Managing Chronic Pain
According to the American Chronic Pain Association (ACPA), "A person with chronic pain is like a car with four flat tires." It's challenging for anything to be right when living with chronic pain.
When seeking treatment for chronic non cancer pain (CNCP), look for healthcare professionals with clinical skills and knowledge to evaluate risk of opioid use disorder (OUD) and offer multi modal care approaches. One or more multi modal treatments, such as physical therapy, exercise, acupuncture, massage, transcutaneous electric nerve stimulation (TENS), etc. may offer better long term relief from chronic pain without the risk of OUD.
Some resources and background information:
- AANA Advisory Opinion: Patient Safety and CRNAs on Drug Therapy Regimens for Pain Management
- Prescription opioids, whether used as prescribed or abused, can lead to substance use disorder (SUD) and increase the potential for intentional or unintentional overdoses.
- Long-term opioids prescriptions, see study on Coprescribing Naloxone to reduce overdose risk
- Chronic pain often co-occurs with depression, PTSD, and suicide ideation. Diagnosis and treatment of the co-occurring disorders can significantly improve well-being and reduce risk of unhealthy coping.
- American Psychological Association (APA) Coping with Chronic Pain
- Mindfulness for managing chronic pain
- National Institutes of Health - NIH review finds nondrug approaches effective for treatment of common pain conditions
- Turn the TideRx.org Patient Resources from the Surgeon General Call to End the Opioid Crisis
Considerations for pain patients with substance use disorder:
- Talbott Recovery Campus offers a guide listing drugs to avoid or only take with addiction medicine specialist/doctor approval to helps maintain sobriety while receiving treatment for other health problems
- SAMHSA Treatment Improvement Protocol: Managing Chronic Pain in Adults With or in Recovery from Substance Use Disorders
Pain management professional resources:
In the news:
- FDA Announces Enhanced Warnings for Immediate-Release Opioid Pain Medications Related to Risks of Misuse, Abuse, Addiction, Overdose and Death - March 2016
- From Pills to Pins, Oregon is Changing How It Deals with Back Pain - September 2015
- Veterans Endure Higher Pain Severity than Nonveterans - National Institute of Health (NIH), December 2016
The resources on this page may incorporate or summarize views, guidelines, or recommendations of third parties. Such material is assembled and presented in good faith, but does not necessarily reflect the views of the AANA. Links to third-party websites are inserted for informational purposes and do not constitute endorsement of the material on those sites, or of any associated organization.