Opioids for post-op Pain should be “Best Practice”, NOT a last resort

The following American Article talks about promising non-opioid treatments on the horizon for chronic pain, however, of particular note the Author highlights the following: “We now believe that aggressive, appropriate treatment of acute pain after surgery may prevent persistent postoperative chronic pain.” Why has this trend of “undertreatment” only been noticed & reported in relatively … Read more

Six Myths and Facts About Opioid Medications:

Myth 1: Opioids do not work for neuropathic pain. Fact: While some opioid medications may not be effective for neuropathic pain, others have different mechanisms that may help reduce neuropathic pain. Examples include methadone, tramadol and levorphanol. Myth 2: Opioids always cause unwanted side effects. Fact: Some individuals experience side effects from opioids, such as … Read more

Is Long-term Opioid Therapy Safer Than Tapering?

Due to the recent opioid reforms and changes to guidelines in Australia [June 2020], many individuals living with chronic pain have been needlessly subjected to, often dangerous, forced tapering of their much-needed painkillers. Discontinuing opioid therapy for chronic pain is not always possible or safe! In fact, in America: “Discontinuing stable, long-term opioid therapy may … Read more

Australians in Chronic Pain Should Not be Ignored

“Painaustralia has today issued a media release calling on the government to undertake a reset of the 2020 opioid reforms. Painaustralia’s plea to the Federal Government is supported by Professor Paul Glare, one of Australia’s leading pain management researchers and clinicians and a director of the Pain Foundation. ‘People who have been on long-term opioids … Read more

Can you “unlearn” back pain? Not if your back pain is not a learned response!

DRAFT…fix this rant with proper info Can you ‘unlearn’ back pain? Yes…IF your back pain is a learned response. That is, if you have ‘learned’ to stay in bed and wrap yourself in cotton wool and do nothing active to manage your pain. That’s a big “IF”. For the vast majority of people who suffer … Read more

Study:  Patterns of opioid dispensing and associated wage replacement duration in workers with accepted claims for low back pain: a retrospective cohort study

It has been a while since I’ve had the pleasure of writing up a scientific study on chronic pain. Not because I believe that there isn’t a need to do this work, but because I am living with severe, daily pain, chronic illness and all the other mechanics of life – family, work, money. I … Read more

Study: Opioid tapering in chronic pain patients is associated with increased overdose and mental health crisis extending for up to two years

opioid pain medication

Researchers have found that tapering chronic pain patients off their opioid pain medications may be far more dangerous than continuing opioid therapy.   This runs counter to the current regulatory environment in Australia that assumes that all chronic pain patients benefit from reducing or stopping their opioid pain medications. A new study by researchers at the … Read more

Prescription Opioid Tapering & The Harms Of Withdrawal.

In the United Kingdom ‘The National Institute for Health and Clinical Excellence (NICE) has not taken into account the experience of thousands of patients in the advice it gives on tapering the dose when discontinuing certain medicines, according to a group of parliamentarians. In its response to the publication of NICE guidance on how to … Read more

Misinterpretation of the “Overdose Crisis” Continues to Fuel Misunderstanding of the Role of Prescription Opioids

The study demonstrates that most overdoses are due to polypharmacy, not due to opioids alone and the numbers of ‘opioid’ induced deaths are inflated by including all deaths where opioids were found on toxicology, but may not have been the cause of death.:

Study:  Are Prescription Opioids Driving the Opioid Crisis? Assumptions vs Facts

Many current assumptions about opioid analgesics are ill-founded. Illicit fentanyl and heroin, not opioid prescribing, now fuel the current opioid overdose epidemic. National discussion has often neglected the potentially devastating effects of uncontrolled chronic pain. Opioid analgesic prescribing and related overdoses are in decline, at great cost to patients with pain who have benefited or may benefit from, but cannot access, opioid analgesic therapy.