Navigating Pain Management in Opioid Addiction Recovery
Opioid medications bind to receptors in the central nervous system. The activation of the receptors hinders the release of certain neurotransmitters that play a role in transmitting pain signals in the brain and spine. By reducing the release of these neurotransmitters, opioids can dampen the perception of pain. For people with chronic pain or even acute pain, there can be tangible benefits that come with the use of prescription opioids. Unfortunately, there are risks as well. Many people are now addicted to opioids because they need them for pain relief. Many individuals began using stronger, illegal opioids like heroin or fentanyl following a legitimate opioid prescription. Fortunately, there are several ways to effectively manage pain without opioids. The Risks and Side Effects of Opioids While opioids affect pain signals and how pain is perceived, they also affect other neurotransmitter processes, like the release of dopamine. Dopamine is part of the reward effect that comes with opioids and can trigger addiction. There can be a euphoric effect or a sense of deep relaxation that comes with the use of opioids. The brain is wired to compulsively seek out things that bring pleasure, so with the use of opioids, even by prescription, this response can lead to addiction. Once someone’s addicted to opioids their use isn’t in their control. There’s also the issue of physical dependence, which can occur even without addiction. Ongoing opioid use can lead to tolerance, meaning larger doses are needed because the body has adapted to the presence of the substance. Then, there’s physical dependence, where withdrawal symptoms can occur if an individual attempts to reduce or stop their use of opioids. Opioids can cause not only addiction and dependence but also severe respiratory depression. They slow down the entire central nervous system’s function, which can be life-threatening. Overdoses last year topped more than 100,000, and this almost always due to opioids like fentanyl. Opioid Addiction and Chronic Pain There are complicated interactions between opioids and chronic pain. People with chronic pain are at a greater risk of addiction than the general public for several reasons, some of which include: In the past, there was also a tendency to overprescribe opioids. Now, because of increased awareness of the risks and efforts to reduce the prescription of these powerful medicines, this is less of a risk than it was just a decade ago. Managing Pain When You’re In Recovery If you struggled with opioid addiction and dependence and you’re in recovery, there are some excellent, evidence-based ways to manage pain. Working with addiction professionals and your medical team can help ensure you’re getting a balance between your need for pain relief and the risk of relapse. Some of the pain management strategies that are effective when you’re in recovery include: The effectiveness of the above strategies varies based on the person and their situation, and there are many options outside of these to manage pain in recovery. Finding what works for you may take some time and will usually involve multiple approaches. Still, with the right help and guidance, it’s possible to create a plan for pain management that doesn’t include the use of opioids or other addictive substances. If you’re struggling with opioid addiction and dependence currently and would like to learn more about treatment and recovery, please reach out to San Diego Detox today.