Considerations in addressing the opioid epidemic and chronic pain within the USA

Pain Manag. 2019 Mar 1;9(2):131-138. doi: 10.2217/pmt-2018-0070. Epub 2019 Feb 26.

Abstract

This article reviews the complexities of the opioid epidemic, considering recent research involving the current state of the opioid epidemic; chronic pain and its role in the crisis; the properties of opioids and how they interact with human neurobiology; the effectiveness and risks of opioids as a treatment for chronic pain; opioid addiction and dependence; and pharmacological and psychological interventions for opioid addiction, opioid dependence, and chronic pain management. Opioid abuse can be reduced with the availability and access to treatment facilities for opioid detoxification; using interdisciplinary treatment models for chronic pain, opioid addiction and dependence; conducting more research in the areas of opioid addiction and opioid dependence; and shifting to an increase in nonpharmacological, less invasive treatments for pain.

Keywords: chronic pain; opioid addiction; opioid dependence; opioids; biopsychosocial.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / adverse effects*
  • Chronic Pain / complications
  • Chronic Pain / drug therapy*
  • Epidemics*
  • Humans
  • Opiate Alkaloids / adverse effects*
  • Opioid-Related Disorders / epidemiology*
  • Opioid-Related Disorders / therapy
  • United States

Substances

  • Analgesics, Opioid
  • Opiate Alkaloids