The opioid ‘epidemic’ is not really an epidemic at all. It is an unfortunate, but predictable outcome. At the turn of the century, the cry was to make pain the 5th vital sign and JCAHO released pain standards to be used after much public outcry and a national desire to address pain. Mostly short acting opioids existed then and pharma responded with more meds and even created ‘abuse deterrent’ agents to help avoid illicit behavior. The race was on to treat pain.
From primary care to pain practices the new enemy was pain. From hospitals to outpatient practices getting pain under control was the key. In 2001, I was just opening my private practice specializing in osteopathic manipulative and regenerative medicine. By week six I was at six-month benchmarks and business was booming—and I was not writing many pain meds save for post prolotherapy injections.
Read the full article on the Northwest Osteopathic Medical Foundation website at https://www.nwosteo.org/opiates-are-there-any-good-answers-part-i/