and now want to be off of them. Dr. Hoang's Chiropractic Clinic gets it and is ready to help Montreal back pain sufferers find relief without opioid drugs. The effectiveness of opioid drugs for control of Montreal back pain is doubted while spinal manipulation such as offered at Dr. Hoang's Chiropractic Clinic is suggested.


Low back pain overwhelms its sufferers’ life. It’s no wonder that a back pain sufferer wants a pill to get rid of the pain, a Montreal back surgery to remove the pain’s source now.  Occasionally it’s not that easy: the pill may have unwelcome effects or the positive effects may not last long enough; the surgery relief may not last or produced an unexpected result. Dr. Hoang's Chiropractic Clinic appreciates the role of drugs for pain relief when necessary, respects the part back surgery plays in a Montreal back pain sufferer’s journey toward pain relief and a better quality of life. Dr. Hoang's Chiropractic Clinic also offers complementary care to those back pain relief choices and, for some Montreal back pain sufferers, back surgery prevention as well as post-back surgery rehab and Montreal back pain relief.


A recent Cochrane data review of randomized clinical trials on the effectiveness of opioids and other drugs for chronic low back pain concluded that the effectiveness is poor. Opioids’ effects on pain reduction and function improvement are small to moderate and short-lasting compared to placebo. The side effects, serious ones for those who use strong opioids for a long time, were usual. (1) Some patients react better to drug therapies than others. Researchers found it hard to determine just how effective drugs like oxycodone and clobazam and imipramine will be for which chronic low back pain patient. (2) Dr. Hoang's Chiropractic Clinic figures out each Montreal back pain patient who seeks for Montreal chiropractic care and establishes the suitable treatment plan to secure some back pain relief.


Patients choose back surgery often expecting quick pain relief that will remove the need for pain control drugs. Researchers checked into this idea and found that many back pain sufferers who were prescribed opioids before surgery expected that surgery would fix the problem and not have to take opioids anymore. Reality shows that of 2491 adults who underwent lumbar fusion back surgery, 1045 took long-term opioids before surgery, and 1094 used opioids subsequently. Of the pre-operative opioid patients, 77.1% continued taking them long-term, 13.8% occasionally, and just 9.1% discontinued or took them short-term afterward. 34.4% continued with a lower dose while 44.8% continued with a higher dose. Of those who did not take any opioids before back surgery, 12.8% became long-term users.  What was the bottom line? What do patients need to know who are considering Montreal back surgery as the ultimate answer to their Montreal back pain? Lumbar fusion back surgery seldom stopped the long-term opioid use and increased the risk of beginning their use later.  Patient expectations of pain reduction and opioid use reduction need to be reconsidered. (3)


Researchers work to develop guidelines for back pain relief treatment. These guidelines direct that non-effective treatments should not be used (systemic corticosteroids, TENS, traction, electrical muscle stim, benozodiazepines, botulinum toxin injection, etc.) and recommend that clinicians teach and reassure patients, advise them to remain active and perform self-care. Acute back pain patients can choose exercise, manual therapy, heat, and NSAIDS. Chronic back pain patients can choose exercise, yoga, manual therapy, cognitive behavioral therapy, acupuncture, biofeedback, massage, rehabilitation, etc. Radicular back pain patients may use exercise, spinal manipulation, NSAIDs.  (4) Montreal chiropractic care at Dr. Hoang's Chiropractic Clinic  suits these guidelines. Dr. Hoang's Chiropractic Clinic presents a Montreal chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehabilitation, and more.

CONTACT Dr. Hoang's Chiropractic Clinic

Schedule you Montreal chiropractic appointment today with Dr. Hoang's Chiropractic Clinic. Opioids are not the only means to find Montreal back pain relief, particularly Montreal chronic low back pain. Dr. Hoang's Chiropractic Clinic offers optimism for chronic low back pain relief to Montreal back pain sufferers desiring a way to avoid or escape the opioid epidemic.

Chiropractic spinal manipulation at Dr. Hoang's Chiropractic Clinic is worthwhile over opioids for back pain control. 
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