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Managing Addiction and Chronic Pain

Substance use disorders in people with chronic pain are common problems that affect millions of people worldwide. Addiction is a complex disease characterized by compulsive drug seeking and use despite harmful consequences, while chronic pain is persistent pain that lasts for more than three months. Both substance misuse and chronic pain can significantly impact an individual's physical, emotional, and social well-being.
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Understanding Substance Abuse and Chronic Pain

There are various reasons why individuals may develop an addiction to drugs, alcohol, or prescription opioids. Some people may turn to these as a way to cope with emotional pain, trauma, or mental health issues.

Others may use them as a means of self-medication as pain relief for chronic pain management. In both cases, the individual may develop a dependence on the substance and eventually become addicted.

Additionally, individuals with a family history of addiction to chronic pain management may be more susceptible to developing addiction to pain medications themselves.

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Managing Addiction and Chronic Pain

Co-Occurring Disorders

Mental health disorders and chronic pain often co-occur with addiction, making it difficult to treat these issues separately. Those who struggle with mental health conditions such as depression, anxiety, bipolar disorder, or post-traumatic stress disorder (PTSD) are at a higher risk of developing an addiction. Similarly, individuals dealing with chronic pain may turn to drugs or alcohol for relief from their symptoms, leading to addiction.

Addiction to Pain Medication

Individuals with chronic and acute pain are often prescribed pain medication, including prescription opioids. Unfortunately, this can lead to opioid misuse and addicted patients. It can be easy to build an opioid tolerance, and individuals may begin taking higher doses of the medication to alleviate their pain. This can quickly lead to addiction and dependence on opioids.

The Cycle of Pain and Addiction

The relationship between chronic pain and addiction is cyclical, with one often leading to the other. Chronic pain can cause a person to turn to drugs or alcohol for relief, leading to addiction. On the other hand, addiction can cause physical and emotional pain, creating a vicious cycle of opioid abuse to self-medicate. Breaking this cycle requires addressing both chronic pain and prescription opioid misuse simultaneously.

Opioid therapy is often used to manage chronic pain, but it may not be the best long-term solution for everyone. In some cases, other medication options or alternative treatments like physical therapy or cognitive-behavioral therapy may be more effective in managing chronic pain while reducing the risk of opioid addiction.

The Impact of Chronic Pain and Addiction

Chronic pain combined with abusing alcohol or drugs can have serious effects on an individual’s physical health. Substance abuse can lead to a range of health issues, such as liver disease, heart disease, and respiratory problems.

Chronic pain can also have detrimental effects on the body, causing fatigue, decreased mobility, and muscle weakness. Abusing substances to treat pain can actually worsen symptoms, making it challenging to manage both conditions.

In addition to physical effects, addiction, and chronic pain can also take a toll on a person’s mental health. Addiction can lead to feelings of guilt, shame, and low self-esteem, while chronic pain can cause depression, anxiety, and hopelessness.

Withdrawal Symptoms and Relapse

When attempting to overcome addiction, individuals may experience withdrawal symptoms as their body adjusts to the absence of the substance. This can be extremely uncomfortable and even dangerous in some cases. In addition, chronic pain may resurface during withdrawal, making it challenging for individuals to resist relapse.

Addiction recovery often requires chronic pain treatment in addition to addressing the addiction itself. If chronic pain is left untreated, it can hinder an individual’s ability to fully recover from addiction.

Treatment Options

Managing substance use disorders and chronic pain often requires a comprehensive treatment approach. This may include a combination of therapies such as medication-assisted treatment (MAT), counseling, support groups, and alternative therapies like acupuncture or mindfulness techniques.

MAT is an evidence-based treatment approach that combines addiction medicine, such as methadone or buprenorphine, with behavioral therapy to help individuals with pain management and alcohol or drug abuse. Counseling can also be beneficial in addressing the underlying causes of addiction and developing coping strategies for chronic pain management.

Support groups, such as Narcotics Anonymous, provide a sense of community and understanding. These groups can offer valuable support and guidance throughout the recovery process. Meetings can be found on their website.

Seeking Help for Addiction Recovery and Chronic Pain Management

If you or a loved one is struggling with abusing drugs or alcohol and have chronic pain, it’s important to seek help from a qualified healthcare professional. Opioid withdrawal can be dangerous alone, and a professional treatment plan can help individuals stay safe throughout the detox process while also providing the tools for exploring better options for the management of chronic pain.

Reach out to Paramount Recovery Centers

At Paramount Recovery Centers, we provide a wide range of treatment options for individuals struggling with addiction. If you or a loved one is also dealing with chronic pain, our team of experienced professionals can help you develop a personalized treatment plan in our dual diagnosis program that addresses both conditions, so you can get sober and develop a healthy plan for chronic pain management.

Contact us today via our online form to learn more about our services and how we can support your journey toward recovery. Remember, seeking help is the first step towards a healthier, happier life! By taking the time to understand how individuals may become addicted to prescribed opioids and other medicines for chronic pain and seeking appropriate treatment, individuals can effectively manage both conditions and improve their overall well-being.

Medically Reviewed By
Brooke Palladino

Brooke Palladino is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). She is a graduate of Plymouth State University with her Bachelors of Science in Nursing and her Masters of Science in Nursing from Rivier University. She has over 9 years of experience with a background in critical care and providing safe individualized care to her patients and their families during difficult times. She has been trained to help treat individuals with mental health and substance use disorders. Brooke is committed to delivering the highest standards of care including close collaboration with her clients and the talented interdisciplinary team at Paramount Recovery Center.

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