Because the experience of chronic pain is so common and individuals with substance use disorders often have issues with chronic pain, many rehab programs can manage both problems.
Many rehab programs use alternative pain management options, so clients don’t have to take opioid painkillers to manage chronic pain.
The experience of pain is not the same for everyone. Most people with chronic pain can benefit from treating their pain, even people in rehab for substance abuse.
Pain is a warning sign that there is damage or potential damage to a particular area of the body. There are four main elements of chronic pain and its treatment.
The holistic treatment of chronic pain should address all these issues.
Chronic pain may be defined somewhat differently by different organizations, but it is typically considered to be pain that lasts for 12 weeks or longer. Some sources may describe chronic pain as pain that lasts for six months or longer.
Very often, chronic pain may not be associated with any specific cause. It may be the result of some identified disease like arthritis or some other condition.
As can be ascertained from the description above, the experience of pain occurs over numerous areas of functioning. When someone is treated for it, all these manifestations of pain must be addressed.
There are no specific medical tests that can identify the quality or intensity of one’s experience of pain. Instead, people must report to their caregivers how intense or uncomfortable their pain is for them. This means that the clinical description and assessment of a person’s pain is subject to multiple levels of description.
The American Academy of Pain Medicine (AAPM) indicates the following:
There are many different types of medications that are used to treat chronic pain. They may include:
Opioid drugs for severe pain.
“You might be surprised to learn that according to AAPM, roughly 58 percent of people who use prescription medications to treat their pain report achieving significant pain relief. Only about 41 percent of those who use over-the-counter medications report getting significant relief.”
Part of the issue is that medications do not directly address all the factors associated with the subjective experience of pain. Very often, tolerance to pain-relieving medications of all types develops very quickly.
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When you are in rehab for substance abuse, you can also be effectively treated for issues with chronic pain. Various non-pharmaceutical alternatives may be used.
There are also many other medical procedures that may reduce the experience of chronic pain depending on the cause of the pain.
A compounding factor associated with substance abuse is the co-occurrence of a substance use disorder and some other type of mental health disorder (a dual diagnosis). This is a common situation.
While the different types of pain can be identified according to their causes, there is also a psychiatric diagnosis that can be associated with the experience of chronic pain. The American Psychiatric Association lists somatic symptom disorder as a formal psychiatric diagnosis that is the result of the experience of physical symptoms that lead to significant emotional distress.
One of the special designations is somatic symptom disorder with predominant pain, which was previously recognized simply as a pain disorder.
When the symptoms have been occurring for more than six months, the disorder is characterized as being persistent (chronic).
This particular disorder, when the diagnostic criteria are met, qualifies as a psychiatric disorder that occurs as a result of the person’s dysfunctional experience with chronic debilitating pain.
When this disorder co-occurs with substance abuse, this is a dual diagnosis.
When you are looking to get into a rehab program, and you suffer from chronic pain, you should prioritize your choices, so those that specialize in treating issues with pain are at the top of your list.
It is essential that you undergo a thorough assessment of your emotional, physical, and social functioning. This allows potential treatment providers to develop a specific treatment plan for you.
The treatment plan should address all your needs. If you suffer from any form of chronic pain, this should be documented in the assessment. The current treatment you are using to treat your chronic pain should also be recorded. Treatment providers should be able to discuss various options with you to address your issues with chronic pain. If you can benefit from an operation or other medical procedure, you can be referred for that intervention after the assessment.
Treatment can include monitored use of medications while in rehab, but the options are also likely to include many adjunctive treatments for your chronic pain. Substance use disorder treatment follows an overall blueprint that is based on research studies that have described what types of interventions are effective across the board, but the treatment plan is personalized to fit your specific needs.
(July 2017) What is pain and how do you treat it? Medical News Today from https://www.medicalnewstoday.com/articles/145750.php
(Spring 2011) Chronic Pain: Symptoms, Diagnosis, & Treatment. National Institute of Health from https://medlineplus.gov/chronicpain.html
The American Academy of Pain Medicine from http://www.painmed.org/patientcenter/facts_on_pain.aspx
(May 2018) Chronic pain: Medication decisions. Mayo Clinic from https://www.mayoclinic.org/chronic-pain-medication-decisions/art-20360371
(2011) Essentials of Pain Management. Springer from https://books.google.com/books?hl=en&lr=&id=rFLLYkCg-FsC&oi=fnd&pg=PR11&ots=-YXZ9ToCZM&sig=59RX51uv_OpT7tC1CeJKadswGcA#v=onepage&q&f=false
(2013) The Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition. American Psychiatric Association from https://books.google.com/books?hl=en&lr=&id=-JivBAAAQBAJ&oi=fnd&pg=PT18&ots=cdRR23NJxb&sig=hqcxV0blNxO5C8MW8Cir3ZUxtVg#v=onepage&q&f=false