Chiropractors Commend CDC’s Draft Opioid Prescribing Guideline

Chiropractors Commend CDC’s Draft Opioid Prescribing Guideline
In a letter to the Centers for Disease Control and Prevention (CDC), the president of the American Chiropractic Association (ACA), Anthony Hamm, D.C., commends the regulatory agency for recommending use of conservative pain management strategies — such as spinal manipulation — as a preferred initial treatment option for pain management in its proposed 2016 Guideline for Prescribing Opioids for Chronic Pain. Hamm observes there is “no evidence showing a long-term benefit of opioids in pain and function for chronic pain with outcomes examined at least one year later," and that on the contrary, volumes of evidence show potential harm associated with the increasing use of prescription opioids. Hamm cited a 2015 report published in the Journal of the American Academy of Orthopedic Surgeons (JAAOS) that found increased use of opioids has led to unanticipated consequences, such as a tolerance among some patients to the drug hydrocodone and negative treatment outcomes for conditions such as work-related musculoskeletal disorders, joint replacements and spine surgery. In addition, the president of the Arlington, Virginia-based ACA points to recent research suggesting that rising prevalence of chronic pain and/or opioid use by U.S. combat soldiers after deployment is cause for serious concern. The study, published online as a research letter in JAMA Internal Medicine, is accompanied by an editorial recommending that the goal should be nothing short of a "cultural transformation” in how pain is
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