Treating chronic pain: the need for non-opioid options

Garland, Eric L.

doi:10.1586/17512433.2014.928587

Cited by 25 publications

(23 citation statements)

References 63 publications

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“…8 The response of the healthcare system to the issue of chronic pain can be generally divided into several approaches. Among these approaches, the following can be taken into consideration and discussed.…”

Section: Discussionmentioning

confidence: 99%

“…8 The drugs used for IV sedation analgesia produce varying degrees of sedation, amnesia, anxiolysis, muscle relaxation, and analgesia. 9 However, there is no consensus with regard to the use of sedation analgesic measures prior to controlled diagnostic blocks and the influence of these measures on the accuracy and validity of a diagnosis.…”

Section: Invasive Treatmentmentioning

confidence: 99%

“…8 However, for many patients with chronic pain, the analgesic efficacy of long-term opioids is limited. 8 Furthermore, chronic exposure to opioids can result in opioid misuse, addiction, and risk of overdose. 8 Therefore, nonopioid treatment options are warranted.…”

Section: Noninvasive Treatmentmentioning

confidence: 99%

“…8 Furthermore, chronic exposure to opioids can result in opioid misuse, addiction, and risk of overdose. 8 Therefore, nonopioid treatment options are warranted. 8 Novel pharmacologic nonopioid agents may eventually prove to be the most effective method of ameliorating the symptoms and adverse consequences of chronic pain.…”

Section: Noninvasive Treatmentmentioning

confidence: 99%

“…8 Therefore, nonopioid treatment options are warranted. 8 Novel pharmacologic nonopioid agents may eventually prove to be the most effective method of ameliorating the symptoms and adverse consequences of chronic pain. 8 The pain-management approach of the future may use multimodal interventions that combine cognitive training regimens with somatic therapies (e.g., physical therapy, massage, and/or acupuncture).…”

Section: Noninvasive Treatmentmentioning

confidence: 99%

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Use of Dr. Tan's Chinese Balance Acupuncture for Treatment of Chronic Neck–Shoulder Pain

Kotlyar

BrenerRina

LisMichael

2016

Medical Acupuncture

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Introduction: Neck-shoulder pain is a common musculoskeletal problem that is often chronic or recurrent. The mechanism of the neck-shoulder pain musculoskeletal disorder is complicated, multifactorial, and sometimes unclear. Cases: Seven patients presented at an outpatient pain clinic, each with a chief complaint of chronic neckshoulder pain that these patients had had for various time periods. Intervention: The patients were treated with 45-minute sessions of Chinese Balance Acupuncture per the protocol of Richard Teh-Fu Tan, OMD, LAc. Main Outcome Measures: Pain intensity, pain duration, and quality of life (QoL) were measured during the treatment period, and the QoL was measured during the 3-month follow-up after three acupuncture sessions. Results: After the third session (1.5 weeks after the beginning of treatment), the patients reported complete dissipation of pain or significant reductions in pain intensity. There was also substantial improvement in QoL during the treatment period and during the 3-month follow-up. Conclusions: To date, this is the first case report on the effectiveness of Dr. Tan's Chinese Balance Acupuncture for treatment of chronic neck-shoulder pain. Studies to confirm the results of the present report are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Invasive Treatmentmentioning

confidence: 99%

Section: Noninvasive Treatmentmentioning

confidence: 99%

Section: Noninvasive Treatmentmentioning

confidence: 99%

Section: Noninvasive Treatmentmentioning

confidence: 99%

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Use of Dr. Tan's Chinese Balance Acupuncture for Treatment of Chronic Neck–Shoulder Pain

Kotlyar

BrenerRina

LisMichael

2016

Medical Acupuncture

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Herbal therapies for pain management: a scoping review of the current evidence

Hasan,

Zanzabil,

Ara

et al. 2024

Phytochem Rev

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A Comprehensive Review of Alternative Therapies for the Management of Chronic Pain Patients: Acupuncture, Tai Chi, Osteopathic Manipulative Medicine, and Chiropractic Care

et al. 2020

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Introduction Non-pharmacologic alternative therapies for pain have been around for a long time, some for hundreds of years. They have been used throughout history to treat many issues. Recent Findings Currently, alternative medicine is most frequently used to treat musculoskeletal pain, and between 59 and 90% of patients utilizing alternative therapies for chronic pain claimed they were helpful and can serve as an effective adjunctive for the treatment of chronic pain. Some examples of alternative therapies that will be discussed in this review include acupuncture, tai chi, osteopathic manipulation, and chiropractic care. Acupuncture, traditionally a Chinese practice, is becoming more popular across the world to attempt to relieve pain. It involves the placement of thin needles at various points in the body. The efficacy of acupuncture for pain is heavily debated. More research and discussion are necessary to determine the exact role it plays in the treatment of chronic pain. Tai chi is also a traditional Chinese practice that is often used as a form of meditation and for potential health benefits. Tai chi involves a series of complex movements such as squatting combined with deep breathing to achieve relaxation and pain reduction. Osteopathic manipulative treatment (OMT) is a technique used by both osteopathic physicians (DO) as well as other health professionals to manage a wide range of conditions in any given patient. The technique involves utilization and manipulation of the musculoskeletal system to achieve potential health benefits. OMT has been used as therapy for many issues but is commonly used for pain conditions. Summary Alternative therapies may serve as an effective adjunctive treatment modality for the management of chronic pain conditions. There has been a tremendous amount of research dictating the effectiveness of alternative therapies for chronic pain management. The purpose of this review is to provide a comprehensive evidence-based update of alternative therapy used for the management of chronic pain conditions.

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Treating chronic pain: the need for non-opioid options

Cited by 25 publications

References 63 publications

Use of Dr. Tan's Chinese Balance Acupuncture for Treatment of Chronic Neck–Shoulder Pain

Use of Dr. Tan's Chinese Balance Acupuncture for Treatment of Chronic Neck–Shoulder Pain

Herbal therapies for pain management: a scoping review of the current evidence

A Comprehensive Review of Alternative Therapies for the Management of Chronic Pain Patients: Acupuncture, Tai Chi, Osteopathic Manipulative Medicine, and Chiropractic Care

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