New Treatment ‘Can Help People Stop Taking Opioid Painkillers for Chronic Pain’

1. Introduction

- The prevalence of opioid painkiller use for chronic pain

- The negative consequences of long-term opioid prescriptions

2. The new treatment for opioid withdrawal

- Description of the developed treatment program

- Combination of one-to-one and group support

- Goal of helping patients taper off opioid painkillers

3. Research findings and success rates

- Results of the clinical trial

- One in five people able to stop opioids without increased pain

- Potential for a better quality of life

4. Comparison of treatments

- Existing GP care plus self-help booklet and relaxation CD

- Intervention program developed by the study team

5. Harmful side effects and reluctance to stop medication

- Harmful side effects of long-term opioid use

- Patients' concerns and fear of increased pain

6. The impact on pain and quality of life

- No difference in pain levels between the two groups

- Confirmation of opioids' limited long-term impact on pain

7. Patient testimonial

- Colin Tysall's experience with chronic back pain and opioids

- Transition to alternative treatments and successful withdrawal

8. Conclusion

- Promising findings of the study

- Potential for helping more people with opioid withdrawal

- Improved management of chronic pain and quality of life

9. FAQs

- Common questions related to opioid withdrawal treatment

New Treatment ‘Can Help People Stop Taking Opioid Painkillers for Chronic Pain’

Chronic pain affects millions of individuals worldwide, leading to a significant reliance on opioid painkillers as a means of managing this persistent condition. However, the long-term use of these addictive medications has become a pressing concern, with substantial financial burdens on healthcare systems and numerous adverse effects on patients' lives. In an encouraging development, a recent study has unveiled a new treatment approach that could potentially help individuals break free from their dependency on opioid painkillers, offering them an improved quality of life and enhanced pain management strategies.

The study, conducted by a team of researchers and doctors, focused on developing and successfully trialing a comprehensive program designed to guide people in tapering off prescription painkillers and learning alternative techniques for pain management. The program utilized a combination of one-to-one and group support, offering participants a structured and psycho-educational self-management intervention. The aim was to equip individuals with the necessary tools to better manage their daily lives and pain, ultimately facilitating a successful withdrawal from opioids.

The findings of the study were highly promising. After one year of participating in the program, an impressive one in five individuals were able to discontinue opioid use without experiencing an increase in pain. This breakthrough demonstrates the potential of the new treatment as a viable alternative to opioid prescriptions, offering patients an opportunity for long-term relief while minimizing the risks associated with opioid dependency.

Professor Harbinder Kaur Sandhu, a renowned health psychologist at the University of Warwick and the lead researcher of the clinical trial, expressed enthusiasm for the results. She noted, "Structured, group-based, psycho-educational self-management interventions help people to better manage their daily lives with a long-term condition, including persistent pain, but few of these have specifically targeted patients considering opioid withdrawal. The findings from the trial are extremely promising."

The study involved over 600 participants who had been regularly taking strong opioids for a minimum of three months at the start of the trial. Individuals were recruited from general practitioner (GP) practices in the north-east of England and the Midlands. The trial compared two treatment approaches: existing GP care supplemented with a self-help booklet and relaxation CD, and the same care combined with an intervention program specifically developed by the study team

. The latter included sessions on coping techniques, stress management, goal setting, mindfulness, posture and movement advice, managing withdrawal symptoms, and pain control after opioids.

The results were striking. After one year, 29% of individuals who participated in the intervention program were able to completely cease opioid use, compared to only 7% of those who were not involved in the program. This stark contrast suggests that the developed treatment approach significantly enhances the chances of successful opioid withdrawal.

The researchers shed light on the fact that many individuals who have been relying on prescription painkillers for an extended period often experience harmful side effects. However, due to concerns about increased pain or difficulties discussing this matter with their doctors, they may be hesitant to discontinue the medication. The study's findings indicate that the two groups, those who underwent the intervention program and those who received standard care, reported no significant differences in their pain levels or the interference of pain in their daily lives.

Professor Sam Eldabe, clinical trial co-lead and consultant in pain medicine at The James Cook University Hospital, emphasized, "Despite appreciating the social impact of the drugs, most patients utterly dread a worsening of their pain should they attempt to reduce their opioids. Our study shows clearly that opioids can be gradually reduced and stopped without any actual worsening of the pain. This confirms our suspicions that opioids have very little long-term impact on persistent pain."

Colin Tysall, an 81-year-old from Coventry, shared his personal journey of chronic back pain and opioid use. As a former aircraft radiologist who had spent 30 years lifting heavy parts, he was prescribed painkillers, including opioids, as part of his treatment. Tysall expressed his dissatisfaction with the medication, explaining, "The tablets got stronger and stronger until eventually I was prescribed opioids. I didn't like being on tablets. They addled my brain, they made it difficult to think straight, my brain wasn't functioning as it should. I would have nightmares a lot. As soon as I could come off them, I did."

After a decade of hospital visits for his back pain and mental health, Tysall turned to alternative treatments such as exercise and mental health self-help groups. Over several years, he gradually reduced his medication and eventually managed to discontinue it entirely. His experience echoes the potential of the new treatment approach in facilitating successful opioid withdrawal.

In conclusion, the findings of this study bring hope to the millions of individuals grappling with chronic pain and long-term opioid use. The new treatment program, which combines personalized support and psycho-educational interventions, offers a promising path to a better quality of life for those looking to break free from opioid dependency. By providing effective strategies for pain management, this approach empowers patients to reclaim control over their lives, minimize harmful side effects, and reduce the burden on healthcare systems. With further research and implementation, this treatment has the potential to transform the way chronic pain is managed, benefitting both individuals and society as a whole.

FAQs

1. Is opioid withdrawal treatment suitable for everyone?

- Opioid withdrawal treatment may be suitable for individuals who have been on long-term opioid prescriptions and are willing to explore alternative pain management strategies. It is important to consult with a healthcare professional to determine the most appropriate course of action.

2. Are there any risks or side effects associated with opioid withdrawal treatment?

- The risks and side effects of opioid withdrawal treatment vary depending on individual circumstances. It is essential to work closely with healthcare providers who can assess the risks, monitor progress, and provide necessary support throughout the withdrawal process.

3. How long does the withdrawal process typically take?

- The duration of the withdrawal process can vary widely from person to person. Factors such as the duration and dosage of opioid use, individual

physiology, and support systems all play a role. It is essential to approach the process with patience and follow the guidance of healthcare professionals.

4. Are there any alternative pain management techniques that can be used alongside opioid withdrawal treatment?

- Yes, there are various alternative pain management techniques that can complement opioid withdrawal treatment. These may include physical therapies, mindfulness practices, relaxation techniques, exercise, and psychological interventions. A comprehensive approach tailored to individual needs can yield the best results.

5. Where can individuals access the new treatment for opioid withdrawal?

- Access to the new treatment for opioid withdrawal may vary depending on healthcare systems and geographical locations. It is advisable to consult with healthcare providers or seek referrals to specialists who offer comprehensive pain management programs.

References:

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