Date of Presentation

5-2-2019 12:00 AM

Embargo Period

11-2-2019

College

School of Osteopathic Medicine

Poster Abstract

In the United States, approximately 100 million adults are affected by chronic pain, which reduces their quality of life and productivity, while accounting for billions in health care costs and lost revenue. (1) Opioids are considered the gold standard in the pharmacological treatment for chronic pain conditions, and prescriptions for opiates/opioids increased by 400% from 1999 to 2010. (1,2) Although opioid treatment is warranted during postsurgical and active cancer pain, physicians still commonly overprescribe opioids, which has led to addiction, high deaths rates by overdose, and the spread of communicable diseases. (1)

Since chronic pain is sustained by noxious sensory input originating in the musculoskeletal system, it becomes a major target for osteopathic practices. (1) Osteopathic manipulative medicine (OMM) may provide the balance that patients with chronic pain seek between state of the art interventions and individualized patient centered care. (3) Studies have shown the role of OMM in altering circulatory pain biomarkers, including the endogenous opioid system by β endorphin (βE). (4) Yet, any direct significant association of these changes to a therapeutic effect from OMM remains speculative. These studies acknowledge the further need for a larger sample size and a controlled prospective design to help physicians and patients make safer opioid therapy decisions.

Keywords

OMM, osteopathic manipulative medicine, opiods, opioid addiction, chronic pain

Disciplines

Alternative and Complementary Medicine | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy | Pharmaceutical Preparations | Substance Abuse and Addiction

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May 2nd, 12:00 AM

The Effect of OMM on Opioid Users with Chronic Low Back Pain

In the United States, approximately 100 million adults are affected by chronic pain, which reduces their quality of life and productivity, while accounting for billions in health care costs and lost revenue. (1) Opioids are considered the gold standard in the pharmacological treatment for chronic pain conditions, and prescriptions for opiates/opioids increased by 400% from 1999 to 2010. (1,2) Although opioid treatment is warranted during postsurgical and active cancer pain, physicians still commonly overprescribe opioids, which has led to addiction, high deaths rates by overdose, and the spread of communicable diseases. (1)

Since chronic pain is sustained by noxious sensory input originating in the musculoskeletal system, it becomes a major target for osteopathic practices. (1) Osteopathic manipulative medicine (OMM) may provide the balance that patients with chronic pain seek between state of the art interventions and individualized patient centered care. (3) Studies have shown the role of OMM in altering circulatory pain biomarkers, including the endogenous opioid system by β endorphin (βE). (4) Yet, any direct significant association of these changes to a therapeutic effect from OMM remains speculative. These studies acknowledge the further need for a larger sample size and a controlled prospective design to help physicians and patients make safer opioid therapy decisions.

 

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