Chiropractic Care, Pain Management and Opioid Medication

People living with pain deserve a treatment plan that considers function, relief, risks and personal goals. Chiropractic care may be one part of that plan for some musculoskeletal conditions. It does not guarantee that a person can stop opioids, and it is not a substitute for treatment of opioid use disorder.

Where non-drug care may fit

Depending on the diagnosis, a pain plan may include exercise, physical therapy, psychological approaches, manual therapy and nonopioid medication. CDC recommends considering nonopioid therapies appropriate to the condition and patient. This does not mean every person needs the same treatment or that one approach is always sufficient.

For some adults with low-back pain, spinal manipulation may produce small improvements in pain or function. NCCIH describes it as one of several treatment options, with results and evidence varying by condition. It should not be advertised as a guaranteed cure or a proven way to eliminate addiction risk. Read NCCIH’s review of spinal manipulation.

If you currently take prescribed opioids

Talk with the prescribing clinician before making any medication change. Do not stop opioids abruptly or change doses on the basis of this article. CDC advises an individualized discussion of benefits and risks and, when a reduction is appropriate, a plan developed with the patient. Abrupt discontinuation or rapid dose reduction can cause harm. See CDC’s guidance on continuing opioid therapy.

Tell each treating professional about your medication list, other health conditions and treatments. Progress should be assessed using meaningful goals such as walking, sleep or daily activity, as well as pain symptoms. A referral or a change in the treatment plan may be appropriate if care is not helping.

Pain care and opioid use disorder are different needs

Opioid use disorder is a treatable medical condition. Chiropractic adjustments do not replace its evidence-based treatment. Medications such as buprenorphine, methadone and naltrexone may be used through qualified medical care. CDC provides information about treatment and recovery. Ask a medical clinician for an assessment or referral if you are concerned about opioid use.

Discuss benefits, limits and risks

Drug-free does not mean risk-free. Temporary soreness or increased discomfort can occur after manipulation; serious adverse effects have also been reported. Medical history and the proposed technique matter. Discuss expected benefits, alternatives and risks before treatment.

For questions about a chiropractic appointment at Beyond Wellness in Charlotte, call 704-461-1836 or email admin@beyondwellnesscc.com. View appointment options. An appointment inquiry does not establish that chiropractic care is appropriate for your condition.