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

The opioid epidemic. It’s in the news. Toronto does not2 escape the opioid issue. Yorkville Chiropractic and Wellness Centre knows some Toronto chiropractic patients with Toronto back pain struggle with opioids that were, at some point, prescribed to assist them in coping with their back pain and now want to be done with them. Yorkville Chiropractic and Wellness Centre understands and is prepared to help Toronto back pain sufferers get relief without opioid drugs. The effectiveness of opioid drugs for control of Toronto back pain is questioned while spinal manipulation such as offered at Yorkville Chiropractic and Wellness Centre is suggested.


Low back pain burdens a back pain patient’s life. It is no wonder that a back pain sufferer desires a pill to get rid of the pain, a Toronto back surgery to remove the pain’s source now.  Occasionally it is not that easy: the pill may have unwanted effects or the positive effects may not last long enough; the surgery relief may not last or resulted in an unexpected result. Yorkville Chiropractic and Wellness Centre appreciates the role of drugs for pain relief when necessary, respects the part back surgery plays in a Toronto back pain sufferer’s trip toward pain relief and a better quality of life. Yorkville Chiropractic and Wellness Centre also offers complementary care to those back pain relief choices and, for some Toronto back pain sufferers, back surgery prevention in addition to post-back surgery rehab and Toronto 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 sadly quite modest. Opioids’ effects on pain reduction and function improvement are small to moderate and brief versus placebo. The side effects, serious ones for those who use strong opioids for a long period of 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) Yorkville Chiropractic and Wellness Centre understands the Toronto back pain patient who comes for Toronto chiropractic care and establishes the suitable treatment plan to get 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 took 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 needed 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 didn’t use any opioids before back surgery, 12.8% became long-term users.  What was the end result? What do patients need to know who are considering Toronto back surgery as the final answer to their Toronto back pain? Lumbar fusion back surgery rarely stopped the long-term opioid use and increased the risk of creating the need for their use afterwards.  Patient expectations of pain reduction and opioid use reduction demand reevaluation. (3)


Researchers work to create guidelines for back pain relief treatment. These guidelines direct that non-effective treatments should be avoided (systemic corticosteroids, TENS, traction, electrical muscle stim, benozodiazepines, botulinum toxin injection, etc.) and recommend that clinicians educate and comfort patients, direct 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 choose exercise, spinal manipulation, NSAIDs.  (4) Toronto chiropractic care at Yorkville Chiropractic and Wellness Centre  suits these guidelines. Yorkville Chiropractic and Wellness Centre presents a Toronto chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehab, and more.

CONTACT Yorkville Chiropractic and Wellness Centre

Schedule you Toronto chiropractic appointment now with Yorkville Chiropractic and Wellness Centre. Opioids are not the only way to deal with Toronto back pain, particularly Toronto chronic low back pain. Yorkville Chiropractic and Wellness Centre offers hope for chronic low back pain relief to Toronto back pain sufferers wanting to avoid or escape the opioid epidemic.

Chiropractic spinal manipulation at Yorkville Chiropractic and Wellness Centre is worthwhile over opioids for back pain control. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."