Tag: chronic pain

Member Post

 

The War on Drugs, and the offensive against opioids, has collateral damage with faces and names. A friend with cerebral palsy spends every night in the jaws of pain. All day, his mind and body generate enough natural pain suppression to keep him mobile and rational. Then it is time to sleep, to let his […]

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The Opioid Use Hiding Behind the Alleged Superiority of “Nonopioid” Chronic Pain Treatment

 

The SPACE randomized clinical trial, which 234 veterans with chronic back or knee pain completed, has been touted as demonstrating that opioids are superfluous to chronic pain management. According to JAMA’s summary of the trial,

In the opioid group, the first step was immediate-release morphine, oxycodone, or hydrocodone/acetaminophen. For the nonopioid group, the first step was acetaminophen (paracetamol) or a nonsteroidal anti-inflammatory drug. Medications were changed, added, or adjusted within the assigned treatment group according to individual patient response.