America’s deadliest Opioids problem: From Pain specialist view

Pain is one of the most significant problems from which a person suffers. Chronic pain alone has affected more than 100 million US adults at present. With pain, you tend to lose your normal routine life and it costs more than $560-635 billion annually to people living in the United States.

Why US residents fail to seek effective pain treatments?

US residents fail to seek effective pain treatments

Los Angeles pain clinic and their specialist have found out that a large number of Americans have received inadequate pain prevention, assessment and treatment because of various financial incentives that work against the best provision for personal care. The unrealistic expectations of a patient and lack of valid pain assessment measures make US residents fail to receive a proper pain treatment.

The clinicians in the pain management clinics often look after the patients to help them gain day to day control on their pain killer addiction, but many health professionals lack proper training to perform this supportive role. If we look into the primary care, it is always the first stop for the patients suffering from chronic pain. However, this primary care is often missed and hence the pain specialists cannot perform comprehensive treatments.

How Opioid has risen in America?

Opioid has risen in America
Figure 1 – Opioid Prescriptions Dispensed by US Retail Pharmacies IMS Health, Vector One: National, years 1991-1996, Data Extracted 2011. IMS Health, National Prescription Audit, years 1997-2013, Data Extracted 2014.

Drug Use rate in USA
Figure 2 – Growing Evidence suggests that abusers of prescription opioids are shifting to heroin as prescription drugs become less available or harder to abuse. For example, a recent increase in heroin use accompanied a downward trend in OxyContin abuse following the introduction of an abuse-deterrent formulation of that medication (dashed vertical line)

Relation between Use and Death
Figure 3 – Trend in Prevalence of Heroin Use and Heroin Related Overdose Death in the US (1999-2012)

Methadone Pre and Post

The rise of the opioid analgesics indicates both a medical hint and an abuse. Therefore, their prescribing, dispensing and administration is directly under the control of the government including treaties and US federal and state laws. The policies as directed control drug movement and prevent abuse or prescription medicines. However, there are many opioids that are important to control pains and for that, governments must make sure that there is adequate supply.

Why pain specialist prefers to use Opioid to treat chronic pains?

From mild to acute, pain could be often cured with physical interventions such as common application of the ice, transcutaneous electrical nerve stimulation (TENS), massage or bracing etc. But along with that the specialists in Los Angeles pain clinic also make the use of mild analgesic such as an NSAID. However, a severe pain demands opioid therapy. With the help of the skilled clinicians, they can able to treat nerve blocks and spinal infusions to control the severe acute pain to a high level.

Clinicians should look into the proper medication and treatment and must carefully analyze how everything can synchronize. We strictly follow this and also our pain management clinic in Los Angeles carefully supervise short-term use of opioids in the context of treatment of short-term pains compared to those documented pains that has been severe down the years.

However, a number of barriers continue to be there in America according to the viewpoint of the pain specialists. The health professionals at times hold negative attitude towards people who report about the pain and may not pay much attention. However, it is the duty of the clinicians to attend the patients no matter how much debilitating or controllable the pain might be. However, without the prescription it is not advisable to prescribe medicines of opioids to the sufferers, so its claims immediate attention of pain specialists of the Los Angeles Pain Clinic.

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