The Problem With Masking Pain
By Kent Greenawalt
Imagine this scenario: Youre hurting and you just want to make it through the day with as little pain as possible so you can keep your job and maintain a normal life. Unfortunately, many people do not have to imagine this because it is their way of life. Whether its an injury, chronic pain or degenerative condition that leaves a person in pain, the goal of any patient is to feel better. However, you know as doctors of chiropractic that feeling better doesnt necessarily mean getting better. You understand that masking the pain with certain drugs and treatments does not fix the underlying issue; it only puts a Band-Aid on a bigger problem. Due to the overuse of some pain medications, we must also be aware that this model of care can create new and sometimes deadly problems. See the table below for evidence of this growing problem of medication overuse. For example, from 1997-2005, oxycodone purchases in the United States rose 588 percent! By now, these numbers are likely even higher.
When Masking Pain Becomes Deadly: From Steroids to Spinal Meningitis
Recently, medications that were used to help patients have turned into a major health scare for thousands of Americans. An unknown number of patients were given potentially contaminated steroid injections, with a rising number of those injected now showing symptoms of fungal meningitis. Hundreds of cases of fungal meningitis and dozens of deaths have been reported by the Centers for Disease Control and Prevention (CDC). While no original source of the outbreak has been found, the CDC has determined that "all infected patients identified thus far have received preservative-free (PF) methylprednisolone acetate (80mg/ml) from among the three lots voluntarily recalled by the New England Compounding Center in Framingham, Massachusetts, on September 26, 2012."
Increase in U.S. Retail Drug Purchases, | 1997-2005 | (Amount Sold in Grams) | ||||
DRUG | 1997 | 1999 | 2001 | 2003 | 2005 | Change* |
Oxycodone | 4,449,559 | 9,717,597 | 19,947,287 | 26,655,149 | 30,628,971 | 588% |
Methadone | 518,736 | 965,389 | 1,893,322 | 3,683,878 | 5,362,813 | 934% |
Fentanyl base | 74,085 | 107,158 | 186,082 | 317,197 | 387,926 | 423% |
Hydrocodone | 8,699,309 | 12,102,623 | 15,597,209 | 21,106,646 | 25,803,541 | 197% |
Hydromorphone | 241,806 | 292,585 | 400,639 | 579,370 | 781,284 | 224% |
Morphine | 5,922,870 | 6,804,933 | 8,810,755 | 12,303,954 | 15,054,842 | 154% |
Time to Address the Elephant in the Room
Regardless of regulations and tighter control over how medications are manufactured, there is an elephant in the room that needs addressing: overmedication. While there is a definite need for medication for many illnesses, injuries, etc., there are also times when medication could be used, but isnt the best solution to the underlying problem.
If you have a flat tire in your car, you could stop at every gas station and fill it with more air so you could keep driving. But until you patch the hole in your tire, youll never fix the real issue of why your tire is losing air. The same can be said about many conditions doctors treat with pain medication or steroid injections. There is a definite need for them at times, but there is also a need for medical professionals (doctors and pharmacists) to determine if the patient could benefit from less medication and instead use alternative therapies. These could include chiropractic care, rehabilitative exercise, acupuncture and massage therapy, among others.
From Patients to Players
The average patient isnt the only one susceptible to the dangers of overmedication. Professional athletes often deal with the choice to sit out due to injury or take more drastic measures to finish the game and/or the season. A recent article in USA Today highlighted the overuse of cortisone injections for injured athletes. Washington Nationals third baseman Ryan Zimmerman understands many times they just treat the symptom, instead of the problem: "[The cortisone injection] its masking pain. If somethings hurt and youre masking pain," Zimmerman said. "Sooner or later youre going to have to do something a little more than a cortisone shot."
Promote Chiropractic
While professional athletes and the everyday patient are part of this growing trend of overmedication, there is something you can do to help. Chiropractic care does not mask the problem or just treat the symptom; it treats the underlying issue. It also doesnt have the potentially harmful side effects of so many of the medications discussed in this article. Thats why the Foundation for Chiropractic Progress (F4CP) is working hard to generate a positive buzz about chiropractic.
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