Should Opioids be Prescribed for All Types of Pain?

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The thing that we think about with pain the best type of treatment is obviously to figure out what the cause of the pain is and treat that. Now, that's not always possible, so we try to use different things to kind of bridge that gap and one of them is prescription Opioids. Now we have to be very careful, because prescription opioids can be very helpful for people, but they also do have a lot of side effects that have to be considered so I usually look at things in terms of four different problems first of all is prescription Opioids is actually helping with the pain so patience will tell me that the second thing is helping them to function for example while they are on this Opioids are they able to do physical therapy that might help them are they able to go to work, are they able to function so that's something that's very important and it might be just some of the side effects of Opioids prevent them from doing those things then the other thing that I think about are, what are the side effects? For example are they too constipated or are they too tired? And finally I think about whether there's any signs kind of abuse, so they're taking more than what they're prescribed, or there're any other kind of issues.

So, we usually look at opioids in general that way in terms of specific types of pains I usually thing of acute pains this is really about someone just gave birth to a child, that's an acute pain that's going to get better, if someone just had major surgery that's also an acute pain because it's going to get better over time.

But if someone has chronic pain we really have to be more sensitive to the other sides effects and how it affects people's functions so a kind of separate thing out to those two forms.