Hey guys Dr. Ray Marquez here your local chiropractor at Back Pain Relief Center
Tonight's headline was opioid addiction and back pain. And I just want to talk a
little bit about it just because I'm seeing it so
much on TV and whether there's more focus on it now or there's more
cases and I think there's more cases. I want to give my take on it and what
possibly can be done. You know when it comes to back pain you know paint
there's a time and place for pain medication and I understand it or I
think the problem leads is when it's prolonged periods of pain medication. And
you know that's a better conversation for your primary doctor or medical
professionals so this is kind of my take on it. You know when
people hurt their backs and whether it's herniation a bulge or they've had a
surgery or whatever it is and they go to their doctors or whichever doctor to the
surgery gives a medication and they kind of run through the course whether it's a
month or two months or whatever it is. The problem with the pain medication is
it numbs you and you don't feel it but it doesn't do anything to get the
problem any better while you're feeling pain in the first place. So many primary
doctors will get frustrated with their patients and they don't know or they're
there they they hit a wall with treating them because they're not getting any
better so they send them to pain management. And pain management will give
them pain medication for a certain period of time and they try other things
like injections and ablations and all those other specialty interventional
things they do but it's my opinion that they don't really address the functional
component of why you're feeling pain so patients get on those painkillers or
they get on their prescription painkillers and again
there's some pain management for a little while and then the pain doctors
cut them back and they don't want to see them and what happens is or they cut
back how much and giving them or they stop treating them all together and then
the patient has developped tendency to want to take it
whether it's habituation or addiction and then they feel the need or it's
sometimes it's easier just to go out and get the drugs themselves. And at that
point from what I hear it could be even easier to get heroin then it can be to get
pain medication on the streets and then we have this huge epidemic. So I think
there's a lot of social reasons why we have this this epidemic that we're going
through now. I do see this one portion of it I know there's a bunch of other
reasons for it but this one pain medication from medical doctors is part
of it. Now look I refer to pain Doc's all the time and orthopedics probably weekly
and I do think there's a time and place for it but if you're going to take that
type of medication you have to address the biomechanical functional component
of the joint or you just never get better. Okay and you sometimes you have
to have what am I trying to say real expectation or realistic expectations of
feeling better you know it sucks back pain sucks and sometimes when we get it
people wonder are chasing getting back to that feeling 100% or normal and I
hate to say it even as a chiropractor but sometimes that 100% normal
ship has sailed and you have to be ok with a certain amount of pain. The drug
prescription or the opioid addiction right now it's just a very slippery
slope it's not going in a good direction the hard thing is it's gonna get harder
and harder for legitimate patients that actually need it to get pain medication
because of this whole issue so I think again there's a lot of factors but if
you don't address the functional component of why the back hurts or neck
hurts in the first place you'll never get to a good spot you can be on pain
medication for the rest of your life and it just keep on going that direction. So
let's go over a couple things when it comes to your spine you know are there a
bunch of reasons for pain in your spine? Absolutely. But major reasons compression
another joint whether it's from dysfunction whether it's from repetitive
stress syndrome whether it's from an accident or just good old old age and
degeneration and arthritis that joint compresses it loads has too much
pressure on the discs and irritates of nerves irritates the muscles it gets
inflammation going you lose function it just doesn't work right and
it's getting harder. So chiropractic care I think I got a
message up there goes chiropractic care has been has been proven to be the
number one way to resolve or decrease low back and neck pain okay we've been
doing it for hundreds of years and it's been working great we get a lot of
patients better and it's the most conservative approach to addressing
these problems. So sometimes going to a chiropractor in addition to seeing your
primary doctor or pain doctor or or a orthopedic in conjunction with
chiropractic care works great okay we get to get your inflammation levels down
with appropriate medication and we get the functional component taken care of
and then you begin to function well. Now look if chiropractic is not your thing I
get it okay we're not here for everyone I'm not trying to make everyone happy
although I would love to orthopedics okay the orthopods are great okay they
understand the functional component and when you when you go to see them they're
gonna give you some appropriate medication again and they're also gonna
send you to physical therapy so medication and the physical therapy they
may even send you to me once in a while even chiropractic care or physical
therapy will begin to again address a functional component. So what I'm getting
out here you got to get that functional component with physical therapy
chiropractic care yoga stretching whatever you got to continue to do it
it's gonna be an ongoing thing. Pain management Doc's
are great too okay they're gonna do interventional medicine.
Injections, electric stimulators. All these things to try to get the
inflammation down to get you to feel better again maybe we'll refer to
chiropractic and to physical therapy. Sometimes your primary doctor is a good
choice you know a lot of you will know them know your know your primary doctors
for years and they know your body that's a good first start go to see them and
see why you're hurting and see what can be done. I'm a big fan of finding things
at home stretching at home getting DVDs on stretching yoga yoga a big big big
fan okay for everyone and a lot of the fighters I know do yoga it's great for
managing back pain. Stretching just get Google some back
stretches or some neck stretches it'll help.
Alright so again the main thing hints here you know you gotta address the
functional component you have to have realistic expectations of where your
pain is going to be and you have to realize that the medicine isn't going to
take it away a hundred percent. Okay it's not going to be the answer medicine
for back and neck pain will help but it's not the answer that takes away
completely you have to address that functional component. Alright that's my
take on the hope opioid thing it's a tragedy you know I'm hearing about
people dying all the time and it just sucks and we got to do all do something
to get better. I think chiropractic care is gonna lead
the the four way here to addressing neck and back pain and getting off without
medication. Alright I hope all is well I hope you're having a great evening
thanks for watching and I'll talk to you soon.
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