Confused about pain and pain medications? Understandably. In the early 2000’s, accreditation bodies in rehabilitation and acute (hospitalization) care required that we shine lights on and (then, primarily), offer medication to patients that were in pain at most any level..even if their primary condition for hospitalization or rehabilitation was NOT for pain.
Welcome to the 20-teens. When opiods are no longer in favor and conservative care + pain science are en vogue. Here to stay? Well, let’s hope so, in an evolved form. We understand now that pain may have a “driver” a body part in dysfunction, or may have HAD a driver…that has since exited the car (resolved), leaving the vehicle running at higher and higher speeds.
Among the myriad of pain science discoveries that we are making now, includes: 1) patients that receive imaging first, along with a referral to PT, are less likely to attend or schedule a first visit, 2) opiod prescriptions before PT are a strong predictor of ongoing opiod prescriptions, and 3) patients that received and attended a PT consult are 35% LESS likely to receive an opiod prescription at all.
Thought provoking enough for one blog…