The Back Pain Podcast Why are Opiates no Longer Recommended for Chronic Back Pain? - Diarmuid Denneny
Rob talks with Diarmuid Denneny a lead physiotherapist, Chair of the Physiotherapist Pain Association, and member of the guideline development committee for the NICE chronic pain guidelines in an episode that shares great informative content about the topic that is currently very high profile – the recommendations around prescribing opioids for back pain.
Diarmuid explains what the recommendations are and discusses with Rob the vital elements of a collaborative approach and informed decisions along with alternative strategies in the effective treatment of pain where it’s all about starting small and building
KEY TAKEAWAYS
- The NICE guidelines are evidence-based recommendations for health and care
- The advice is to not initiate a prescription for opioid medication for chronic pain
- Opioids have a place in the treatment of shorter-term pain and for end of life care
- It’s about making sure that people who are taking opioids are fully aware of the potential side effects
- If someone is taking opioids at a low dose and is seeing benefits it’s about a shared care plan and the individual being fully aware of the risks
- It’s about informed choice and shared decision making with the prescribing professional
- There are many factors to consider and the conversation with the clinician at the beginning is key in a personalised approach
- It’s important to consider alternative strategies
- It’s always a collaborative approach between the patient and the prescribing clinician
- A range of strategies should be considered around the pain being experienced and what the individual wants to achieve
- There are factors that influence pain that are beyond your control such as the environment
- Pain is complex and there are elements we are aware of and many that we are less aware of and have less control over
- It’s about medication helping with the management and augmentation of pain
BEST MOMENTS
‘People expect that because they are called painkillers they will stop the pain but for most it’s a reduction in pain’
It’s not about stopping opioids for everyone
‘It’s starting small and building gradually
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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