Balancing Act: Managing Pain and Addiction with Care
Treating concurrent pain and substance addiction is especially challenging.
Imagine juggling the challenges of chronic pain and addiction. In this episode, Dr. Carl Christensen and Dr. Mark A. Weiner tackle this complex issue head-on. Chronic pain affects millions, and when combined with substance use disorders, it creates a tricky landscape for both patients and healthcare providers. The duo brings their expertise to the table, offering a compassionate and informative discussion on how to manage pain without triggering relapse or fueling addiction. Dr. Christensen and Dr.
Weiner dive into the nitty-gritty of prescribing practices. They highlight the pitfalls of indiscriminate opioid prescriptions and the risks of under-treating pain, which can lead to physical health problems and potential relapse. They also share practical tips for safe pain management, such as using tricyclic antidepressants for chronic pain and opting for short-acting opioids over long-acting ones like Oxycontin. But it's not all about medication. The doctors stress the importance of non-opioid strategies like physical therapy, acupuncture, and cognitive-behavioral therapy.
They also touch on the role of methadone clinics and the need for continuous monitoring to avoid sedation and other issues. A significant part of their discussion revolves around the impact of addiction on decision-making. Dr. Christensen emphasizes the need for involving therapists and support systems in pain management plans. He suggests switching pain medications frequently to prevent addiction. The episode doesn't shy away from tough topics like pain management during pregnancy. Dr.
Weiner discusses the risks involved and recommends specialized care for pregnant women dealing with pain. Finally, they provide crucial tips for recognizing and responding to overdoses, including administering Narcan and performing rescue breathing. They underline the importance of education and awareness in preventing addiction and overdose. This episode is a must-listen for anyone dealing with the dual challenges of chronic pain and addiction, offering a wealth of practical advice and compassionate insights.