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

Opioids. They’re in the news. La Grande doesn’t escape the opioid issue. Paulette Hugulet, DC, LLC knows some La Grande chiropractic patients with La Grande back pain struggle with opioids that were, at some point, prescribed to help them cope with their back pain and now want to be off of them. Paulette Hugulet, DC, LLC understands and is ready to help La Grande back pain sufferers find relief without opioid drugs. The effectiveness of opioid drugs for control of La Grande back pain is questioned while spinal manipulation such as offered at Paulette Hugulet, DC, LLC is suggested.


Low back pain overwhelms its sufferers’ life. It is no wonder that a back pain sufferer desires a pill to get rid of the pain, a La Grande back surgery to get rid of the pain’s cause now.  Occasionally it’s not that simple: the pill may have unwelcome effects or the positive effects may not last very long; the surgery relief may not continue or produced an unexpected outcome. Paulette Hugulet, DC, LLC values the role of drugs for pain relief when necessary, admires the part back surgery plays in a La Grande back pain sufferer’s trip toward pain relief and a better quality of life. Paulette Hugulet, DC, LLC also offers coordinating care to those back pain relief choices and, for some La Grande back pain sufferers, back surgery prevention as well as post-back surgery rehabilitation and La Grande 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 decided that the effectiveness is poor. Opioids’ effects on pain reduction and function improvement are small to moderate and short-lasting versus placebo. The side effects, serious ones for those who use strong opioids for a long time, were common. (1) Some patients respond better to drug therapies than others. Researchers found it hard to figure out just how effective drugs like oxycodone and clobazam and imipramine will be for which chronic low back pain patient. (2) Paulette Hugulet, DC, LLC figures out each La Grande back pain patient who seeks for La Grande chiropractic care and establishes the appropriate treatment plan to get some back pain relief.


Patients choose back surgery often expecting quick pain relief that will negate the need for pain control drugs. Researchers checked into this idea and found that many back pain sufferers who were prescribed 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 took long-term opioids before surgery, and 1094 needed opioids afterwards. Of the pre-operative opioid patients, 77.1% kept consuming them long-term, 13.8% occasionally, and just 9.1% discontinued or consumed them short-term subsequently. 34.4% continued with a lower dose while 44.8% continued with a higher dose. Of those who did not take 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 La Grande back surgery as the ultimate answer to their La Grande back pain? Lumbar fusion back surgery rarely ended the long-term opioid use and increased the risk of creating the need for their use later.  Patient expectations of pain reduction and opioid use reduction need to be reexamined. (3)


Researchers strive to develop 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 suggest that clinicians teach and reassure patients, direct them to remain active and do self-care. Acute back pain patients can choose exercise, manual therapy, heat, and NSAIDS. Chronic back pain patients can use exercise, yoga, manual therapy, cognitive behavioral therapy, acupuncture, biofeedback, massage, rehabilitation, etc. Radicular back pain patients may use exercise, spinal manipulation, NSAIDs.  (4) La Grande chiropractic care at Paulette Hugulet, DC, LLC  suits these guidelines. Paulette Hugulet, DC, LLC offers a La Grande chiropractic treatment plan of spinal manipulation with Cox Technic, exercise, rehabilitation, and more.

CONTACT Paulette Hugulet, DC, LLC

Schedule you La Grande chiropractic appointment now with Paulette Hugulet, DC, LLC. Opioids aren’t the only way to deal with La Grande back pain, particularly La Grande chronic low back pain. Paulette Hugulet, DC, LLC offers hope for chronic low back pain relief to La Grande back pain sufferers wanting to avoid or escape the opioid epidemic.

Chiropractic spinal manipulation at Paulette Hugulet, DC, LLC is worthwhile over opioids for back pain control. 
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