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Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report

We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due...

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Detalles Bibliográficos
Autores principales: Agarwal, Vikas, Louw, Adriaan, Puentedura, Emilio J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246593/
https://www.ncbi.nlm.nih.gov/pubmed/32403225
http://dx.doi.org/10.3390/ijerph17093324
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author Agarwal, Vikas
Louw, Adriaan
Puentedura, Emilio J.
author_facet Agarwal, Vikas
Louw, Adriaan
Puentedura, Emilio J.
author_sort Agarwal, Vikas
collection PubMed
description We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due to her high levels of CLBP and high dose opioids. At the time of intervention, her opioid dosage was between 50–90 MME (Morphine milligram equivalent) (Norco 8 × 7.5 mg/day + Fentanyl 12 mcg patch). She was subsequently seen by the physician for seven outpatient internal medicine appointments over nine months and received Pain Neuroscience Education (PNE) in conjunction with monitored tapering of opioids and other medication associated with her CLBP. This case report demonstrates how a physician might deliver PNE as a viable nonpharmacological treatment option for the tapering of long-term opioids for chronic pain.
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spelling pubmed-72465932020-06-10 Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report Agarwal, Vikas Louw, Adriaan Puentedura, Emilio J. Int J Environ Res Public Health Case Report We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due to her high levels of CLBP and high dose opioids. At the time of intervention, her opioid dosage was between 50–90 MME (Morphine milligram equivalent) (Norco 8 × 7.5 mg/day + Fentanyl 12 mcg patch). She was subsequently seen by the physician for seven outpatient internal medicine appointments over nine months and received Pain Neuroscience Education (PNE) in conjunction with monitored tapering of opioids and other medication associated with her CLBP. This case report demonstrates how a physician might deliver PNE as a viable nonpharmacological treatment option for the tapering of long-term opioids for chronic pain. MDPI 2020-05-11 2020-05 /pmc/articles/PMC7246593/ /pubmed/32403225 http://dx.doi.org/10.3390/ijerph17093324 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Agarwal, Vikas
Louw, Adriaan
Puentedura, Emilio J.
Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
title Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
title_full Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
title_fullStr Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
title_full_unstemmed Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
title_short Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
title_sort physician-delivered pain neuroscience education for opioid tapering: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246593/
https://www.ncbi.nlm.nih.gov/pubmed/32403225
http://dx.doi.org/10.3390/ijerph17093324
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