Our comprehensive opioid protocol at the Southern California Pain Institute is based on guidelines from the American Society of Interventional Pain Physicians(ASIPP). Our pain management doctor optimizes opioid treatment to maximize analgesia and minimize side effects.
The epidemic of opioid use is one of the predominate concerns in modern medicine. The prescribing and consumption of opioids has exploded in America. There has been a nearly seven-fold increase in the supply of opioids per capita from 1997 to 2010. Sales of all opioids have increased dramatically. Hydrocodone was prescribed more often than ANY OTHER medication from 2006 to 2011. America consumes a disproportionate share of the world’s opioids and this has had deadly consequences.
There have been increased fatalities and other adverse consequences from the use of opioids. There is also a lack of evidence in favor of long term efficacy and safety of opioid therapy. Since evidence supporting the use of opioids for treatment of chronic non-cancer pain is limited, long term opioid therapy should be reserved for carefully screened patients with moderate to severe pain that significantly impacts patient activity or quality of life. If there is documented improvement in pain and function, the opioids may be continued. The American Society of Interventional Pain Physicians recommends a pain management consultation if high dose opioid-therapy is being utilized.
We adhere to an opioid protocol that aims to maximize pain relief and minimize side effects associated with opioid treatment. We work with each patient to formulate a treatment plan aimed at relieving the underlying cause of their pain through a multidisciplinary approach combined with interventional procedures when indicated.