How opioids are best used for pain management

I don’t understand why some people are having such a hard time obtaining medicine that works and it’s not a problem for others? I must greatly vary between states

Narcotic is a pejorative term..

Stopping at the five minute mark to make note that this is bullshit this is not accurate at all studies do not show after five days of taking opiates if the person has relieve her not of course you have a really, if you have instant relief and that’s the whole thing get out of pain it’s a simple as that

I cant get and never have gotten any pain meds except for 30 days after a six hour back operation installing metal rods, im in pain 24/7 but whats gonna be crazy is when there are no meds for anybody since china makes them .63 years old and worked my whole life for this shit ,rant over

The CDC guidelines have done nothing but hurt the people that actually suffer when the reality is that the addicts are getting their drugs on the street not from there doctors. I’m asking for all doctors who speak this way to give up their medical licenses immediately. You swore a Hippocratic oath not to do harm, and that’s exactly what you’re doing. honestly all of you, including the CDC, members who push this on the country, should be put in prison. Before long, the reckoning will come. human torture is against international law. And not treating actual patients who are suffering is the same as human torture maybe do a video on that.

Undertreating pain leads to self medicating and suicide

I have done EVERY treatment available for Endometriosis. Nothing helps and there is no cure. Some women are lucky and can treat it with birth control, others are not. I am now practically bed-bound and I haven't worked in 10 plus years. The last time I had a job, I had a prescription for two, 5 mg Percocet a day. I was still in a lot of pain but it reduced it enough to where I could work. That's nothing compared to some of the doses people get and they still took me off of them!!!!! I still go for pelvic physical therapy, acupuncture, etc. etc. but none of it helps like actual opiate medication

Mr. (not Dr.) Weiner, is an ignoramus. Patients with CHRONIC pain aren't going to get better. That's why they call it chronic. "What is the use in prescribing strong pain meds whenever you know that when you stop taking them, the pain will come back?" Geez. How do some of these people keep their medical license? I believe that any doctor who does not experience severe chronic pain themselves should not have any say in how everyone else manages their pain. BTW, as of 9/23, there are reports of many patients taking their doctors and hospitals to court for NOT prescribing the necessary pain medication for them. I hope that you, Mr. Weiner, are one of those so-called doctors. 😡

I don't trust them,the doctors,unless they do the experience of addiction ,wd/w ,recovery....
The other? Servants of the big pharmas,that's it.😮😅

Does anybody know if Marijuna / Cannabis helps for back pain attack

We just have to start sue for inhumane pain and suffering for not prescribing pain meds.
If you have a chronic painful condition .
That Gabapendin and other non opoids don't do nothing for a serious pain attack.
We suffer and they protect the hospital.
I see my husband suffer with lower back pain level 8-9 even tears in his eyes he had back surgery 1 year ago.
He takes them only about 2-3 times a week.
If he don't have them

This video was made 6 years ago...I would love to hear these contributors comment on the CURRENT (2023) state of pain management now that the destruction these CDC "guidelines" and the MANDATORY restrictions imposed by states have caused is now complete. As an MD being persecuted by my state board for managing less than 30 patients with chronic pain medications, I would really like to hear from these people, especially the last speaker. Should I just tell my patients to treat their pain with street drugs? Is that what you want? Because that is what is causing the current opioid overdose crisis.

The pendulum never swung to "over treatment" with opioids. The MDs who were performing expensive procedures to deal with pain, sometimes successfully, and often with disastrous results – were getting less patients and earning less money. So they they started a program of propaganda to demonize opioids. Then some pain patients, after having their opioids reduced or eliminated, began scapegoating people who used opioids illegally an recreationally and were killing themselves in the process. It seems everyone wants to blame everyone else. Rich poppy farmers in Tasmania want to demonize peasant poppy farmers in Afghanistan. Why? Because they are competition. Plain and simple, they are competitors. So they want to dump herbicides on their farms so they can't grow anything. This anti-opioid propaganda is evil.

Opioids are the most effective treatment not only for pain but for many diseases; Opioids somehow not only treat terrible, terrible medical pain but lead to recovery and rejuvenation for people in dire medical trouble. They've been used for thousands of years and are supported by hundreds of years of western medical use and systematic studies. The problem was and is that even the most effective pain management is only one factor in helping the severely diseased to recover. We need a more methodical, civilized medical system in the USA and globally that seriously undertakes to recover severely, I mean severely diseased individuals old and young; It can be done. Of course, preventive medicine is even a better investment. We need to do it all and we to do it right; And please talk to my Doctor in Medford Debra Frost; She's a great doctor and I am in terrible medical pain after severe arsenic poisoning and Norwegian scabies which left me covered in scars and I can't get a little morphine not because of Dr. Frost but because the institutional doors are shut for patients like me needing opioids. Thank you Harvard University Doctors for your excellent and balanced lessons on the medical uses and dangers of opioids.

COME ON MAN living in the land of the FREE with chronic pain is more painful then living in a 3rd world nation at least they CAN CHOOSE to take a medication to stave off their pains in america the land of the FREE your TOLD if you can aint that a bitch

Wth is wrong with you? What is the biggest pain you've had, chronic pain? What was your experiences?. When was your last surgery, surgeries? Sure, pick and choose, but your are wrong in many ways. What can't long term pain patients be in comfort,while being monitored. Frankly, I really don't believe drs or crazy nurses like to see a patient happy in their pain bubble. What studies?;Where? Who was involved? Who collected the info? Who deciphered the info? What hand on experience did they have with pain, chronic or otherwise?
You can't withhold a natural medicine to that works...m, monitor, yes. But the rest is an ego power struggle because once a patient doesn't need you, and they are comfortable and happy with their injury or disability, drs don't like that,why, whom knows. They think it's their right, it's not. Pain is brutal, alters the life quality and ability to functionality, inclusiveness. Ego, in medicine should be banned. Compassion should be involved. Especially with elderly, soldiers and chronic pain suffered. Maybe a little codeine would help to soften that hard heart....less money for you also. Your not god. You didn't invent opium. And your synthetic medicine is garbage. Sorry. You are all wrong on this one....

Recently you have never been in pain.central nervous system pain is different .study LUPUS MS.

Instead of opioids my Doctor prescribed naproxen sodium 2x A day 500mg for 20+ years and now my kidneys are in stage 4 failure. Doctors can save a person from n dying and do amazing things but after a Traumatic injury almost getting a leg or arm ripped off a broken back or neck. They can keep you from dying but then they do not take into consideration the long term health issues you have and need lifetime support for.

Lidocaine patches are a JOKE!

I've been on pain meds and then had gotten off them for a bit but my pain in my back came back to me at 15 years old if it were not for the Dr I have now who is just the best and he really has good bedside manners and also being on pain killers is not a bad thing cause face it if you need it you need it I know cause I've been on basically every pain killer out there and finally landed on hydromorphone 4 mgs 4 times a day and it has been helping but thank you for making this video

This guy is preaching the bull that is all over the medical field. "your lying, here's an aspirin, and your bill. " while i have life long pain from RA, and I can't walk half the time. I want a complete ban on medical personnel receiving any pain medications for a year. maybe they would understand what long term pain will do to you.

Uhh, no. If you can stop use you should. It's poison.

That's baloney. The outcome of giving someone an opioid for severe back pain or any other kind of severe pain is the same that is not true. If I've been up for 5 days or more my pain level gets to a point where I can't get it down. If I go to ER and they give me a shot to break the pain cycle and the pain is relieved I'm able to sleep pain becomes manageable

Harvard is cruel to pain patients!

I have cancer. Diabetes. A Neurological, circulation problem involving the basilar artery and general pain in neck, lowerback, between the shoulder. I'm almost 70. I have been in high to severe pain for 6 months straight. My doctors, PAs and nurse say, Take a tylenol. Who says such cruel things? Apparently a lot of them. After a operation for my cancer i was sent home from th4e hospital with no prescriptions. I am in bed 99% of the time, in pain.

Bs I'm in pain all the time more than 3 day

Cancer survivor here. I had major surgery where they went through my low back. 7 in incision. Peeled back my muscle and removed a tumor from iliac crest bone. Then used bone cement to reconstruct it. I was sent home with 5mg of hydrocodone #20. I wished I was dead for at least a week. That's 24/7. It was excruciating.

I'm lucky in that my pain management doctor gives me 40 to 50 mg of oxycodone a day. I've been taking this nearly daily for 3 years. It's been life-saving.

I have been treated for chronic pain for many years by pain specialists at pain management clinics with a combination of treatments: nerve blocks, trigger point injections, spinal nerve ablation procedures, physical therapy, psychotherapy, and pharmaceutical medication - for neuropathic, musculoskeletal as well as posttraumatic pain from injuries and several serious medical conditions.

I take the narcotics agreement as well as my pain treatments very seriously; an example being in 25 years I have never had a dirty drug screen. I also use only 1 pharmacy, go to my appointments, follow my doctor's advice, etc. The result: after being pretty much housebound for years, I got my life back.

At the age of 63 I'm living a really happy life thanks to my doctors, my medical treatment, and my medication. Saying I got my life back isn't really accurate....I have a better life now.

Anyone needing treatment for chronic pain should ask their primary care provider for a referral to a pain specialist.

I had sciatica nerve pain for 8 months, finally got a neurosurgeon 5hat gave me the right pain pills that really help me and never had to depend on them because the nurse was pinched and got better. Other Dr's put me opioids said they are no good for back pain. He was right.

Why take the risk? Because I'm begging every known higher power for death maybe? 🤔

I am a pain patient treated like an addict out here on my own I could use some help with my insurmountable pain levels please

This Doctor has no idea what it’s like to have medical conditions that surgery, physical therapy, injections and other medication does not help with chronic pain. Opioids were the last choice but they work.

Shame on you Doc, you have no idea what it’s like to have a medical condition that greatly reduces quality of life due to constant chronic pain.

They need to spend more of curing and not patching up thats the problem here
safe pain relief! we are very advanced in medicine now but big pharma will never allow the treatments that are safer and treat they would stop making as much money. So they release drugs which create a balancing act system so they sell more products.

yea they have to get rid of these powerful synthetic opioids fentanyl is a man made drug it doesn’t even come from the poppy plant like oxycodone ,hydrocodone, Dilaudid, Tylenol with Codeine and morphine is made from the plant yes these drugs are also toxic but when used for short term pain and chronic intractable pain and serious illnesses they are beneficial as long as the patient takes exactly how it says on the bottle and doesn’t take excessive doses because all that does is increase chances of dying I believe ppl should only be prescribed for acute pain or cancer/serious illnesses that results in severe pain physical pain not mental health related pain a lot of these ppl who started abusing these drugs wrecked it for patients who truly are suffering on a daily basis with severe pain doctors need to stop judging the people who are suffering from physical pain this isn’t a one size fits all they also need to learn that it is inhumane to let a person suffer in 2016 when they started making doctors scared to prescribe medication to patients all that did is make ppl commit suicide um I blame the pharmaceutical companies manufacturers and drug enforcement agencies why fentanyl came into the hands of the dealers and caused all these people die there actually should be money given to the family’s who lost their loved ones to overdose if they don’t do what they say there gonna do then I see this epidemic getting worse it’s a shame I also partially blame the medical doctors who was giving their patients pain medication kept escalating increases in the patients dose and then they had the nerve to cut these poor pain patients off cold turkey then they wonder why the numbers keep going up I am so glad and thankful for the cdc updating the guidelines and as for the stigma it needs to come to an end. I do agree that pain has been under treated i feel these surveys were a tool to use against patients not every person can do chiropractor, yoga or acupuncture especially patients who have brittle bone disease aka osteogenesis imperfecta and osteoporosis there needs to be doctors who will prescribe to patients who truly need the medication I myself am in palliative care and before doctors knew what was exactly happening I was treated just like everyone else all because the non opioid therapies were not beneficial to me also it’s not good to use Tylenol or ibuprofen for chronic pain syndrome as they can cause damage to vital organs as for the patients with migraines this should be treated with NSAIDS i am against doctors who believe that one size fits all meaning just because there is data on being conservative when managing pain it doesn’t mean it’s good for every person there is some people who have severe pain it’s hard to walk or do any physical activities without the pain increasing to a 10/10 and I do believe that people with back pain should try heat and aquatic therapy I believe if we keep the doses at a low level of morphine equivalency of narcotic prescriptions and patients take the medication as prescribed and be closely monitored under the supervision of a health care provider then I believe it is safe I believe increasing dosages like they used to in the past wasn’t a good treatment I believe every single patient prescribed opiates/opioids prescriptions should be given naloxone to prevent overdose I believe doctors should only prescribe ppl who never took a pain medication a low dose and only for a short period of time like at most 14 days or less I am in agreement that the drug enforcement agency and cdc and a lot of the providers are to blame for the crisis doctors need to sympathize with patients more and fire the medical doctors who are judgmental and by the way grandma who is 80 years old won’t benefit from anything that involves a bunch of exercise or from painful cortisone/epidural injections that only last for a short period of time i can remember getting a injection in my low spine and it only lasted me one day of pain relief and I was scared because of infection or the anesthesiologist hitting my spinal cord as to why I declined the thoracic and neck injection I was told by my endocrinologist and primary care physician when I fractured my spine not to get surgery or a kyphoplasty procedure where they inject cement in the area where the compression fracture is as it would put me at high risk of fracturing other spots of my spine I was told by a physiatrist that he would not recommend me going to physical therapy or chiropractor due to my bones being so brittle and soft my endocrinologist said she believes I have hypophosphatasia “soft bones” I am waiting on the genetic test results the main reason why my endocrinologist placed me in palliative care was because she wanted to see me experience a better quality of life because living in serve pain on a daily basis puts a big burden and toll on the patient who is suffering I sometimes question have these doctors ever experienced severe pain so debilitating it makes it difficult to get out of the house or bed I would have to say no they haven’t because if they lived in our bodies for a day they would feel as us sufferers do and that’s managed pain in a better way

PAIN ! cannot be proved ! there is no guage/ scale that proves or disproves !

Now y’all need to do better with actually treating peoples pain. I’ve been in chronic pain from my back and hip - had almost two different failed steroid injections… prescribed tons of different things and none of them are working. Yet doctors won’t prescribe me what actually works … opioids. I have to suffer every single day.

It’s gotten so bad that I have thought about getting hit by a car to make things worse so I can hopefully get some medication that would actually help.

I’ve thought about changing my gender since men are listened to and get results quicker than women.

I’ve thoughts about lying and saying I already have a drug problem and going to the addiction clinic and getting them to prescribe me suboxone or methadone.

And of course I have thought about trying to find it the illegal way…

Of course I won’t do any of these things. But you know shit is bad when you’re depressed, your quality of life suck, you can hardly function and can’t focus on much of anything other than the pain once it gets to its highest threshold. Which is usually maxed out once I stand and do about 1-3 hours of cleaning - easy tho ha too like wiping the counter, emptying the sink and loading the dishwasher, and folding laundry. Things like vacuuming, sweeping, and God for it - mopping, are something I avoid.

But hey, let’s just keep upping my lyrica and cymbalta because clearly they’re working. I’m sure I’ll end up with 4x the failed injections I already have before they finally listen to me. And see I’m not just a “hysterical woman” who’s being emotional or exaggerating my pain.

I’ve been living in chronic pain for half of my life - from fibromyalgia, and I think they just chalk it all up to that. And because I’m “used” to being in pain I handle it well. I have a high pain tolerance, but when it’s bad. It’s bad. But they won’t help. I’ve been seeing a pain management doctor and he still won’t help me. I don’t even want opioids to take every day (unless the pain is causing extreme discomfort on a daily basis) I just want them for when it flares up to the point where I am unable to walk straight up and have to use a cane and am limping. That’s all I want. Is some damn help.

Being in Canada - I suspect they just want to push people like me to apply for MaID (medical assistance in dying) because it’s cheaper on the healthy are system. It doesn’t seem like they give a crap about people anymore because they’re so damn scared of over prescribing they won’t prescribe at all. Like please do tell me how Tylenol will help. I take a minimum of 4 robax just to find about a 10-20% decrease in pain. I can’t take enough because the Tylenol would harm my liver. The depression and sadness of losing my life to this pain is so overwhelming and just hard to accept. I used to go on hikes and climb mountains and now I can’t grocery shop because it’s too painful most of the time.

And it’s not just me who it wears on. It’s also my family. I’m not as effective as a housewife - I don’t carry my weight and contribute enough because I’m always in pain and if I push myself it’s just worse for the next couple days or week.

I hate to say it but isn’t the risk of me becoming addicted outweighed by how crappy my quality of life is right now? That’s a risk I am more than willing to take if it means I can play with my daughter, fold laundry, go for a walk with my family, not feel like I’m going to collapse from the smallest amount of activity regain g me to bare weight.

I just want some help. It’s getting worse by the day and spreading and I’m just stuck here thinking - only another 5-7 years before they’ll start believing me and actually helping me. Then I feel completely apathetic and just dread what the future holds. My life had been stolen from me already.

Doctors DO NOT WANT TO GIve OPIODS to patients but they are quick to give ANTI INFLAMMATORY MEDICATION to them that could just give the patient ANOTHER PROBLEM like severe ACID REFLUX or SEVERE BLEEDING 🩸 and they could die so anti inflammatory drugs are not the best

Most insurance companies will not cover Lidocaine patches I have Blue Cross Blue Shields and they wouldn't cover it it was $600 out of pocket but a prescription for hydrocodone is free or if you don't have insurance it's only like 20 bucks out of pocket without insurance so the insurance companies have played a huge role in this and allowing people to suffer and the doctors are in on it too the whole medical industry is a scam to keep us sick keep us in pain and that's why we have the heroin and Fentanyl epidemic I eventually was forced to turn to heroin which almost completely ruined my life time now 3 years clean and live in torturous pain everyday I have no quality of life

I am so I'll from chronic pain mamy years n now I'm 67 n they took them away

Why are doctors always saying “talk to your doctor about getting off opioids” when, if one is suffering extreme pain, like neuropathy, that will never go away only worsen, and only relief for QOL is the opioid, why would they stop. Properly managed usage helps many. And we shouldn’t be punished because the system itself cannot manage abusers.

You so called proffesionals think you know it all, how many suicides does there have to be because chronic pain patients cant get a prescription ?

It’s all BS. Everyone is different not everyone has an addictive personality. People that have moderate to severe pain need the medication. It’s sad that doctors just don’t care suffer and needs to stop. We need better doctors we need better healthcare.

prescribing an NSAID has been shown to INCREASE back pain in the long run.

I would like all these doctors to suffer my multifaceted chronic pain over 40 years and spend a day in my shoes. There is no cure for my medical conditions. What is amusing they will do a 180 in the next ten years. Haven’t got a clue.

My chronic pain doesn't last 2 to 3 days..

I have chronic pain but my doctor won't help. So now I drink to help me get me through the day, I hate drinking.

Opioid don’t work how can they be potient. It’s like taking a tynoeol

People who don’t have chronic pain don’t understand the destruction it causes.