Addiction Recovery and Chronic Pain Management
According to researched published in Pain Physician Journal as recently as 2006, 90 percent of people in the US receiving treatment for pain management were prescribed opiate medication. Of that number 9 percent to 41 percent had opiate abuse/addiction problems. The research also stated that 16 percent of pain management patients experienced illicit drug use along with their prescribed medication, and as high as 34 percent in other research they reviewed. These numbers give a picture of the overall problem of chronic pain abuse/addiction problems in the general population. What is harder to quantify is the extent of this problem in the recovering community.
Whenever I asked the following question at trainings, “How many of you know someone in long-term recovery who has relapsed over pain management issues?” most of the audience raises their hands. The reasons vary, but more often than not they either take the wrong medication or too much. Others try to tough the pain out and end up relapsing back to their original drug of choice.
Living with chronic pain is difficult for anyone, but especially for someone with coexisting abuse, addiction or other psychological disorders. They can become severely depressed and discouraged. Healthcare providers often become confused and frustrated when their treatment interventions are ineffective and frequently blame their patients.
The problem of managing pain and medication in recovery continues to grow and healthcare professionals are left with the challenge of how to effective address it. Given the biopsychosocial nature of addiction and chronic pain, it is imperative to understand both conditions and implement a multidisciplinary treatment plan.
To check out my book Managing Pain and Coexisting Disorders and to learn how to develop an effective multidisciplinary treatment plan please go to my article Serving People with Chronic Pain and Coexisting Disorders that you can download for free on our Ariticles page. To order this book or my Addiction-Free Pain Management® Recovery Guide please Click Here.
If you want to learn more about the Addiction-Free Pain Management® System please check out our website at www.addiction-free.com. If you are in recovery and want to learn how to develop a plan for managing your pain and medication effectively go to our Publications page and check out my book the Addiction-Free Pain Management® Recovery Guide: Managing Pain and Medication in Recovery. To look for my upcoming trainings please go to our Calendar page. To read our latest Chronic Pain Solutions Newsletter please click here. To sign up for Chronic Pain Solutions, please click here and input your name and email address. You will then recieve an autoresponse email that you need to reply to in order to finalize enrollment.

September 25th, 2008 at 11:45 am
I would really love to see your research–or could you point me towards this review you quote? Most of the research I find on this subject say ADDICTION to opiates is RARE in chronic pain patients (?
September 28th, 2008 at 9:02 am
First of all thank you for your comments and question.
As a starting point I do agree that most people do not develop an addiction to their pain medication but from my experience and research findings it is not rare. I use a conservative 10 percent estimate but it is probably higher for people to have abuse or addiction problems with their pain medication.
We do know for example that addiction is present in anywhere from 10 to 15 percent of the general population (this includes alcohol as well as other drugs as cited in the NIDA research). As a starting point I want to refer you to our Research Page on our website by going to http://www.addiction-free.com/news-research.html.
As you will see in the first posting on that page there are identifiable risk indicators that will predict who will be more at risk for abuse or even addiction. The final posting on that page covers the research I was referring to in my Blog.
I hope this is helpful.
Dr. Stephen F. Grinstead
Senior Consultant/Trainer
Gorski-CENAPS Corporation Grinstead Consultation & Coaching Services
PO Box 340626 Sacramento, CA 95834-0626
Phone (916) 575-9961
Website: http://www.addiction-free.com Email: sgrinstead@cenaps.com or drgrinstead@yahoo.com
Blog: http://www.addiction-free.com/blog/ To read our latest Chronic Pain Solutions Newsletter please click here http://www.addiction-free.com/sept-2008-newsletter.html. To sign up for our free Chronic Pain Solutions Newsletter, please click here http://www.addiction-free.com/contact.html. and then input your name and email address. You will then receive an autoresponse email that you need to reply to in order to finalize enrollment.