Pain Rehabilitation using Chronic Opioid Therapy Report 2022

Running Head: PAIN REHABILITATION USING CHRONIC OPIOID THERAPY
PAIN REHABILITATION USING CHRONIC OPIOID THERAPY
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PAIN REHABILITATION USING CHRONIC OPIOID THERAPY1
Topic: Pain Rehabilitation using Chronic Opioid Therapy
Huffman KL, Rush TE, Fan Y, Sweis GW, Vij B, Covington EC, Scheman J, Mathews M.
Sustained improvements in pain, mood, function and opioid use post interdisciplinary pain
rehabilitation in patients weaned from high and low dose chronic opioid therapy. Pain.
2017 Jul 1;158(7):1380-94.
Chronic Noncancer Pain, being a rising concern about health in the United States and
affecting a majority of Americans. In most of the cases, people suffering from Chronic
Noncancer Pain have led to an upsurge in Opioid recommending. Excessive use of Opioid has
become a foremost concern among the public that includes augmented healthcare consumption,
amplified healthcare budgets, an overdose of Opioid, and addiction towards the drug. An opioid
is a narcotic drug that acts as painkiller similar to oxycodone, fentanyl, or tramadol. There are
various types of opioid medication, few of them are obtained from nature, whereas few of them
are synthetic or fabricated. Symptoms of Chronic Noncancer Pain can be observed within one
week, and the patient needs to undergo Chronic Opioid Therapy. It has been found that chronic
opioid therapy does not provide long-term relief from pain and associated with feeble recovery.
There is a higher risk for the patient if he or she has been associated with a high dose of Chronic
Opioid Therapy. Patients suffering from a combination of various other illness along with the
primary disease such as depression, unease, or other forms of disorders are more likely to a high
dose of therapy. To understand the concept more precisely, Interdisciplinary Chronic Pain
Rehabilitation Program are organized where people can carry out their treatment at a low cost
and more effectively. Patients being treated over there get much more benefit and relief from the
pain, and long-span progress remains free from Opioid. It was being theorized that treatment on
a high dose of Chronic Opioid Therapy shows a significant improvement in pain, temper and

PAIN REHABILITATION USING CHRONIC OPIOID THERAPY2
efficient weakening, and achievement in lasting free from opioid and these enhancements will be
equivalent with the development of other patients treating other diseases.
Data collected various source, and it has been detected that there is a vast difference of
dose during the time of admission and during the time discharge. The treatment usually starts
from a collaborative effort by a multidisciplinary team that includes psychotherapy, mental,
behavioral group, and psycho-education, physical and professional therapy experts. All the staff
is made sure that they follow strict behavior apart from their profession. Opioid intake schedules
are set based on the patient's pain and symptoms. Patients being treated with clonidine and
tizanidine are to give relief from immediate pain. Some get loperamide or gabapentin to treat
against anxiety or insomnia. Available data suggest that approximately 1510 patients were
treated from 2007 to 2012.
Opioid dosage can be consumed orally. It can be legally consumed if prescribed at least
for five days per week at a course of three months program. Patients are classified into three
categories on the basis of opioid dosage. Not on Chronic Opioid Therapy, Low Dose Chronic
Opioid Therapy, and High Dose Chronic Opioid Therapy. However, patients in belonging to first
category consume opioids but do not meet the exact requirements to be on Chronic Opioid
Therapy. Moreover, daily dose considered for the study was not based on practical, and there is
no appropriate value of dosage that to be consumed being on High dose. Opioid resumption is
also a significant concern that comes in play after treatment of six to twelve months. It is mainly
observed among the patients with either Low dose or high dose. A lot of time, the patient
completely stopped consuming opioid, but they resume after twelve months. Evidence supports
that pain; depression and anxiety are the leading cause behind opioid resumption.